How to become a medicare certified home health agency
Home Health Agencies
The Ohio Department of Health certifies approximately 800 Home Health Agencies.
A Home Health Agency (HHA) is an agency or organization that is primarily engaged in providing skilled nursing services and other therapeutic services, and that has policies established by a group of professionals (associated with the agency or organization), including one or more physicians and one or more registered professional nurses, to govern the services which it provides.
The Division of Quality Assurance, Bureau of Information and Operational Support is responsible for processing initial and change of ownership applications. See link for applications/forms for a copy of the application and instructions.
The Division of Quality Assurance, Bureau of Information and Operational Support certifies Home Health Agencies for participation in the Medicare and Medicaid programs.
The Division of Quality Assurance, Bureau of Community Health Care Facilities and Services, is responsible for conducting on-site surveys for compliance federal regulations. HHAs are not currently subject to an annual survey visit, but do receive an unannounced survey on a schedule established by the Centers for Medicare and Medicaid Services. During these surveys, all aspects of care and services are evaluated based on federal laws and regulations.
The Ohio Department of Health does not conduct initial Medicare Certification Surveys
for home health agencies. The home health agency must first contact an Accreditation Organization (ACHC, CHAP or Joint Commission), and become accredited.
Effective July 2, 2014, federal regulations for enforcement of Home Health Agencies (HHAs) went into effect. These regulations provide for the option of alternative sanctions against HHAs that are found to be out of compliance with the federal regulations and therefore in jeopardy of losing certification and receiving Medicare reimbursements. The alternative sanction option allows the state to make a recommendation of: civil money penalty (CMP), temporary management, suspension of payment of new admissions, directed plans of correction, and directed in-service training.
Investigation of a complaint in a HHA is completed by surveyors after receiving the written documentation from the Ohio Department of Health complaint unit located in Columbus, Ohio. The toll free number for registering complaints is 1-800-342-0553. The complainant may choose to be anonymous.
Health Care Provider and Services. To obtain real-time information, generate, print and download reports regarding health care providers that are licensed and/or Medicare/Medicaid certified by the Ohio Department of Health.
Ohio Department of Health
Community Health Care Facilities & Services
246 North High Street
Columbus, OH 43215
Telephone: (614) 995-7466
Fax: (614) 564-2475Source: www.odh.ohio.gov