CMS Pauses Hospice and Home Health Medicare Enrollments in Fraud Crackdown
CMS has paused new Medicare enrollments for hospice and home health agencies as part of an intensified fraud enforcement action. The enrollment freeze applies nationally and affects providers seeking to enter or expand Medicare participation in these service categories. The timing and scope of the moratorium have not been detailed, but the action signals heightened scrutiny of billing patterns and compliance in post-acute care sectors. Medicaid managed care organizations with Medicare-Medicaid Plans or LTSS responsibilities should anticipate network disruptions and potential delays in provider credentialing.
Medicare enrollment freezes in hospice and home health can restrict network capacity for dual-eligible and LTSS populations, requiring MCOs to monitor provider availability and adjust care coordination strategies.
Long-Term Care · LTSS · Managed Care
You might also like