Begin Main Content Area

Rural Health Clinic Application

Federal Medicare Regulations

Application Materials

After review and acceptance of the application materials and notification from CMS of the approval of the CMS-855A, the department will conduct a survey before recommending the agency for Medicare certification.

Mail completed forms to:

Pennsylvania Department of Health
Division of Home Health
555 Walnut Street
7th Floor, Suite 701
Harrisburg, PA 17101

Call 717-783-1379

CMS Approved Accreditation Organizations