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Home Health Medicare Certification and State Licensure Change of Ownership

Home Care

This will provide you with the requirements and necessary paperwork required by 42 CFR 489.18 and RSMo 197.420 prior to a change of ownership.

pdf file Change of Ownership Guidelines - Medicare Certified and State Licensed Home Health Agency

pdf file Application for Home Health Agency License

pdf file State Disclosure of Ownership and Control Interest Statement

Office for Civil Rights Packet Information

pdf file Assurance of Compliance (Title VI of Civil Rights Act)

pdf file Health Insurance Benefit Agreement

pdf file 197.400 - 197.475 RSMo Home Health Agencies

pdf file 19 CSR 20-26.010 Home Health Licensure Rule

pdf file 42 CFR 484.10 - 484.20 Conditions of Participation: Home Health

pdf file Alzheimer's and Dementia Specific Training - 660.050

pdf file Interpretive Guidelines - Home Health Agencies (State Operations Manual-Appendix B)

pdf file Patient Rights (42 CFR 484.10)

Criminal Background - 660.317

pdf file Family Care Safety Registry

pdf file Advance Directive Information - 42 CFR 489.100-489.104

pdf file Missouri Law Regarding a Patient's Right to Make Health Care Treatment Decisions

pdf file Possession of Drugs by a HHA or Hospice - 4 CSR 220-2.010(8)

pdf file Hepatitis B - 29 CFR 1910.1030 (f)(1)(i)(ii),(ii)(A),(2)(iv)

pdf file OASIS and HAVEN Help Resources

pdf file Home Health Advance Beneficiary Notice (HHABN)