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.
General certification information