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US · guidance

CMS Pub. 100-02, ch. 7, § 100

Physician or Allowed Practitioner Certification for Medical and

activein force · 2026-08-25 – presentas-observed

Other Health Services Furnished by Home Health Agency (HHA)

(Rev. 10438, Issued: 11-06-20, Effective: 03-01-20, Implementation: 01- 11-21)

A physician or allowed practitioner must certify that the medical and other health

services covered by medical insurance, which were provided by (or under arrangements

made by) the HHA, were medically required. This certification needs to be made only

once where the patient may require over a period of time the furnishing of the same item

or service related to one diagnosis. There is no requirement that the certification be

entered on any specific form or handled in any specific way as long as the approach

adopted by the HHA permits the Medicare contractor to determine that the certification

requirement is, in fact, met. A written physician or allowed practitioner's order

designating the services required would also be an acceptable certification.

History

(Rev. 10438, Issued: 11-06-20, Effective: 03-01-20, Implementation: 01- 11-21)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
cb0cf73a981c1774b83730108abf18d69d87d53725ea26f3c5d2d521dc38aa29
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