Baker Donelson Flags 2026 Medicare Fraud Enforcement Surge for Providers
In a client alert, Baker Donelson reports that CMS has imposed three nationwide Medicare enrollment moratoria in 2026 freezing new enrollment for home health agencies, hospices, and certain durable medical equipment suppliers. The firm notes these moratoria are running alongside a multiagency fraud task force, congressional investigations, and state oversight inquiries, with an August 2026 OIG white paper on durable medical equipment fraud signaling likely future enforcement tools. Providers and suppliers in these sectors, including those with dual Medicare-Medicaid enrollment, face heightened scrutiny now. The alert advises affected entities to prepare for expanded compliance reviews and potential parallel state Medicaid enforcement actions.
Providers enrolled in both Medicare and Medicaid should anticipate that federal enforcement priorities in home health, hospice, and DME will likely trigger corresponding state Medicaid program integrity reviews and payment scrutiny.
LTSS
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