CHAPcast by Community Health Accreditation Partner

We break down the FY 2027 Hospice Final Rule and why CMS is becoming increasingly more aggressive in oversight tied to program integrity and beneficiary protection. We walk through the increase in non-hospice spending, and finalized the new SSVI risk scoring model.

• CMS’s stronger focus on hospice accountability, transparency, and beneficiary protections
• Rapid growth in non-hospice spending under Parts A, B, and D, and why CMS is targeting it
• Beneficiary cost-sharing concerns and how “leakage” can happen with facility partners
• How the SSVI is calculated and what a higher score can trigger
• Election statement addendum becoming required for every Medicare patient beginning 10/1/2026, and why relatedness documentation must be airtight
• Telehealth face-to-face flexibility extended through 2027, plus new 2027 claims reporting codes
• Care Compare icon tied to HQRP participation 
• SSVI blog and fact sheet is available for you to download

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We break down the calendar year 2027 proposed home health rule and why it signals a bigger CMS push on quality, transparency, and program integrity beyond reimbursement. We focus on enrollment risk and the palliative care request for information, then lay out what providers should do now to protect operations and influence the final rule. 
• proposed payment positives alongside larger compliance impact 
• home health quality reporting program changes, including OASIS and HHCAHPS timeline implications 
• expanded provider enrollment denial and revocation risk, including clerical errors and longer exclusion periods
• change of ownership pressure points, including management agreements and the 36-month rule 
• broadened “managing employee” definition capturing more clinical leaders and contractors 
• “guilt by proximity” concerns tied to suite locations and geographic zip code concentration 
• CMS palliative care direction through the Medicare home health benefit and why homebound eligibility creates gaps 
• requests for comments, including a technical expert panel or a trial run before implementation 

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CMS Hospice & Home Health Moratorium: What CHAP Knows So Far – CHAP is updating this page as frequently as possible based on official CMS guidance and publicly available information.

We break down the May 13, 2026 National Home Health and Hospice Enrollment Moratorium and what it means for Medicare-certified providers trying to enroll, expand, or change ownership. We also share what we expect CMS and state agencies to scrutinize next and how strong compliance and quality programs keep you ready. 
• why the moratorium timing feels sudden but predictable amid fraud and abuse enforcement 
• what “received before May 13” means for CMS-855A applications, branches, and practice locations 
• how nationwide coverage prevents providers from relocating to bypass restrictions 
• what still moves forward, including certain address changes and ownership changes that do not trigger initial enrollment 
• why the 36-month rule and CMS denial authority still create risk even for pre-May 13 submissions 
• how long the moratorium lasts, how extensions happen, and why history suggests planning for renewals 
• what CMS says about beneficiary access and how that may shape next steps 
• how states may respond on Medicaid and CHIP, including early state-level action 
• why licensure is separate from Medicare certification and what market-entry alternatives may exist 
• how existing providers can use the pause to strengthen compliance, quality metrics, and differentiation 
We will at CHAP will be keeping you updated via our new webpage that's dedicated to the Home Health and Hospice Moratoria. Make sure that you stay tuned not only to special email blasts and information that's posted on the page, but to our compliance monitor.

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We break down the top 10 DME survey deficiencies for 2025 and why annual CMS oversight raises the bar for safety, compliance, and documentation. Practical steps show how to turn policies into proof, strengthen QuAPI, and align multi‑site operations.

• CMS’s increased oversight and annual DME surveys
• the role of survey readiness and mock surveys
• building an effective compliance program using OIG’s seven elements
• quality assurance and performance improvement as a monitoring engine
• safety program gaps including tank storage, transport, cleaning and PPE
• TB screening requirements and aligning policy with state and CDC
• documentation errors that mask compliant practice
• training versus competency and observed skill assessment
• leadership accountability and consistency across multiple locations

After you listen to this podcast, click on some of the links to our resources: our top 10 DME survey deficiency list, which includes our three-year comparison.

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We break down the top 10 hospice deficiencies for 2025, why citations shifted toward aide compliance and volunteers, and how to align care plans with assessments to satisfy CMS and improve patient care. We also share new CHAP tools and practical steps to tighten supervision, documentation, and QuAPI.

• plan of care as the central compliance document
• comprehensive assessment driving timely care plan updates
• documentation beyond point and click to show necessity
• hospice aide scope, competency, and 14‑day supervision
• reporting status changes from aide to RN promptly
• state rules shaping permitted aide tasks
• volunteer 5% utilization tracking and recruitment evidence
• root cause analysis and data‑driven QuAPI
• RN case management and IDG accountability between meetings
• continuous survey readiness through mock surveys and policy reviews

After you listen to this podcast, click on some of the links to our resources: our top 10 hospice survey deficiency list, which includes our three-year comparison, and the medication reconciliation blog.  

