Federal rules sit on top of every state. They matter most if you are Medicare-certified, bill Medicaid, or send health information electronically, such as electronic claims.
Red means act now, amber means read it this month, grey is for the record.
CMS stopped enrolling new home health agencies, new home health branches and new hospices in Medicare, nationwide. Applications received before May 13 are not affected.
Dates taken from the rules and notices as we read them.
6 months from May 13, 2026, unless CMS extends or lifts it. The notices don't print an end date; this is the 6-month mark.
Every state follows the same outline, so you always know where to look. Open a section for the detail.
Every answer was written and checked ahead of time, with the official document next to it. Nothing is made up on the spot.
Yes, for Medicaid personal care and home health.
Section 12006 of the 21st Century Cures Act requires states to use electronic visit verification for Medicaid personal care and home health services. Each state runs its own system – see your state's page.
You can't newly enroll one in Medicare while the moratorium lasts.
Since May 13, 2026, CMS has paused new Medicare enrollments of home health agencies, new home health branches and hospices, nationwide. It runs for 6 months unless CMS extends it (in 6-month steps) or lifts it early. Applications the Medicare contractor received before May 13 are not affected. Neither are changes of practice location, phone number or address, or most ownership changes. Ownership changes that require a new initial enrollment are covered. CMS left Medicaid to each state.
42 CFR Part 484.
Part 484 holds the Medicare conditions of participation for home health agencies. They apply to Medicare-certified agencies.
Yes, if you bill health plans electronically.
HIPAA covers health care providers that send health information electronically in standard transactions, such as Medicaid or Medicare claims. The privacy, security and breach notification rules are in 45 CFR Part 164.
42 CFR 441 Subpart G.
These are the federal requirements for Medicaid 1915(c) home and community-based services waivers. State waiver manuals build on them.
The official link for each document. Our own dated copies will sit next to them, so a document is still here when a state moves its website.
2 documents