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May 19, 2026

HHA & Hospice Enrollment Moratorium

On May 13, 2026, CMS implemented a temporary nationwide enrollment moratorium on Home Health Agencies (HHAs) and Hospices.

This means HH&H Medicare Administrative Contractors (MACs) must deny certain enrollment applications submitted on or after May 13, 2026, and refund the application fee.

The moratorium applies to:

  • HHA & Hospice providers submitting an initial enrollment application.
  • HHA & Hospice providers who have a change in majority ownership (CIMO) under 42 CFR 424.550(b) within 36 months after initial enrollment or following the most recent CIMO where an exception isn’t met.
  • Applications to reenroll following a revocation or voluntary withdrawal.
  • Applications to add an HHA branch or Hospice location.

The moratorium doesn’t apply for applications to:

  • Reenroll after a deactivation reason under 42 CFR 424.540(a) (except (a)(8)).
  • Report Tax Identification Number (TIN) changes that occur without any accompanying ownership changes and comply with the 36-month rule.
  • Report changes in practice location or enrollment information (e.g., phone number).
  • Report changes in ownership that comply with the 36-month rule.

The moratorium will remain in effect for 6 months. CMS may extend the moratorium in 6-month increments if deemed necessary.

For more information:

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