State Operations Manual (Pub. 100-07), Ch. 6 § 6010.1.2.1
Home Health Agencies (HHAs) and Hospices Temporary
6010.1.2.1 - Home Health Agencies (HHAs) and Hospices Temporary
Testing Sites
(Rev. 199, Issued: 01-17-20, Effective: 01-17-20, Implementation: 01-17-20)
Home Health Agencies
A parent HHA with multiple branches may apply for one CLIA certificate as
long as these sites are under one HHA provider number, i.e., parent and branch.
Subunits that operate independently and have a unique provider number should
each apply for a separate CLIA certificate.
NOTE: The parent or provider location must perform laboratory testing. Since
branches cannot operate independently, the parent defines the services provided
in the branches and is responsible for the day-to-day operation, supervision, and
administration of laboratory testing, including the employment of qualified
personnel.
NOTE: If the health care worker only assists the patients and provides the patient’s self-
testing result to the health care provider, a certificate is not required.
Hospices
The guidance for HHAs applies to Hospices. The Medicare designated term for the
hospice multiple sites is multiple locations instead of branches.