You Don’t Have to Be Complicit in a Lie
Saquon Barkley Had an Unsettling Event at His Home Over the Weekend
Watch Tom Homan Expertly Slap Down This Silly Question From a CBS News...
The Latest Slate of Polls Is Brutal for Dems
Mark Warner Got Busted Telling a Massive Lie About Voter ID in His...
Was This Discussion About What Caused Lindsey Graham's Death Necessary?
YouTuber Eviscerates a Socialist's Talking Point on the Economy in Less Than a...
The Easiest Way to Be Miserable
Democrats Launch Renewed Attack on School Choice
It Doesn't Look Like Things Are Going Well for the James Talarico Campaign
The RNC Just Trolled Maine Democrats for Their Disastrous Senate Race
About the News on Page 17
Just Pick a Time Already!
The Unconstitutionality of the Democratic Socialists of America
Why Corporate America Is Abandoning Legacy Media
Tipsheet

Six-Month Freeze: CMS Blocks New Medicare Enrollments for Hospice and Home Health Agencies to Fight Fraud

Six-Month Freeze: CMS Blocks New Medicare Enrollments for Hospice and Home Health Agencies to Fight Fraud
AP Photo/Evan Vucci

The Centers for Medicare and Medicaid Services has paused new Medicare enrollment for hospices and home health agencies for six months to fight fraud. 

The moratoria will allow CMS to temporarily halt the influx of new providers into these high-risk categories—a key source of fraudulent activity. The action continues the Trump Administration’s crackdown on fraud, waste, and abuse in the Medicare program by stopping improper billing and preventing bad actors from entering the system.

Advertisement

“We’ve seen systemic and deeply troubling fraud in the hospice and home health space, with bad actors exploiting some of our most vulnerable Medicare patients and stealing money from the American taxpayer,” said CMS Administrator Dr. Mehmet Oz. “Today we’re shutting the door on fraud—preventing new bad actors from entering Medicare while we aggressively identify, investigate, and remove those already exploiting them. This is about protecting patients, restoring integrity, and safeguarding taxpayer dollars.”

During the six-month moratoria, CMS will intensify targeted investigations, deploy advanced data analytics, and accelerate the removal of hospice and HHA providers from the Medicare program that are suspected of committing fraud

This nationwide approach will also eliminate the ability of bad actor operators to evade detection by simply shifting across state lines. In addition, the moratoria will apply to all applications for initial Medicare enrollment and certain changes in majority ownership, which are frequently used to obscure control by bad actors. The moratoria will not impact current enrollments, and existing providers can continue to deliver services to Medicare beneficiaries.

Advertisement


CMS’ announcement today follows our declaration earlier this year of a similar moratorium to prevent fraudulent Medicare billing by certain durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) companies. With three separate moratoria now in place, CMS has taken some of the most significant fraud prevention actions in the agency’s history.


The moratoria are part of CMS’ ongoing efforts to stop fraud before it starts, using data-driven prevention and real-time enforcement as part of a coordinated federal approach. 

Recent CMS action, undertaken in coordination with Vice President JD Vance’s Anti-Fraud Task Force, has included the suspension of payments to 773 hospices and 23 HHAs suspected of fraud in Los Angeles alone, representing $70 million in suspended funds thus far.

Additional CMS work to crush fraud in the hospice and HHA areas has included:

  • Revoking or deactivating hundreds of hospices and HHAs engaged in improper or fraudulent activity; 
  • Conducting nationwide hospice site visits to verify operations and identify suspicious activity;
  • Heightened oversight of newly enrolled Medicare hospice providers in states with elevated fraud risk, including Arizona, California, Georgia, Ohio, Nevada, and Texas;
  • Launching a new, publicly available hospice scoring system to increase transparency and identify providers with troubling patterns of utilization, quality, or compliance;
  • Implementing enhanced enrollment screening measures for high-risk HHAs, including site verification of reported practice locations and fingerprinting-based background checks; and
  • Expanding a demonstration project that allows pre- and post-claim review of HHA claims in Florida, Illinois, Oklahoma, Ohio, North Carolina, and Texas to stop improper payments before they occur.
Advertisement

Editor’s Note: Do you enjoy Townhall’s conservative reporting that takes on the radical Left and woke media? Support our work so that we can continue to bring you the truth.

Join Townhall VIP and use promo code FIGHT to receive 60% off your membership.

Join the conversation as a VIP Member

Recommended

Trending on Townhall Videos

Advertisement
Advertisement
Advertisement