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Medicare and Medicaid certification for health care facilities

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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.

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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 CDPHE Health Facilities.
 

CMS resources, including links to federal regulations

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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.
 

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Training

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General certification information