CMS Imposes 6-Month Nationwide Moratorium on New Hospice Enrollment
CMS has announced a 6-month nationwide moratorium on new hospice provider enrollment in Medicare, effective immediately. The moratorium applies to all new hospice provider enrollment applications and prevents new hospice providers from entering the Medicare program during this period. The action is taken under CMS authority to impose temporary moratoria when necessary to prevent or combat fraud, waste, or abuse. Medicaid managed care organizations with Medicare-Medicaid dual eligible members may see impacts to hospice network capacity and coordination of care for enrollees requiring end-of-life services.
Medicaid MCOs serving dual eligible populations must coordinate hospice benefits with Medicare and may face network adequacy challenges if existing hospice providers cannot meet demand during the enrollment freeze.
Managed Care · Long-Term Care · LTSS
You might also like