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Medicare & Medicaid Certification

Medicare & Medicaid Certification

CMS enrollment, accreditation readiness, Medicaid contracting, and compliance systems. We handle the entire certification pathway so you can focus on building a compliant, profitable home healthcare agency.

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Our consultants work with the greatest companies

Why Get Certified with HCPA's Regulatory Growth Consultants?

Medicare certification is the gateway to serving 3 million+ home healthcare beneficiaries. Only CMS-certified agencies can bill Medicare for skilled nursing, therapy, and medical services. Certification unlocks federal reimbursement, builds physician referral trust, and positions your agency for Medicaid and managed care contracts.

3 Million+ Medicare Home Healthcare Beneficiaries

The US home healthcare market continues to expand. Medicare-certified agencies access the Patient-Driven Groupings Model (PDGM) for predictable reimbursement. Adding Medicaid HCBS waivers and managed care contracts creates diversified revenue that grows with your patient census.

Start Your Registration

3 Million+ Medicare Home Health Beneficiaries

Over 3 million Medicare beneficiaries use home healthcare services annually. With 61.2 million Americans aged 65+ and 90% preferring to age at home, patient demand is sustained and growing. Certified agencies fill a critical need in the healthcare system.

Start Your Registration
Compliance
80%
Audit ready
4 of 5 checks complete
Documentation review
Risk assessment
Policy framework
Final audit submission
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Network growth

$2.1B+

facilitated revenue

CMS Certification Timeline: 6-12+ Months

The certification process includes state licensing, NPI registration, CMS-855A enrollment through PECOS, accreditation with ACHC, CHAP, or Joint Commission, and final CMS approval. HCPA manages each milestone to keep your timeline on track.

Start Your Registration
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Completion

Action Required

Status98%
3 gaps detected, 2 auto-resolved
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10,500+ Businesses are growing faster

Compliance Guarantee

First Client Guarantee

Compliance
80%
Audit ready
4 of 5 checks complete
Documentation review
Risk assessment
Policy framework
Final audit submission
Man in a gray blazer and white shirt sitting and laughing while holding an open laptop on his lap.
Network growth

$2.1B+

facilitated revenue
A modern high-rise building with blue-tinted glass windows and a geometric, multi-sectioned facade.

Completion

Action Required

Status98%
3 gaps detected, 2 auto-resolved
A smiling person wearing a checkered shirt.Woman smiling over her shoulder with a blurred natural background.A man in a hat looking to the side with a forested mountain landscape in the background.Two women smiling outdoors.A young man smiling at the camera.

10,500+ Businesses are growing faster

Compliance Guarantee

First Client Guarantee

How We Guide Your Certification

From your first consultation, we design your certification pathway: state licensing review, CMS-855A preparation, accreditation readiness, and Medicaid enrollment, so you achieve certification on schedule.

Your Path to Medicare & Medicaid Certification

The HCPA Guarantee

Every HCPA engagement is backed by a guarantee. From registration to growth, we put our commitment in writing so you can move forward with confidence.

Compliance Guarantee

(or Money Back)

If you do not receive your license approval due to HCPA's compliance, we will offer a full refund and you may keep the work done to date, following three registration attempts.

First Client Guarantee

(or we work for free)

Once your business is operational, HCPA will work with you to secure your first paying client within 12 months. If we don't deliver and you've met all obligations, we continue working at no cost until your first client is secured.

Revenue from Day One

Here is how your agency turns Medicare and Medicaid certification into predictable revenue streams with HCPA’s support.

Structured Timeline

Clear milestones from licensing to CMS approval

Dual Revenue Streams

Medicare + Medicaid for diversified income

Expert Guidance

Ongoing support from certification consultants

Scalable Growth

Multi-state expansion and managed care contracting

Ready to Get Medicare Certified?

Tell us about your agency, and we will be in touch within 24 hours to map your certification pathway.

Book a Free Consultation

Medicare Access

Unlock federal reimbursement through CMS certification and PDGM billing

Find out more

Medicaid Growth

Add state Medicaid HCBS waivers for diversified, government-backed revenue

Find out more

Your Regulatory Growth Partners

Our Regulatory Growth Consultants have collectively facilitated over $2 billion in client revenue. Let us bring that proven certification methodology to your US healthcare business.

$0B+

Home health market

0M+

Medicare beneficiaries

Dual revenue

Medicare + Medicaid

Book a Free Consultation
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Contact Us

Let's discuss how we can help you achieve your business goals

Call us at (03) 9084 7427

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10,500+ Businesses are growing faster