Medicare Benefit Policy Manual (Pub. 100-02), Ch. 13 § 190.3
Home Health Agency Shortage Area
190.3 - Home Health Agency Shortage Area
(Rev. 239, Issued: 01-09-18, Effective: 1-22-18, Implementation: 1-22-18)
A shortage of HHAs exists if an RHC or FQHC is currently located in a county, parish or
similar geographic area in which the Secretary has determined that:
• There is no participating HHA under Medicare, or adequate home health services
are not available to RHC or FQHC patients even though a participating HHA is in
the area; or
• There are patients whose homes are not within the area serviced by a participating
HHA; or considering the area’s climate and terrain, whose homes are not within a
reasonable traveling distance to a participating HHA.