March 11, 2026
NAELA has submitted comments to the Centers for Medicare & Medicaid Services (CMS) regarding the agency’s CRUSH initiative aimed at uncovering suspicious health care activity. While supporting efforts to eliminate fraud, waste, and abuse, NAELA emphasized that enforcement actions must not inadvertently harm legitimate providers or vulnerable individuals who rely on care. NAELA urged CMS to maintain transparency and focus on existing accountability systems, while safeguarding access to home and community-based services that allow older adults and individuals with disabilities to remain in their homes.