Medicare and Medicaid certification for health care facilities

 
Certification is an optional process that allows providers to bill Medicare or Medicaid for re-imbursement. Most types of facilities are eligible for Medicare and Medicaid. Some are eligible for Medicaid only. The process can be confusing, and we are here to help. Certification starts with a letter of intent.
 
 
CMS Medicare/Medicaid certification requirements for health care facilities
Facilities subject to Medicare/Medicaid certification must meet requirements established by the Centers for Medicare and Medicaid Services (CMS). 
 
CMS delegates the inspection/survey functions to us. 
 
Below is a list of CMS resources, including links to federal regulations:
 
HCPF Medicaid certification requirements
Facilities subject to Medicaid certification through the state’s Department of Health Care Policy and Financing (HCPF) must meet that department's Volume 8 regulations
 
HCPF reimburses providers for Medicaid client services, but delegates the inspection/survey functions to us. 
 
For question about what kinds of services are Medicaid eligible please contact Health Care Policy and Finance
 
Training
 
General certification information