Revised Initial Certification Process for Home Health Agencies
Revised HHA Initial Certification Process: This memorandum revises the current process for initial certification of prospective
HHAs. An additional step is added to accommodate a second review of enrollment criteria performed by the Regional Home Health
Intermediary (RHHI) or Medicare Administrative Contractor (MAC). The Centers for Medicare & Medicaid Services (CMS) Regional
Office (RO) will hold the issuance of a CMS certification number (CCN) and provider agreement until the RHHI/MAC has re-reviewed
certain Medicare enrollment requirements (e.g., site visit verification, capitalization requirements and Medicare exclusion)
following the initial survey. Only upon recommendation from the RHHI/MAC that the prospective HHA continues to remain in compliance
with the enrollment requirements will the RO proceed with completing initial certification of the HHA.