Outpatient Physical Therapy (OPT) Medicare Certification Resources and Forms

Home Care

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

42 CFR 485.701-485.729

Guidelines for Development - OPT/SP