Buyers will review sustainable earnings, census stability, length of stay, payer mix, referrals, staffing, surveys, claims, and Medicare enrollment history. The federal moratorium affects transaction structure but does not create an automatic premium. Two agencies with similar revenue can receive different offers when their compliance and ownership records differ. The confidential calculator can provide a preliminary range. An advisor should review the records before you rely on it.

A sale may be possible, but it cannot be described as business as usual. CMS’s May 2026 moratorium is nationwide and applies to initial HHA and hospice enrollment applications and non-exempt changes in majority ownership. ADHS licensing, the Medicare enrollment record, the percentage and form of ownership changing, and any available federal exemption must be analyzed before marketing. Expect close diligence on claims, census composition, live-discharge patterns, and surveys. The moratorium may be extended, lifted, or modified, so current CMS guidance and healthcare counsel should control transaction planning.

Arizona’s rapid hospice-provider growth and program-integrity concerns have made documentation especially important. Scrutiny does not automatically help or hurt a seller; it increases the importance of claims support, survey history, live-discharge patterns, referral documentation, and disclosure of any investigations or repayment exposure. Buyers may still consider clean Arizona operations, but they will independently evaluate whether the proposed transaction is permissible during the nationwide enrollment moratorium. Organized evidence reduces uncertainty, while unsupported scarcity claims or incomplete compliance files can undermine credibility and pricing.

The schedule for an Arizona sale depends on preparation, buyer diligence, financing, ADHS requirements, Medicare enrollment, transaction structure, and third-party consents. Under the current federal moratorium, some majority ownership changes may not be available. Sellers can reduce avoidable delay by organizing licenses, surveys, claims history, census data, ownership records, payer contracts, staffing information, and normalized financials before outreach.

We start with a blind profile and require an NDA before a qualified buyer receives identifying information. Staff, patients, and referral partners are not involved until a transition communication plan is needed. You approve that plan. Keeping the process contained protects census and referral continuity while the agency is being marketed.

If you own a Medicare-certified home health agency, yes. A majority ownership change within 36 months of initial enrollment or a prior majority change generally means the provider agreement does not transfer and the buyer must enroll as a new provider, subject to specified exceptions. CMS’s separate 2026 nationwide moratorium currently restricts initial HHA and hospice enrollments and non-exempt changes in majority ownership, so the two rules can make a proposed structure unavailable. Confirm the complete ownership history and proposed transaction with an advisor and healthcare counsel before marketing.