Who May Sign the Certification or Recertification

30.5.3 - Who May Sign the Certification or Recertification (Rev. 10738, Issued: 05-07-21, Effective: 01-01-21, Implementation: 08-09-21) The physician or allowed practitioner who signs the certification or recertification must be permitted to do so by 42 CFR 424.22. A physician or other allowed non-physician practitioner, other than the certifying physician or certifying allowed practitioner who established the home health plan of care, may sign the plan of care or the recertification statement in the absence of the certifying physician or certifying allowed practitioner. This is only permitted when such physician or allowed non-physician practitioner has been authorized to care for the certifying physician’s or allowed practitioner’s patients in his/her absence. The HHA is responsible for ensuring that the physician or allowed non- physician practitioner who signs the plan of care and recertification statement was authorized by the physician or allowed practitioner who established the plan of care and completed the certification for his/her patient in his/her absence. The physician or allowed practitioner that performed the required face-to-face encounter must sign the certification of eligibility, unless the patient is directly admitted to home health care from an acute or post-acute care facility and the encounter was performed by a physician or allowed practitioner in such setting.