Change of Ownership Process for Medicare-certified Home Health Agencies

Change of Ownership Process for Medicare-certified Home Health Agencies

The new owners must have the same location, same service area and provide the same services exactly as the previous owner.  

A Medicare-certified home health agency that has a change of ownership will provide the following:

  • Submit copies of legal documents signed and dated by both parties substantiating the parties involved and the effective date of the change of ownership.

Completed documents should be emailed or mailed to:
Minnesota Department of Health
Health Regulation Division
Licensing and Certification Program
PO Box 64900
St. Paul, MN 55164-0900
Attn: Certification Specialist
Email address: Health.CM-Cert@state.mn.us

CMS 855A application and all supporting documentation should be submitted to the designated Medicare Administrative Contractor (MAC) for approval.

MDH will not proceed with the change of ownership until after we have received a copy of the 855A and approval letter from the MAC.

When we have received all of the documents, MDH will review the documents and make a recommendation to the Region V Office of CMS. If approved, the Region V Office of CMS will send an approval letter to the facility.

Updated Friday, June 02, 2017 at 04:21PM