House Bill Would Tighten Medicare Oversight of Home Health and Hospice Providers
Rep. Beth Van Duyne (R-Texas) introduced the Protecting Seniors and Stopping Fraudsters Act on Wednesday to increase Medicare oversight of home health and hospice services. The bill aims to crack down on fraudulent providers and enhance protections for seniors receiving home-based care. The National Alliance for Care at Home publicly supports the legislation. While focused on Medicare, the bill's fraud prevention framework could influence Medicaid managed care organizations that contract with home health and hospice providers for dual-eligible members and long-term services and supports.
Enhanced federal fraud controls for home health and hospice providers may lead to tighter credentialing standards and monitoring requirements that Medicaid MCOs will need to apply when contracting with these providers for LTSS and dual-eligible populations.
LTSS · Long-Term Care · Managed Care
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