CMS全国暂停医疗供应公司新登记医保,六个月防欺诈冻结2月27日生效

2026年2月27日,美国医疗保险和医疗补助服务中心(CMS)在《联邦公报》刊登公告(文件号 CMS-6099-N),对耐用医疗设备、假肢、矫形器与用品(DMEPOS)供应商中的医疗供应公司类实施为期六个月的全国性医保新登记暂停,自刊登当日起生效。
暂停覆盖全美各州、领地与哥伦比亚特区,适用于七类医疗供应公司的新登记申请:普通医疗供应公司,以及分别配有矫形人员、足科矫形人员、假肢人员、假肢与矫形人员、注册药剂师、呼吸治疗师的医疗供应公司;这类公司新开营业地点的登记也在暂停之列。暂停期满时 CMS 可以逐期延长六个月,延长前会评估并在《联邦公报》公告。在生效日期之前已被医保承包商收到的申请不受影响,营业地点、登记信息与所有权变更等事项另按法规处理。
CMS 依据《社会保障法》第1866(j)(7)条与联邦法规42 CFR 424.570 作出这一决定,此前与卫生与公众服务部监察长办公室和司法部协商,认定这一类供应商长期存在欺诈、浪费与滥用风险。公告中列举了监察长办公室关于现成矫形支具的报告、导尿管产品约3510万美元不当付款的审计结果以及多桩 DMEPOS 刑事定罪作为依据。暂停只针对联邦医疗保险(Medicare),各州可自行决定是否对医疗补助(Medicaid)与儿童健康保险计划(CHIP)采取类似暂停。
这项暂停是 CMS 打击医保欺诈的综合规制倡议(CRUSH)的一部分,已在2月25日白宫宣布的一揽子反欺诈行动中对外公布,当时由副总统 J.D. Vance、卫生与公众服务部部长 Robert F. Kennedy, Jr. 与 CMS 主任 Mehmet Oz 共同宣布。CMS 表示,去年它在这一领域阻止了超过15亿美元的疑似欺诈账单。CMS 主任 Oz 在宣布时说,CMS 不再满足于在事后追赶欺诈者,而是要「把罐子锁上」。
关联:500亿美元农村医疗转型计划首年拨款公布,50个州全数获资助
关联:德州男子提交5990万美元虚假医保申报,被判90个月监禁
CMS Nationwide Six-Month Pause on New Medicare Enrollment for Medical Supply Companies Takes Effect February 27
On February 27, 2026, the Centers for Medicare & Medicaid Services (CMS) published a notice in the Federal Register (document CMS-6099-N) imposing a six-month nationwide moratorium on new Medicare enrollment for medical supply companies among durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) suppliers, effective on the date of publication.
The moratorium covers all states, territories and the District of Columbia and applies to initial enrollment applications from seven types of medical supply companies: medical supply companies, and those with orthotics personnel, pedorthic personnel, prosthetics personnel, prosthetic and orthotic personnel, a registered pharmacist, or a respiratory therapist; enrollment for new locations of these supplier types is also paused. CMS may extend the moratorium in additional six-month increments after assessing the need and announcing it in the Federal Register. Applications received by a Medicare contractor before the effective date are not affected, and changes of location, enrollment information or ownership are handled separately under the regulations.
CMS imposed the moratorium under section 1866(j)(7) of the Social Security Act and 42 CFR 424.570, after consulting with the Department of Health and Human Services Office of Inspector General and the Department of Justice, concluding that this supplier type presents a significant risk of fraud, waste and abuse. The notice cites an inspector general report on off-the-shelf orthotic braces, an audit finding about $35.1 million in improper payments for urinary catheters, and multiple DMEPOS criminal convictions. The pause applies to Medicare only; each state may decide whether a similar moratorium is appropriate for Medicaid and the Children's Health Insurance Program (CHIP).
The moratorium is part of CMS's Comprehensive Regulations to Uncover Suspicious Healthcare (CRUSH) initiative and was announced on February 25 at the White House by Vice President J.D. Vance, Secretary of Health and Human Services Robert F. Kennedy, Jr., and CMS Administrator Dr. Mehmet Oz as part of a broader crackdown on health care fraud. CMS said it stopped more than $1.5 billion in suspected fraudulent billing in this area last year. Announcing the package, Oz said CMS was done trying to catch fraudsters with their hands in the cookie jar and would instead be "padlocking the jar."
Related: Texas Man Sentenced to 90 Months for $59.9 Million Medicare Fraud
来源:美国医疗保险和医疗补助服务中心
发布:GSM·美国(发布链接)
图片来源:图:位于美国华盛顿的美国卫生与公众服务部总部休伯特·汉弗莱大楼(CMS 为该部下属机构)。Carol M. Highsmith 摄,公共领域,经 Wikimedia Commons。 / Photo: The Hubert H. Humphrey Building, headquarters of the U.S. Department of Health and Human Services, in Washington, D.C. (CMS is an agency within the department). Photo by Carol M. Highsmith, public domain, via Wikimedia Commons.
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