Medicare & Medicaid Certification
CMS enrollment, accreditation readiness, Medicaid contracting, and compliance systems. We handle the entire certification pathway so you can focus on building a compliant, profitable home health agency.
Our consultants work with the greatest companies
Why Get Medicare Certified?
Medicare certification is the gateway to serving 3 million+ home health beneficiaries. Only CMS-certified agencies can bill Medicare for skilled nursing, therapy, and medical services. Certification unlocks federal reimbursement, builds physician referral trust, and positions your agency for Medicaid and managed care contracts.
Access to $155B+ Market and Federal Reimbursement
The US home health market exceeds $155 billion. Medicare-certified agencies access the Patient-Driven Groupings Model (PDGM) for predictable reimbursement. Adding Medicaid HCBS waivers and managed care contracts creates diversified revenue that scales with your patient census.
3 Million+ Medicare Home Health Beneficiaries
Over 3 million Medicare beneficiaries use home health services annually. With 61.2 million Americans aged 65+ and 90% preferring to age at home, patient demand is sustained and growing. Certified agencies fill a critical need in the healthcare system.
CMS Certification Timeline: 6-12+ Months
The certification process includes state licensing, NPI registration, CMS-855A enrollment through PECOS, accreditation with ACHC, CHAP, or Joint Commission, and final CMS approval. HCPA manages each milestone to keep your timeline on track.
How We Guide Your Certification
From your first consultation, we design your certification pathway: state licensing review, CMS-855A preparation, accreditation readiness, and Medicaid enrollment, so you achieve certification on schedule.
Our Step-by-Step Certification Process
Your Return on Investment
Here is how your agency turns Medicare and Medicaid certification into predictable revenue streams and sustainable growth.
Structured Timeline
Clear milestones from licensing to CMS approval
Dual Revenue Streams
Medicare + Medicaid for diversified income
Expert Guidance
Ongoing support from certification specialists
Scalable Growth
Multi-state expansion and managed care contracting
Medicare & Medicaid Success Stories
From regional agencies to national healthcare groups, HCPA brings proven global methodology to every US Medicare and Medicaid certification project.
Ready to Get Medicare Certified?
Tell us about your agency, and we will be in touch within 24 hours to map your certification pathway.
Medicaid Growth
Add state Medicaid HCBS waivers for diversified, government-backed revenue
Find out moreWe Build Certified Agencies
HCPA has served 10,500+ businesses globally. Let us bring that proven certification methodology to your US home health agency.
Home health market
Medicare beneficiaries
Dual revenue
Medicare + Medicaid
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Let's discuss how we can help you achieve your business goals
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