Missouri Department of Health & Senior Services OPT Medicare Certification Resources and Forms
This will provide you with the requirements and necessary paperwork required by 42 CFR 485.703-485.729 to complete the Medicare Certification process.
Letter of Intent for OPT's and/or CORF's
Interpretive Guidelines - OPT/SP (Appendix E)
Health Insurance Benefit Agreement
Request for Certification in the Medicare/Medicaid Program to Provide OPT/SP Services
Office of Civil Rights Information
State Disclosure of Ownership and Control Interest Statement