Apply for Home Health Agency Medicare Certification

Medicare/Medicaid certification is not a requirement for conducting a home health service, but participation is an option for your agency.

Division of Health Care Facility Licensure and Certification

The Details of Apply for Home Health Agency Medicare Certification

What you need for Apply for Home Health Agency Medicare Certification

State Regulations

  • You don't have to apply to the Department to open a home health business. Massachusetts laws for the Department of Public Health do not include licensure of home health agencies.
  • The Massachusetts Department of Labor Standards licenses certain home health agencies under its regulations for employment agencies. This licensure is a state requirement for conducting a home health business. For more information, call (617) 626-6970.
  • A home health agency is required to report employee misconduct toward persons receiving services to the Department. This regulation applies to any home care agencies whether is it Medicare certified on not.

Medicare HHA Program Regulations

  • The agency must provide skilled nursing and at least one other qualifying service (i.e. physical therapy, occupational therapy, speech/language pathology, medical social services, home health aides).
  • Agency employees must provide at least 1 qualifying service. All other services may be provided by contract with a third party.

Application Instructions

If you wish to apply for Medicare certification, complete all steps included in the HHA Application Instructions.

Required forms
Resources
Medicaid Enrollment
  • In order for your agency to participate in the Massachusetts Medicaid program, it first must be certified as an HHA in the Medicare program. To pursue Medicaid enrollment, contact MassHealth Provider Enrollment at (800) 841-2900.

How to apply Apply for Home Health Agency Medicare Certification

  1. Complete all steps in the HHA Application Instructions
  2. Compile all required documents in the following order:
  3. Mail the request to:

    Pearlina Mills
    Licensure & Certification Coordinator
    Department of Public Health
    Division of Health Care Facility Licensure and Certification
    99 Chauncy St.
    11th Floor
    Boston, MA 02111

Next steps for Apply for Home Health Agency Medicare Certification

Processing and Medicare provider number

According to CMS protocol, the Division of Health Care Facility Licensure and Certification will process these materials to the CMS Regional Office (CMS-RO). Subsequently, CMS-RO will assign a Medicare provider number to your agency.

Contact for Apply for Home Health Agency Medicare Certification

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