Compliance Updates & Regulatory Alerts

Stay ahead of regulatory changes with real-time updates for home health and hospice agencies. We monitor CMS, state, and federal regulations so you can focus on patient care.

Urgent: CMS HOPE Assessment Deadline Approaching

Mandatory implementation for all Medicare-certified hospice providers by July 1, 2026

View Details

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3
Critical Updates

Requires immediate attention

12
Upcoming Deadlines

Next 90 days

28
Active Regulations

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45
Resources Available

Templates, guides, checklists

Critical • Hospice • CMS
March 15, 2026

CMS HOPE Assessment Mandatory Implementation

The Hospice Outcomes and Patient Evaluation (HOPE) assessment tool becomes mandatory for all Medicare-certified hospice providers effective July 1, 2026, replacing the current Hospice Item Set (HIS).

Deadline: July 1, 2026
CMS Memo: QSO-26-12-HOSPICE
Penalty: Payment suspension
ACTION REQUIRED: Update assessment protocols
View Implementation Guide
Warning • Home Health • EVV
March 10, 2026

EVV Expansion: 5 New States Requirements

California, Florida, Illinois, New York, and Texas announce updated EVV requirements for 2026 with stricter GPS verification and real-time submission mandates.

Effective: Varies by state
States: CA, FL, IL, NY, TX
View State-by-State Guide
Info • Home Health • OASIS-E
March 5, 2026

OASIS-E GG Functional Scoring Changes

CMS releases updated GG functional scoring guidelines effective October 1, 2026. Changes affect self-care and mobility items with new skip patterns and scoring criteria.

Effective: Oct 1, 2026
Impact: All SOC/ROC assessments
View Updated Guidelines
Critical • HIPAA • Security
February 28, 2026

New HIPAA Security Rule Updates

HHS announces enhanced HIPAA Security Rule requirements for ransomware protection, multi-factor authentication, and encrypted messaging effective September 2026.

Effective: Sep 30, 2026
Audits: Begin Q4 2026
ACTION REQUIRED: Security audit recommended
View Security Checklist
Warning • State • Billing
February 20, 2026

Medicaid Billing Code Updates - 15 States

Multiple states update Medicaid billing codes and modifiers for home health services. Significant changes in California, Texas, and Florida billing requirements.

Effective: April 1, 2026
Impact: Claims submission
View Code Updates
Info • Hospice • Quality
February 15, 2026

Hospice Quality Reporting Program (HQRP) Updates

CMS updates HQRP requirements for FY2027 with new quality measures and revised data submission timelines. Changes affect CAHPS Hospice Survey and HIS submission.

FY: 2027
Impact: Quality scores
View HQRP Guide
Completed • Home Health • PDGM
February 10, 2026

PDGM Coding Validation Complete

Annual PDGM coding validation and updates completed. No significant changes to case-mix weights for 2026. All agencies should verify their software is updated.

Completed: Feb 10, 2026
Status: Implemented
View Summary

2026 Compliance Implementation Timeline

Q1 2026

EVV State Expansion

Implementation of new EVV requirements in 5 states begins

April 1

Medicaid Billing Updates

New billing codes effective in multiple states

July 1

HOPE Assessment Mandatory

All hospice providers must implement HOPE assessments

Sep 30

Enhanced HIPAA Security

New HIPAA security requirements take effect

Oct 1

OASIS-E GG Scoring Changes

Updated functional scoring guidelines effective

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