The Centers for Medicare & Medicaid Services (CMS) is a department of Health and Human Services (HHS). The current administrator is Seema Verma, appointed by President Donald Trump.
CMS oversees the Medicare and Medicaid programs. CMS collects and analyzes data, produces research reports, and works to eliminate instances of fraud, waste and abuse within the health care system.
WASHINGTON—United Cerebral Palsy (UCP) and ANCOR, two national voices for providers of long-term support services for people with intellectual and developmental disabilities (IDD), released the inaugural Case for Inclusion Policy Blueprint for Sustainable Services.
ALEXANDRIA, Virginia & WASHINGTON—The National Alliance for Care at Home (the Alliance) released the following statement on the Medicare Payment Advisory Commission’s (MedPAC) March 2025 Report to Congress: Medicare Payment Policy. MedPAC’s congressionally mandated report provides analysis and recommendations on various Medicare programs, including home health and hospice.
FARGO, North Dakota—Noridian Healthcare Solutions, LLC (Noridian), a developer of solutions for health care programs, announced the re-award of the durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) Medicare Jurisdiction A (JA) contract.
WASHINGTON–A joint durable medical equipment Medicare Administrative contractor (DME MAC) publication announced new HCPCS codes for wheelchair accessories will go into effect on or after April 1, 2025. The Centers for Medicare & Medicaid (CMS) is revising HCPCS code E1028 and creating three new HCPCS codes for wheelchair accessories:
NEWARK, New Jersey—A Florida man was convicted by a federal jury for his role in a durable medical equipment (DME) kickback scheme that caused millions of dollars in losses to Medicare and other insurance providers.
WASHINGTON—The Centers for Medicare & Medicaid Services (CMS) announced its 2025 Quality Conference, which was scheduled for March 17-19, has been postponed. CMS said future conference dates will be announced at a later time. To stay up to date on information regarding the conference, visit cmsqualcon.com.
WASHINGTON—The American Association for Homecare (AAHomecare) announced that legislation to bolster rates for a large segment of home medical equipment (HME) suppliers has been reintroduced in the House of Representatives.
NEW YORK—Home medical equipment (HME) stakeholders in New York have worked with NYS Medicaid program leaders to adjust rates for standing frame/table systems that provide critical support for children with neuromuscular conditions that impair their ability to stand independently.
The new rates apply as follows:
Chikao Tsubaki had been having a terrible time.
In his mid-80s, he had a stroke. Then lymphoma. Then prostate cancer. He was fatigued, isolated, not all that steady on his feet.
WASHINGTON—A Kansas man pleaded guilty to operating an internet-based platform that generated false doctors’ orders to defraud Medicare and other federal health care benefit programs of more than $1 billion.
WASHINGTON—A New York doctor was found guilty on Monday, Feb. 10 by a federal jury for causing the submission of more than $24 million in fraudulent claims to Medicare for medically unnecessary orthotic braces and laboratory tests.
DULUTH, Minnesota—The Midwest Association for Medical Equipment Services and Supplies (MAMES) has increased advocation for enhanced coverage of breast pumps and lactation services in Nebraska. Working closely with the Nebraska Medicaid director, the company said it aims to implement these effective, beneficial changes. Additionally, the new coverages seek to align with other Medicaid programs in the Midwest.
NEW ORLEANS—U.S. Attorney Duane Evans announced that Robert Lake, a resident of East Rockaway, New York, was arrested in the Dallas Fort Worth International Airport after disembarking from an international flight. Lake was previously indicted for federal health care fraud on Oct. 18, 2025, for one count of conspiracy to commit health care fraud and three counts of health care fraud.
WASHINGTON—The National Alliance for Care at Home (The Alliance) submitted comments on the proposed Centers for Medicare & Medicaid Services (CMS) contract year 2026 policy and technical changes to Medicare Advantage (MA) programs.
WASHINGTON—Petros Fichidzhyan, a California man, pleaded guilty to health care fraud, aggravated identity theft and money laundering in connection with scheme to defraud Medicare of more than $17 million through sham hospice companies and his home health care company, according to the U.S. Department of Justice. Fichidzhyan is scheduled to be sentenced on April 14.
NASHVILLE, Tennessee—The Durable Medical Equipment Medical Administrative Contractors (DME MACs) have released a joint publication reminder in response to questions on drug coverages for nebulizers and external infusion pump local coverage determinations (LCDs).
WASHINGTON—The Centers for Medicare and Medicaid Services (CMS) issued a revised policy (CR 13049) that seeks to update documentation requirements for replacement supplies of beneficiary-owned continuous glucose monitors (CGMs), the American Association for Homecare (AAHomecare) wrote in a newsletter to members.
BRONX, New York—Essen Health Care, a New York-based medical services provider, announced it has been selected by the Centers for Medicare and Medicaid Services (CMS) to participate in the Guiding an Improved Dementia Experience (GUIDE) model, a new Medicare alternative payment model.
HOUSTON–Hospice providers and several state associations filed a lawsuit Thursday, Jan. 16, against the Department of Health and Human Services (HHS) to block the implementation of the Special Focus Program (SFP).
