CMS has clarified that skilled palliative care services may be billed under the existing Medicare home health benefit for eligible seriously ill patients, separate from hospice care. The clarification is included in the CY 2027 Home Health Prospective Payment System proposed rule.^[1] CMS also included a Request for Information in the CY 2027 Physician Fee Schedule proposed rule asking for public input on designing a standalone Medicare community-based palliative care benefit outside the hospice framework.^[2] Kim Brandt, CMS deputy administrator and COO, stated that the Medicare home health enrollment moratorium has blocked 250 applicant agencies. A parallel hospice enrollment moratorium has blocked 50 applicant providers.^{[3] [4]} The temporary Medicare enrollment moratoria for home health and hospice are scheduled to end on November 13.^[5] One published analysis notes the existing Medicare home health benefit eligibility and structure are a poor fit for most seriously ill patients who require palliative care.^[6] Jennifer Sheets stated the 2025 proposed Medicare home health rule includes the first reimbursement rate increase in seven years.^[7]