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CMS official challenges Pennsylvania on moratoriums, cites hospice removals and new enforcement tools
Summary
CMS officials said the agency has removed more than 1,000 hospices from Medicare in California, imposed a nationwide moratorium on new hospice and in‑home enrollments through mid‑November, and urged Pennsylvania to formalize any moratorium request as part of broader program integrity work.
A CMS official at the Philadelphia event said the agency is taking aggressive steps to block bad actors from enrolling in Medicare and Medicaid programs and challenged Pennsylvania to follow through on promises to revalidate its home‑care providers.
"Stop the bad actor before the money goes out, not chase after it years after," the CMS presenter said, describing removals and a nationwide moratorium on new hospice and in‑home health enrollments in effect through mid‑November. The speaker said California alone saw the removal of more than 1,000 hospices since the administration began rolling back facilities it judged noncompliant.
CMS officials said they have published a Medicaid service‑area heat map for applied behavioral analysis (ABA) spending as part of an effort to spot concentrated, unusually rapid growth in certain services. The agency urged states — including Pennsylvania — to revalidate providers and, when appropriate, consider geographically targeted moratoriums on new enrollments to protect beneficiaries.
Officials framed the actions as tools to protect vulnerable beneficiaries and taxpayers and said the goal is to prevent bad actors from receiving payments in the first place rather than attempting to recover funds after the fact.
