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.

How to Apply

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