The 2026 CRUSH Initiative: A National Freeze on DME and Pharmacy Operations
Industry Alert: The 2026 CRUSH is here A major shift occurred on February 27 when CMS enacted a six-month nationwide moratorium on new Medicare enrollments for seven specific DME categories. Under the CMS-6099-N notice, the issuance of new provider numbers is officially suspended until at least late August. If you were not already enrolled by the effective date, your application for a new PTAN will be denied. This freeze also applies to existing providers who need a new enrollment due to a change in majority ownership or the addition of a new practice location. For many, this has turned routine business expansion into an immediate administrative halt. The Medicaid Trap: 28 States Now in the "Crush" The core of the CRUSH initiative is the end of disconnected reporting. Historically, federal and state agencies rarely cross-referenced their billing data in real-time, which allowed discrepancies to go unnoticed. That gap has officially closed. CMS is now using advanced analyti...