CMS Proposes Sweeping Medicare Home Health Enrollment Enforcement Tools in 2027 Rule
CMS released the calendar year 2027 Home Health Prospective Payment System proposed rule, combining payment updates with expanded program integrity enforcement authority. The rule introduces new enrollment enforcement mechanisms targeting home health agencies participating in Medicare. While the rule focuses on Medicare home health, the enforcement framework may signal CMS's broader compliance and enrollment oversight direction. Comments on the proposed rule are due 60 days after Federal Register publication.
CMS enforcement frameworks introduced in Medicare often migrate to Medicaid managed care network adequacy and provider enrollment oversight, particularly for home health services covered under LTSS and managed care contracts.
LTSS · Managed Care
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