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Physician or Allowed Practitioner Orders, Plan of Care and Certification

All services provided under the Medicare home health benefit must be ordered by a physician or allowed practitioner. Three basic requirements for ordering services are:

  • The physician or allowed practitioner must be enrolled in Medicare;
  • The ordering National Provider Identifier (NPI) must be for an individual physician (not an organizational NPI); and
  • The physician or allowed practitioner must be of a specialty type that is eligible to order and refer.

Consult the following topics for more specific information on the physician's or allowed practitioner's involvement and the technical components of orders.

Updated: 12.20.21


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