Home Health Providers
This provides guidance on Home Health Providers.
Issued by: Centers for Medicare & Medicaid Services (CMS)
This page provides basic information about being certified as a Medicare and/or Medicaid home health provider and includes links to applicable laws, regulations, and compliance information.
A Home Health Agency (HHA) is an agency or organization which:
- Is primarily engaged in providing skilled nursing services and other therapeutic services;Has policies established by a group of professionals (associated with the agency or organization), including one or more physicians and one or more registered professional nurses, to govern the services which it provides;
- Provides for supervision of above-mentioned services by a physician or registered professional nurse;
- Maintains clinical records on all patients;
- Is licensed pursuant to State or local law, or has approval as meeting the standards established for licensing by the State or locality;
- Has in effect an overall plan and budget for institutional planning;
- Meets the federal requirements in the interest of the health and safety of individuals who are furnished services by the HHA; and
- Meets additional requirements as the Secretary finds necessary for the effective and efficient operation of the program.
For purposes of Part A home health services under Title XVIII of the Social Security Act, the term “home health agency” does not include any agency or organization which is primarily for the care and treatment of mental diseases.
A Home Health Agency may be a public, nonprofit or proprietary agency or a subdivision of such an agency or organization.
- Public agency is an agency operated by a State or local government. Examples include State-operated HHAs and county hospitals. For regulatory purposes, “public” means “governmental.”
- Nonprofit agency is a private (i.e., nongovernmental) agency exempt from Federal income taxation under §501 of the Internal Revenue Code of 1954. These HHAs are often supported, in part, by private contributions or other philanthropic sources, such as foundations. Examples include the nonprofit visiting nurse associations and Easter seal societies, as well as nonprofit hospitals.
- Proprietary agency is a private, profit-making agency or profit-making hospital.
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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.