Moratoria on Home Health Agency (HHA) Enrollment- Phase 2 - Metropolitan Areas of Fort Lauderdale, Detroit, Dallas and Houston
and Extension of Moratoria on Metropolitan Areas of Miami and Chicago
Moratoria – The Centers for Medicare & Medicaid Services (CMS) announced new moratoria on Home Health Agency (HHA) enrollment
in four geographic areas and an extension of the existing moratoria in two geographic areas, effective January 30, 2014. Effective
January 30, 2014, CMS will halt the enrollment of new HHA providers and HHA branch locations in the metropolitan areas of
Fort Lauderdale, FL, Detroit, MI, Dallas, TX and Houston TX, and extend the existing moratoria in Miami, FL and Chicago, IL.
• Length of Moratoria - The moratoria will be in place for six months. Federal regulations allow CMS to lift the moratoria
as necessary or to extend the moratoria for six month periods by notifying the public.
• HHA Application Status – Prospective HHA applications within the affected areas which were not approved prior to January
30, 2014 will be denied by the Medicare Administrative Contractor (MAC). Approved means that by 12:00 AM January 30, 2014
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 January 30, 2014, 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 moratoria. 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 moratoria.