For Home Health, Hospice & Skilled Nursing

New Medicare enrollment rules are coming. Is your enrollment file ready?

CMS-1844-P would let CMS revoke enrollment retroactively, erase the five-year affiliation lookback, and reach deeper into ownership and management arrangements. When it takes effect, the enrollment file you have on record is the one CMS measures you against. This is the self-audit our team runs before CMS does.

Built for administrators, owners, and compliance leads

Covers PECOS accuracy, ownership & affiliation disclosures, and the 36-month rule

Run it before the rule is final — no call required

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Jan 1, 2027

— the date the proposed enrollment-enforcement rule (CMS-1844-P, published July 6, 2026) is expected to take effect. Retroactive revocation, a 15-day post-revocation claims window, and expanded disclosures — all measured against the enrollment file you have on record that day.

Retroactive revocation & recoupment

Affiliation & ownership disclosures

36-month rule & transactions

Managing-employee expansion

Inside the self-audit

One self-audit, across the three domains that decide your enrollment standing.

PECOS record accuracy

Enrollment data, practice locations, licenses, and revalidation dates — checked against what CMS actually has on file, not what you meant to submit.

Ownership, affiliation & managing-employee disclosures

The relationships CMS-1844-P would make disclosable — business and financial arrangements, clinical directors, department heads — surfaced before CMS asks the question.

36-month rule & transaction exposure

Management agreements and transition arrangements that transfer control before the paperwork does — the exact structures the tightened rule is written to reach.

Why Precisian

“We audit the enrollment file the way CMS will — PECOS record, disclosures, managing-employee data — and hand you the gap report before a reviewer builds one of their own.”

Beyond the self-audit

Want to know your exposure before the rule is final?

A free evaluation walks through your PECOS record, disclosures, and revalidation posture — and exactly where your enrollment file stands today. Knowing your exposure is free. Not knowing it is what gets expensive in January.

Book a free evaluation