Medicare Home Health Payment Integrity and Protection Act of 2026 aims to reduce fraud in Medicare home health services.
The Medicare Home Health Payment Integrity and Protection Act of 2026 seeks to decrease fraud in Medicare home health services by enhancing enrollment screening, implementing additional oversight for high-risk agencies, and resetting the standard prospective payment amount. The bill mandates the Secretary of Health and Human Services to assess the performance of accreditation bodies and establish mechanisms to exclude suspect claims from payment calculations. It also requires additional surveys for agencies at extreme risk of fraud and those that fail to submit quality data.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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