CMS Proposes Rule to Boost Program Integrity and Expand Home Health Access

On July 2, 2026, CMS published a proposed rule that would update Medicare program integrity measures, introduce new tools to combat fraud, and broaden access to home health care services. The proposal was announced via a CMS Newsroom press release.

Specific regulatory details — including proposed payment adjustments, enrollment requirements, documentation standards, or access expansion mechanisms — are not fully described in the available abstract. Agency administrators are strongly encouraged to review the full proposed rule and accompanying press release at the CMS website for complete details.

As a proposed rule, the provisions are open for public comment before finalization. CMS typically provides a 60-day comment window, though administrators should confirm the official comment deadline in the rule's preamble.

Why it matters

Home health agency administrators should review this proposed rule promptly, as it may introduce new compliance obligations, alter enrollment or documentation requirements, and affect reimbursement structures. Provisions aimed at combating fraud could trigger additional scrutiny of agency billing and operations. The proposed expansion of home health access may also create new service delivery opportunities. Agencies should consider submitting formal comments during the public comment period to ensure their operational concerns are represented before the rule is finalized.