Rehabilitation Agencies
Laura MacLafferty, Unit Manager |
Rehabilitation agencies are federally certified and provide an integrated multidisciplinary program designed to improve the physical function of handicapped individuals by bringing together a team of specialized rehabilitation personnel. At a minimum, a rehabilitation agency must provide physical therapy or speech pathology services. In addition, social or vocational adjustment services are also required.
When a rehabilitation agency bills the Medicare program for services rendered from the premises of other institutions in an area set aside for rehabilitation care, these premises are considered extension units of a rehabilitation agency. Any instance in which the service is provided other than a patient's bedside or in a patient room is considered an extension unit. A premise that is owned or rented by the Rehabilitation Agency from which services are rendered is also considered an extension unit of the Rehabilitation Agency.
License/Certification Requirements
Certification is achieved by submission of a completed application, required documentation, and successful completion of a survey.
There are no fees and no renewal applications required for certification.
There are no state licensing requirements imposed by the Agency.
Statute/Rule Authority
- 42 CFR, Part 485, Subpart H, Sections 485.701-.729
- CMS State
Operations Manual
(See Sections 2290-2306) - Interpretive Guidelines - Appendix E
- Surveyors Checklist-CMS-1893
Forms
- Applicant Instructions (343K PDF)
- Request for Certification in the Medicare Program - CMS Form 1856
- Health Insurance Benefit Agreement - CMS Form 1561
- Medicare Administrative Contractor Choice Form
Updated July 17, 2009

