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Healthcare· 8 min read

How to Become Medicare-Certified as a Home Health Agency

Medicare certification for a Home Health Agency is a 9–14 month process gated by state licensure, accreditation, and a CMS survey.

CMS requires every new Home Health Agency to obtain state licensure, choose an accreditor, complete a survey, and provide services to a minimum of 3 patients (with at least 7 completed visits) before billing Medicare.

Step-by-step

  1. 1

    Form entity + obtain state HHA license

    Each state has its own application; Florida AHCA, California CDPH, etc.

  2. 2

    Choose an accreditor: CHAP, ACHC, or Joint Commission

    All three are CMS-approved. ACHC and CHAP dominate home health.

  3. 3

    File CMS Form 855A enrollment

    Submitted to MAC. Includes ownership disclosure and capitalization proof.

  4. 4

    Pre-survey patient onboarding

    Provide care to 3 patients with 7 total completed skilled visits before survey.

  5. 5

    Pass on-site accreditation survey

    Typically 2–3 surveyors over 1–3 days reviewing clinical records, policies, and OASIS.

  6. 6

    Receive CCN and start billing

    CMS Certification Number issued — claims can flow to MAC.

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