On May 3, the Center for Clinical Standards and Quality at CMS issued a memo revising the State Operations Manual (SOM) Chapter 10 to update informal dispute resolution process and enforcement procedures for hospice and home health agencies. These procedures were last updated for home health in 2014 when an IDR and alternative sanction process was added for home health. In CY2022 home health final rule, CMS finalized enforcement remedies for hospice. The informal dispute resolution process for hospice agencies was finalized in the CY2024 home health rule.