Check out our course: Charting the Course: A Guide to Effective Care Planning in Home Health & Hospice

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We share the most-cited CHAP home health deficiencies and turn them into practical fixes you can implement now. From individualized care plans to med reconciliation, aide supervision, infection control, and transition timelines, we outline simple workflows that hold up on survey day.

• why care plan content remains the top citation
• how to individualize documentation beyond point and click
• full medication reconciliation on every primary visit
• written visit schedules and real patient notification
• patient rights forms and proof of delivery
• infection control habits, bag technique, and equipment cleaning
• aide supervision every 14 days and virtual limits
• transfer and discharge timelines with proof of sending
• using CHAP’s new tools, and three-year trends
• building QAPI projects from deficiency data

After you listen to this podcast, click on some of the links to our resources: our top 10 home health survey deficiency list, which includes our three-year comparison, and the medication reconciliation blog.  

Check out our course: Charting the Course: A Guide to Effective Care Planning in Home Health & Hospice

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We unpack the 2026 CMS DME final rule with an eye on what changes first, what it costs, and how suppliers can adapt without disrupting patient care. Annual surveys, stricter accreditation oversight, and targeted incentives reshape strategy, budgets, and daily operations.

• Annual surveys begin at next initial or reaccreditation after 1 January 2026
• Elimination of temporary accreditation before surveying new service locations
• CHOW events may trigger initial surveys and start annual cadence
• Prior authorization exemption for suppliers maintaining 90% approval
• Added products and remote item delivery in competitive bidding
• Increased CMS validation, AO reapproval, and continued sampling
• Faster complaint reporting and more granular data submission
• Clear rationale required when accepting corrective action plans
• Address changes and warehouse functions require survey planning
• Practical steps for budgeting, staffing, and strategic footprint decisions

Read the final rule. Listen to industry webinars and review our resources to understand the key elements and direct impact on suppliers.

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We break down the 2026 home health final rule, from the 1.3 percent cut and sequestration impact to face-to-face, OASIS, HHCAHPS, and value-based purchasing changes. We share concrete steps to shore up documentation, data, and budgets before January 1, 2026.

• Why the final rule timing compresses preparation
• Payment impact of the 1.3 percent cut plus sequestration
• What changes in face-to-face encounter responsibility and proof
• Aligning COPs with the all-payer OASIS requirement
• How HHCAHPS and OASIS items are being revised
• What new and removed VBP measures mean operationally
• Anti-fraud signals in enrollment and oversight
• Practical actions to update policies, analytics, and training
• Resources to read and where to find deeper summaries

We did present and post two very detailed summaries with the highlights of the home health content as well as the DME content on our website

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A single, accurate medication list can prevent harm, yet it’s often the messiest part of home visits. We unpack how to turn a kitchen-table pile of bottles into a clear, living record that protects patients, reduces polypharmacy, and keeps agencies compliant. Drawing on decades at the bedside and in surveys, we walk through the moments where discrepancies hide—transitions between providers, “as needed” meds, herbals and supplements, dose tweaks after a clinic visit—and show how to bring everything into alignment with orders and what’s actually in the home.

View CHAP's new resource: Medication Reconciliation in Home-Based Care

We get specific about what good medication reconciliation looks like in home health and hospice: verify at every visit, include non-covered and OTC products, and escalate discrepancies to the prescriber right away. You’ll hear why misalignment across the home list, the medication profile, and facility records is a top CMS deficiency and how it can escalate to immediate jeopardy when safety is at risk. We also dig into the April 2024 Home Health CoP interpretive update that lets agencies define who performs medication reviews based on scope and policy, while underscoring the nonnegotiable goal: a timely, accurate, and complete list.

Education and tools make the difference. We share practical strategies for teach-back, multilingual materials, and adapting for hearing or vision limits. We cover the Beers Criteria for older adults, ISMP resources, safe storage and disposal, and tech that improves adherence—delivery services, synchronized refills, pre-filled packs, and smart dispensers. Expect actionable checklists, questions to ask on every visit, and a reminder to have patients carry a current list to appointments and during any transition of care.

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The FY2026 Hospice Final Rule brings positive changes with a 2.6% payment increase and significant regulatory clarifications that reduce administrative burden for providers nationwide. Jennifer Kennedy and Kim Skehan discuss critical updates affecting hospice operations, with special focus on the imminent HOPE assessment implementation.

• 2.6% national payment increase for hospices with cap amount set at $34,465.34
• Regulatory clarification allowing any physician member of the IDG to complete certification of terminal illness
• Face-to-face attestation requirements simplified, eliminating need for separate documentation
• HOPE implementation confirmed for October 1st with data submission through iQIEs system
• 90% compliance threshold remains in effect with potential 4% payment reduction for non-compliance
• Final date for HIS corrections is February 5, 2026
• CMS holding on decisions regarding interoperability and deregulation requests

Providers should evaluate the financial impact of wage index changes, update policies to align with regulatory modifications, and ensure readiness for HOPE implementation through comprehensive staff training.

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