Home Health Agency (HHA) Change of Administrator 

Provide written notice on letterhead and include the following:

• Health Facility Identification Number (HFID)
• CMS Certification Number (CCN)
• Name and email of new Administrator 
• Effective date of change
• Notice will be signed by HHA official

If deemed status, the HHA will notify the accrediting organization.

Email notice to: health.HRD-FedLCR@state.mn.us

Any questions please email:  Health.HRD-FedLCR@state.mn.us