Temporary Moratorium on Home Health Agency (HHA) Enrollment-Metropolitan Areas of Miami and Chicago
• Temporary Moratorium – On July 31, 2013 the Centers for Medicare & Medicaid Services (CMS) announced a temporary moratorium
on Home Health Agency (HHA) enrollment in two geographic areas. Effective July 30, 2013, CMS will halt the enrollment of
new HHA providers and HHA branch locations in the metropolitan areas of Miami, FL and Chicago, IL.
• Length of Moratorium - The moratorium will be in place for six months. Federal regulations allow CMS to lift the moratorium
as necessary or to extend the moratorium for six month periods by notifying the public.
• HHA Application Status – Prospective HHA applications within the affected areas which were not approved prior to July 30,
2013 will be denied by the Medicare Administrative Contractor (MAC). Approved means that by 12:00 AM July 30, 2013 the initial
certification survey was completed; the second MAC review was completed; the CMS Regional Office (RO) sent the tie-in notice
to the MAC; the MAC performed a site visit and the MAC decided to switch the HHA’s Provider Enrollment Chain Organization
System (PECOS) record to an “approved” status.
• State Survey Agency (SA)/Regional Office (RO) Review – As of 12:00 AM on July 30, 2013, the SAs and ROs must cease all review
of any initial HHA applications pending within the SA or RO for prospective providers in the affected zip codes of the moratorium.
In addition, the SAs/ROs may not review any application for an HHA branch location within the affected zip codes throughout
the duration of the moratorium.