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Official Website

of the Commonwealth of Pennsylvania

    The .gov means it's official.

    Local, state, and federal government websites often end in .gov. Commonwealth of Pennsylvania government websites and email systems use "pennsylvania.gov" or "pa.gov" at the end of the address. Before sharing sensitive or personal information, make sure you're on an official state website. 

    State Licensure and/or Federal Medicare Certification

    Hospice Agency Application Materials

    Applications may be emailed to ra-dhhhandhosinitial@pa.gov.  Be sure to physically mail the required fee for your application to be reviewed.  Please note: Commonwealth email servers do not accept large email attachments.  You may have to email the application in separate sections.

    If your application is in accordance with Pennsylvania state licensure rules and regulations, the Division will issue you a license. Please keep in mind the length of time for the licensure process depends upon the accuracy of information provided.

    This step is for Inpatient Hospice Units:

    Architectural construction plans for your proposed facility must be submitted to the Division of Safety Inspection for review and approval.

    Mr. Charles Schlegel, Director
    Division of Safety Inspection
    2525 North 7th Street, Suite 210
    Harrisburg, PA 17110
    Phone: 717-787-1911 or visit the building safety page.

    Hospice Agency Application for Federal Medicare Certification

    NOTE: State licensure as a hospice agency is a requirement for federal certification.

    After review and acceptance of the application materials and notification from CMS of the approval of the CMS-855A, the department will conduct a survey before recommending the agency for Medicare certification.

    Email completed forms to: ra-dhhmedicarechnges@pa.gov

     

     

    DHS - Child Abuse Clearance Form

    PA State Police - Criminal Background Checks

    New Fingerprinting Services Information

    Mail application fee to:
    Pennsylvania Department of Health
    Division of Home Health
    2525 N. 7th Street
    Harrisburg, PA 17110

    Questions?
    Email ra-dhhomehealth@pa.gov