Medicare

Product

Last mentioned: Mar 6, 2026

Timeline

  1. Enforcement Begins

    Mandatory NPI and attestation requirements take full effect for Medicare reimbursement eligibility.

  2. Enforcement Begins

    Medicare payments will be withheld from off-campus HOPDs that lack a unique NPI and valid attestation.

  3. Attestation Deadline

    Final date for hospitals to submit initial provider-based attestations for existing off-campus sites.

  4. Initial Filing Deadline

    Final day for hospitals to submit initial attestations for all existing off-campus departments.

  5. Initial Expiration

    The first six-month period ends, pending potential CMS extension.

  6. Initial Expiration

    CMS will evaluate whether to lift the moratorium or extend it for another six months.

  7. Initial Expiration

    The first six-month period ends, at which point CMS may choose to extend the moratorium.

  8. Moratorium Effective Date

    Nationwide freeze on new DMEPOS enrollments officially begins.

  9. Moratorium Effective Date

    Nationwide freeze on new DMEPOS enrollments officially begins.

  10. Moratorium Effective

    CMS officially publishes the notice and the nationwide enrollment freeze begins immediately.

  11. Legislation Enacted

    President signs the Consolidated Appropriations Act of 2026, ending the voluntary attestation era.

  12. Legislation Enacted

    President signs the Consolidated Appropriations Act of 2026 into law.

  13. CMS Rulemaking

    CMS expected to establish the formal process and portal for NPI and attestation submissions.

  14. Data Review Period Ends

    CMS concludes a multi-year review of high-risk enrollment and claims data.

  15. Data Review Period Ends

    CMS concludes a review showing a 17% spike in DMEPOS enrollment and claims activity.

  16. Data Review Concludes

    CMS finishes a multi-year review of Medicare enrollment and claims data identifying high-risk trends.

  17. OIG Fraud Warning

    HHS OIG highlights over a decade of concerns regarding DME supplier fraud.

  18. OIG Fraud Report

    HHS OIG highlights billions in potentially improper Medicare payments to DME suppliers.

  19. OIG Fraud Warning

    HHS OIG highlights billions in improper DME payments over the previous decade.

Stories mentioning Medicare 5

pharma Bearish

CMS Imposes Unprecedented Nationwide Moratorium on DMEPOS Enrollments

The Centers for Medicare & Medicaid Services (CMS) has implemented a six-month nationwide freeze on new Medicare enrollments for seven categories of medical supply companies. This aggressive regulatory move, effective February 27, 2026, aims to curb systemic fraud and billions in improper payments within the DMEPOS sector.

2 sources
regulation Bearish

Hospitals Face Mandatory NPI and Attestation Rules for Off-Campus Departments

The Consolidated Appropriations Act of 2026 mandates that all off-campus hospital outpatient departments (HOPDs) obtain unique National Provider Identifiers and submit formal provider-based attestations. This regulatory shift ends the long-standing voluntary compliance system and sets a hard enforcement deadline of January 1, 2028.

2 sources
regulation Bearish

Hospitals Face 2028 Deadline for Mandatory Off-Campus NPI and Attestations

The Consolidated Appropriations Act of 2026 mandates that all off-campus hospital outpatient departments (HOPDs) obtain unique National Provider Identifiers and submit formal compliance attestations. Hospitals must meet these new transparency requirements by January 1, 2028, to maintain eligibility for Medicare payments under the Outpatient Prospective Payment System.

2 sources