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Showing posts from March, 2026

The 2026 CRUSH Initiative: A National Freeze on DME and Pharmacy Operations

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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...

The 180-Day Federal Moratorium: No New PTANs for DME Suppliers

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  The federal government has just fundamentally changed the environment for every medical supply provider in the country. On February 27, 2026, CMS officially enacted a nationwide six-month moratorium on all new Medicare enrollments for seven specific categories of suppliers. This is not a minor delay; it is a regulatory brick wall. For the first half of 2026, the issuance of new Provider Transaction Access Numbers, or PTANs, has effectively ceased under the CMS-6099-N notice. For a new business owner who just signed a lease or invested in inventory, this moratorium creates a devastating domino effect. The PTAN is the first domino in the line of professional credibility. Without an active Medicare enrollment, you cannot secure a Medicaid provider agreement, and most commercial insurance payers will not even look at your application for a contract. For a brand-new startup, this doesn't just mean a delay in Medicare payments; it means a total revenue blackout across almost every pay...