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Provider Enrollment > Home Health Agency

Provider Enrollment



Option 1

Certified Home Health Agency ...

Click here for the Enrollment Form and Instructions.

Option 2

Licensed Home Care Service Agency/Personal Care Agency ...

Click here for the Enrollment Form and Instructions.

Option 3

Long Term Home Health Care Program (LTHHCP) ...

A coordinated plan of medical, nursing and rehabilitative care provided at home to eligible persons who are medically eligible for placement in a nursing home.

Click here for the Enrollment Form and Instructions.

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