Form CMS-485, Home Health Certification and Plan of Care, 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 on February 1, 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).
Pressing the PRINT button will only print the current page. Download the document to your desktop, tablet or smartphone to be able to print it out in full.