CMS Proposes Home Health Enrollment Changes to Reduce Fraud and Improper Payments
On July 1, 2026, CMS proposed enrollment-related policy changes under the Home Health Prospective Payment System aimed at reducing improper Medicare payments and protecting beneficiaries. The proposed rule introduces new enrollment requirements and fraud deterrence measures for home health providers. While the rule targets Medicare home health providers, states with Medicaid home health programs or 1915(c) waiver programs providing home and community-based services may see similar enrollment standards adopted or referenced in future Medicaid guidance. CMS has not specified a comment deadline or effective date in the summary provided.
States with Medicaid LTSS or HCBS waiver programs often align provider enrollment standards with Medicare requirements, and new fraud controls may inform future Medicaid compliance expectations for home health agencies.
LTSS · Long-Term Care
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