Form CMS-485, Home Health Certification and Plan of Care, also known as the CMS Home Health Certification form is a form issued by the Department of Health and Human Services (HUD) - Centers for Medicare and Medicaid Services.
The Home Health Certification and Plan of Care form was released in February 1994 and is available for digital filing. Download an up-to-date CMS-485 fillable form down below or look it up on the HUB website.
A patient in need of health services has to file this form, which is used as a fiduciary document authorizing professional health services. The form is filled out by the patient's attending physician. Use the form if you are a Medicare registrant, have an eligible specialty, and have an individual National Provider Identifier (NPI number).