Medicare Fiscal Intermediaries

The Center for Medicare & Medicaid Services (CMS) contracts with privately held companies to review and approve applications prepared by home health care agencies to become Medicare providers.

The three Medicare Fiscal Intermediaries are Palmetto GBA, National Government Services, and CGS.

Each Fiscal Intermediary is responsible for applications from specific states.

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A list of the Fiscal Intermediaries and the states they service is provided below.

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