Comprehensive Outpatient Rehabilitation Facility
Change of Certification Application Packet
A rehabilitation clinic may be certified as a Comprehensive Outpatient Rehabilitation Facility (CORF) in California. A CORF is a nonresidential facility that is established and operated exclusively for the purpose of providing diagnostic, therapeutic, and restorative services to outpatients for the rehabilitation of injured, disabled, or sick persons, at a single fixed location, by or under the supervision of a physician who may provide influenza, pneumococcal and Hepatitis B vaccines provided the applicable conditions of coverage are met, pursuant to Title 42 Code of Federal Regulations (CFR) section 485.51.āÆ ā
General Medicare Process Reminder ā
Providers seeking Medicare certification must first complete and submit an enrollment application through the Centers for Medicare and Medicaid Services (CMS), prior to submitting a CORF application packet to the Centralized Applications Branch (CAB). Information on Medicare enrollment, applicable forms, and instructions can be found at https://www.cms.gov/medicare/provider-enrollment-and-certification. If you receive a recommendation of approval letter from the Medicare Administrative Contractor (MAC) for California, Noridian Healthcare Solutions, please include a copy of this letter along with your CORF application packet to CAB. ā
Medi-Cal Certification Note
A CORF is not eligible for Medi-Cal certification. Applicants interested in Medi-Cal certification must apply for initial Rehabilitation Clinic/Comprehensive Outpatient Rehabilitation Facility (REHABC/CORF) licensure/certification and submit an initial REHABC/CORF application [include REHABC/CORF individual web page hyperlink]. ā
To report a Change of Certification, you must complete the required application packet. Refer to 42 CFR Part 485, Subpart B for the Conditions Of Participation For Comprehensive Outpatient Rehabilitation Facilities regarding certification requirements. ā
How to Apply
An applicant must submit a completed application packet to the Centralized Applications Branch (CAB). The provider instructions are a resource to guide you through the process. The provider checklist identifies the required forms and supporting documents needed to apply for certification.ā
Please refer to the following links to get started:
Application Packet Formsā
Where to Submit Applications
Submit completed application packets to the CAB at the address listed below. Do not send any completed application packets, forms, or supporting documents to the local CDPH, District Office.
California Department of Public Health
Licensing and Certification Program
Centralized Applications Branch
P.O. Box 997377, MS 3207
Sacramento, CA 95899-7377
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