Missouri Department of Health & Senior Services Home Health Medicare & State Licensure Forms & Resources
An entity operating as a certified/licensed home health agency must offer two skilled services on an intermittent basis, one of which must be skilled nursing.
Federal Interpretive Guidelines
Guidelines for Development - Medicare Certified and State Licensed Home Health Agency
Letter of Intent for State Licensure and/or Medicare Certification
Application for Home Health Agency License
State Disclosure of Ownership and Control Interest Statement
Office for Civil Rights Packet Information
Assurance of Compliance (Title VI or Civil Rights Act)
Health Insurance Benefit Agreement
197.400 - 197.478 RSMo Home Health Agencies
19 CSR 30-26.010 Home Health Licensure Rule
42 CFR 484.10 - 484.20 Conditions of Participation: Home Health
Alzheimer's and Dementia Specific Training - 660.050
Interpretive Guidelines - Home Health Agencies (State Operations Manual-Appendix B)
Patient Rights (42 CFR 484.10)
Advance Directive Information - 42 CFR 489.100-489.104
MO Law Regarding a Patient's Right to Make Health Care Treatment Decisions
Hepatitis B - 29 CFR 1910.1030(f)(1), (i)(ii),(ii)(A),(2)(iv)