US · guidance
CMS Pub. 100-02, ch. 7, § 100
Physician or Allowed Practitioner Certification for Medical and
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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