In June, the Centers for Medicare and Medicaid Services (CMS) released an updated fact sheet for the provisional period of enhanced oversight (PPEO) for new hospice providers in four states. This new fact sheet clarifies that new hospices include “those reactivating after being in a deactivated status.”
In July 2023, CMS placed newly enrolling hospices located in Arizona, California, Nevada, and Texas under a PPEO based on reports of hospice waste, fraud, and abuse with the goal of reducing these issues and bringing new hospices into compliance. The period of enhanced oversight can be for 30 days to one year and can include medical review such as prepayment review.
