Last mentioned: Mar 6, 2026
Enforcement Begins
Medicare payments will be withheld from off-campus HOPDs that lack a unique NPI and valid attestation.
Initial Filing Deadline
Final day for hospitals to submit initial attestations for all existing off-campus departments.
CMS Rulemaking
CMS expected to establish the formal process and portal for NPI and attestation submissions.
Initial Expiration
CMS will evaluate whether to lift the moratorium or extend it for another six months.
Moratorium Effective Date
Nationwide freeze on new DMEPOS enrollments officially begins.
Legislation Enacted
President signs the Consolidated Appropriations Act of 2026 into law.
Data Review Period Ends
CMS concludes a review showing a 17% spike in DMEPOS enrollment and claims activity.
OIG Fraud Report
HHS OIG highlights billions in potentially improper Medicare payments to DME suppliers.
The Centers for Medicare & Medicaid Services has implemented a six-month nationwide freeze on new Medicare enrollments for seven categories of medical supply companies. Effective February 27, 2026, this aggressive regulatory action aims to curb systemic fraud and improper payments within the DMEPOS sector.
The Consolidated Appropriations Act of 2026 mandates that all off-campus hospital outpatient departments (HOPDs) obtain unique National Provider Identifiers and submit formal provider-based attestations. This regulatory shift ends the long-standing voluntary compliance system and sets a hard enforcement deadline of January 1, 2028.