CMS Expands Enhanced Oversight of Hospice Providers: Prepayment Review, Heightened Risk, and Rising Revocations
- May 08, 2026
- Shalyn Watkins , Holland & Knight LLP
The Centers for Medicare & Medicaid Services (CMS) continues to intensify its enforcement focus on hospice providers through the expansion of its Provisional Period of Enhanced Oversight (PPEO) and related Expanded Prepayment Review (EPR) initiatives. Originally limited to a handful of states, these oversight measures now apply to hospice providers in Georgia and Ohio, joining Arizona, California, Nevada, and Texas. As CMS broadens this enforcement footprint, providers are experiencing a noticeable uptick in Medicare enrollment revocations and billing privilege terminations, reflecting the increasingly unforgiving nature of the enhanced oversight framework.
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