Rehabilitation Agencies

Medicare Certification

People interested in the application process for federal Medicare certification of these centers, need to complete the following steps:

  1. Review the Medicare regulations for rehabilitation agencies and comprehensive outpatient rehabilitation facilities (CORFs):

    Federal Medicare Regulations: Rehabilitation Agencies Regulations:
    Regulation: 42 CFR 485.701 Part H

    Federal Medicare Regulations: CORFs
    Regulation: 42 CFR 410 Part D
    Regulation: 42 CFR 485 Part B
    Regulation: SOM 2360-2366

  2. Contact the department's Certificate of Need program at 360-236-2955 before applying for Medicare certification.
  3. Contact the department's Construction Review Services at 360-236-2944 prior to the start of construction for review and approval of construction documents.
  4. Once Certificate of Need and Construction Review Services approval is granted, submit the Medicare application (form 855A) to the CMS Fiscal Intermediary (FI).
  5. The FI will review form 855A and, if approved, will send a copy of the approval to the Medicare Program in the Office of Health Systems Oversight.
  6. The Medicare Program in the Office of Health Systems Oversight will contact the applicant and request specific Medicare related forms to be completed.
  7. Submit the completed forms to the Medicare Program in the Office of Health Systems Oversight.
  8. After review and acceptance of the application materials, the department's Office of Health Systems Oversight survey team conducts an on-site survey before recommending the rehabilitation agency or CORF for Medicare certification.