Enforcement Actions for Home Health Agencies and Hospice Programs

10003 – Enforcement Actions for Home Health Agencies and Hospice Programs (Rev. 221; Issued: 05-10-24; Effective: 05-10-24; Implemetation:05-10-24) CMS certifies HHAs and hospice programs for participation in Medicare. The SAs then conduct standard and complaint surveys of certified providers to determine compliance with the CMS conditions of participation. If an HHA or hospice program is not in compliance with the Medicare conditions, CMS may impose an alternative sanction or enforcement remedy. The following sections describe the statutory authorities, considerations, and process for imposition of sanctions/remedies.