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CMS MLN Connects Weekly Newsletter · May 14, 2026 · Primary source

MLN Connects Newsletter for May 14, 2026

Score 80PRIMARYregulatoryCMS

Summary

The May 14, 2026 MLN Connects newsletter announces two major CMS enforcement actions: a six-month nationwide moratorium on new Medicare enrollment for hospices and home health agencies (HHAs), implemented in coordination with Vice President Vance's Anti-Fraud Task Force, targeting what CMS describes as high-risk fraudulent activity in these provider categories. The newsletter also discloses an OIG report finding that approximately 43% of Medicare enrollees receiving remote patient monitoring (RPM) did not receive all three required components, raising billing integrity concerns for RPM providers. Additional items include electronic prior authorization early adopters and bone growth stimulator reclassification affecting DMEPOS billing codes effective May 18, 2026.

What this may mean

The six-month nationwide enrollment moratorium bars new hospice and HHA providers from entering Medicare during the moratorium period, directly affecting new entrants and investors in those provider categories. The OIG RPM finding that 43% of enrollees did not receive all three required components signals active oversight and audit exposure for providers and health systems billing RPM codes. Bone growth stimulator suppliers must drop the KF modifier from claims for HCPCS codes E0747, E0748, and E0760 for dates of service on or after May 18, 2026, with fee schedule amounts adjusted in the July 2026 DMEPOS update.

Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.

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