Crushing Fraud, Waste, & Abuse
CMS is crushing fraud, waste, and abuse to protect Americans.
Alert: CMS Implements Temporary Nationwide Enrollment Moratorium on Home Health Agencies and Hospices
On May 13, 2026, CMS implemented a six-month nationwide moratorium on Home Health Agencies (HHAs) and Hospices. Any initial or change in majority ownership (CIMO) applications submitted by HHAs and Hospices after the implementation of the moratorium will be denied.
For more information, refer to the Federal Register Notice here or Provider Enrollment Moratoria.
CMS Reports Highest Program Integrity ROI Ever Recorded
Due to the bold actions this administration has taken to crush fraud, CMS delivered unprecedented results in Fiscal Year (FY) 2025, protecting taxpayer dollars and holding bad actors accountable like never before.
Total Medicare program integrity savings surged 59%, from $26.3 billion in FY 2024 to a record-shattering $41.9 billion in FY 2025. The FY 2025 Medicare Return on Investment (ROI) reached $22.3 to 1, up from $14.6 to 1, the highest ROI ever.
More information can be found here.
Recent and Upcoming Events
CMS attended the 2026 Healthcare Information and Management System Society (HIMSS) annual conference in Las Vegas, Nevada. The conference brought together over 24,000 healthcare pioneers from various industries to exchange ideas and insights.
To hear more about CMS' presence at HIMSS, view interviews with COO Kim Brandt here and CMS Administrator Dr. Oz here.
Fast Facts
Learn more about program integrity risks to CMS programs and the steps CMS is taking to crush fraud.
The FDOC
Hospice Fraud
FY 2025 ROI
Dual Enrollment
Hot Spots
See below for details on the biggest risks to CMS programs.
Durable Medical Equipment Fraud
Some DMEPOS suppliers have billed Medicare for items that were never provided or have submitted bills without the beneficiary’s knowledge or consent. Some providers also accepted kickbacks from suppliers to bill DMEPOS when the item was not medically necessary.
Inappropriate DMEPOS billing could affect available benefits, increase out-of-pocket costs, or indicate stolen health information.
Coming Soon
Page Last Modified:
05/13/2026 10:19 AM