CMS Pauses Hospice, Home Health Medicare Enrollments in Fraud Crackdown

CMS has paused new Medicare enrollments for hospice and home health agencies as part of a fraud prevention initiative. The enrollment moratorium affects providers seeking to enter Medicare in these categories while CMS implements enhanced screening measures. The action reflects heightened federal scrutiny of post-acute care billing practices. Medicaid managed care plans with Medicare-Medicaid dual eligible members or LTSS carved-in arrangements may see network disruptions if moratorium extends or existing providers face termination.

Long-Term Care · LTSS · Managed Care