CMS Proposes Provider Enrollment and Billing Privilege Changes in Home Health Rule
CMS included proposed changes to Medicare provider enrollment regulations (42 CFR Part 424, Subpart P) in its July 1, 2026 Home Health Prospective Payment System proposed rule. The changes would affect requirements for providers and suppliers to obtain and maintain Medicare billing privileges. The proposed modifications are embedded in the home health payment rule rather than issued as standalone enrollment guidance. Comment periods and effective dates follow standard rulemaking timelines for proposed rules.
Medicaid managed care organizations that credential providers based on Medicare enrollment status or that contract with Medicare-Medicaid dual-eligible plans must monitor these enrollment rule changes for potential credentialing and network management implications.
Managed Care
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