This page is a central location for home health and hospice information, including CMS resources. As the Part A/B MAC, we do not process claims for hospice or home health services. However, we are responsible for reimbursement to A/B providers for services related to certification and recertification of these services. 

• The Medicare Home Health & Hospice Contractor for FL is Palmetto GBA 
• The Medicare Home Health & Hospice Contractor Puerto Rico and the US Virgin Islands is National Government Services (NGS), LLC

Spotlight

• CMS Announces Aggressive Nationwide Crackdown on Fraud with Six-Month Hospice and Home Health Agency Enrollment Moratoria
• CMS Proposes Updates to Strengthen Medicare Program Integrity, Combat Fraud, and Expand Access to Home Health Care

Enrolling

• Medicare Fee-for-Service Provider Enrollment Contact List

Policy Information

Not all services have a policy associated with them. We will consider Reasonable and Necessary Guidelines in the absence of a LCD, billing and coding article, NCD, or CMS manual instruction that limits coverage:

• CMS Pub. 100-02 Medicare Benefit Policy Manual, Chapter 7, Home Health Benefits
• CMS Pub. 100-02 Medicare Benefit Policy Manual, Chapter 9, Coverage of Hospice Services Under Hospital Insurance

Claim Submission and Reimbursement

•  Physician Certification and Recertification of Home Health Services
• MLN Matters Article MM14639, HCPCS Codes Used for Home Health Consolidated Billing Enforcement: January 2027 Annual Update
• MLN Matters Article MM14510, HCPCS Codes Used for Home Health Consolidated Billing Enforcement: October 2026 Quarterly Update
• MLN Matters Article MM13402, Processing Claims Affected by Retroactive Entitlement
• Tips to Prevent Claim Adjustment Reason Code CO B9
• Checklist: Home Health Referrals
• Hospice: New Requirement for Physicians Who Certify Patient Eligibility

Additional Information

• View our FastTrack to Medicare Coverage Policies  Tool  to locate guidelines

CMS

• Home Health Prospective Payment System & Coverage
• Hospice Payment System & Coverage
• Home Health and Hospice MAC Jurisdictions

Education

View our wide selection of free, live and on-demand training options:

• View our upcoming Educational Events Calendar
• View On-demand Learning

Stay Informed

Stay updated on the latest Medicare information with free email subscriptions:

• Subscribe to eNews
• CMS.gov MLN Connects Newsletter