Adding a Branch Office Location to a Medicare-certified Home Health Agency

Adding a Branch Office Location to a Medicare-certified Home Health Agency

The branch office location must be located in an approved service area. The service area (counties) must be contiguous to the parent’s geographic area.

A Medicare-certified home care agency wishing to add a branch location will complete the following:   

Completed Home Health Agency Branch Questionnaire should be emailed or mailed to:
Minnesota Department of Health
Health Regulation Division
Licensing and Certification Program
PO Box 64900
St. Paul, MN 55164-0900
Attn: Certification Specialist
Email address:

CMS 855A application and all supporting documentation should be submitted to the designated Medicare Administrative Contractor (MAC) for the approval.

MDH will proceed with the branch location request when we have received the Home Health Agency Branch Questionnaire and a copy of the 855A and approval letter from the MAC.

If deemed status, MDH requires a copy of the approval letter from the accrediting organization.

MDH will review the documentation and will forward the questionnaire, 855A and supporting documentation to Region V Office of CMS with our recommendation.

Region V Office of CMS makes the final determination and sends the provider a determination letter, either approving the location as a branch or denying the request for branch status and listing the reasons for the denial.

If Region V Office of CMS denies the branch status, the Medicare-certified home care agency has two options. It can either close the location or request a survey of the location as a separately certified HHA.

As of January 13, 2018, CMS will no longer allow Subunits to HHA providers. See SC18-03-HHA Home Health Agency Subunits (PDF). Each HHA with a Subunit must notify MDH and the appropriate MAC if they elect to make the Subunit a distinct HHA, transition to a branch, or terminate participation in Medicare. If no notice is provided, the Subunit will be considered a distinct HHA with certification requirements for an independent governing body and administrator.

Updated Friday, January 04, 2019 at 11:37AM