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WE PROTECT. Your Voice in Sacramento.
CAHSAH follows CMS home health payment and program-integrity policy, state licensing developments, and regulatory changes, bringing California agency perspectives to policymakers.
California Association for Health Services at Home
Medicare-Certified Home Health Membership · We Connect
Your Medicare-Certified Agency Deserves a Stronger Voice.
Medicare payment policy. Conditions of Participation. Surveys. Claims and documentation requirements. CAHSAH helps California Medicare-certified home health agencies stay informed, prepare for change, and advocate with a stronger collective voice.
One Association. One Voice. Greater Impact.
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Who We Represent
Built for California's Medicare-Certified Home Health Agencies.
This category is for agencies that provide only Medicare-certified home health services and have been licensed for more than 12 months. These organizations are licensed by the California Department of Public Health (CDPH) and certified to participate in Medicare.
Under the Medicare Conditions of Participation, a home health agency provides skilled nursing and at least one other qualifying therapeutic service. Services may include physical, occupational or speech therapy, medical social services, and home health aide services. Specialty nursing services may also be provided. Care commonly includes intermittent skilled services for eligible Medicare beneficiaries and other patients.
Operating additional service lines? If your organization also operates hospice, licensed home health, home care, or another eligible section, review Multi-Section Provider membership.
We understand your two sets of obligations
- CMS payment updates, Conditions of Participation, and program integrity
- CDPH licensure, ownership disclosures, surveys, and Title 22 requirements
- Medicare claims, documentation, and billing operations
- Workforce education, clinical quality, and compliance leadership
- Coordinated state and federal advocacy
The CAHSAH Difference
Why Medicare-Certified Home Health Agencies Join
Medicare-certified home health providers operate under complex federal requirements alongside California licensing obligations. CAHSAH connects agencies with relevant advocacy, operational education, and peers who understand these pressures.
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WE PREPARE. Education That Matters.
Access education on Medicare Conditions of Participation, survey readiness, documentation, reimbursement, billing, claims, and agency leadership, with member pricing on eligible programs.
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WE CONNECT. Relationships That Grow.
Exchange knowledge with Medicare-certified providers through steering committees, conferences, workshops, and relationships across home-based care.
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WE LEAD. Timely Information & Support.
Stay current through the Weekly News Update, Monthly Bulletin, e-Alerts, and timely CAHSAH guidance on CMS, CDPH, and operational developments.
More Ways Membership Works for You
Medicare Expertise. California Advocacy. Organization-Wide Value.
CAHSAH connects policy intelligence with practical education and a statewide community of Medicare-certified home health leaders.
Medicare Payment and CMS Policy
CAHSAH submits comments on the annual CMS home health payment rule and shares information on finalized payment changes, reimbursement policy, and implications for California agencies' operations and planning.
CDPH Licensing and SB 164
Follow CDPH implementation of SB 164, including change-of-ownership, licensure, management personnel reporting, and ownership disclosure requirements, along with home health licensing reform workgroup developments.
Survey Readiness and Compliance
Prepare through Home Health Survey Readiness workshops and education addressing Medicare Conditions of Participation, California Title 22, CDPH updates, clinical compliance, and survey expectations. Workshop locations and schedules vary.
Billing, Claims, and Contractor Updates
Explore the Home Health Billing Series and member guidance on documentation, claims processing, and Medicare contractor developments, including Noridian issues where applicable. CAHSAH helps you understand changes that affect billing workflows.
Education, Credentials, and Savings
Receive member pricing on workshops, certificate programs, webinars, on-demand learning, and the Annual Conference & Expo. Eligible programs may offer continuing education credit, and participating accreditation organizations may offer member discounts. Explore NBHHC® professional certifications and selected complimentary member programs.
Direct Guidance, News, and Leadership
Access CAHSAH staff for one-on-one legislative and regulatory guidance; the Weekly News Update, Monthly Bulletin, e-Alerts, member resources, and Bookstore pricing; and opportunities to engage through the Medicare Certified steering committee, Policy Advocacy & Public Affairs Committee, and other association leadership activities.
Benefits for your entire organization. Administrators, directors of nursing, clinical managers, QAPI, billing, compliance, and other eligible employees may create individual logins and access member benefits. A member directory listing also increases your agency's visibility to consumers and referral partners.
One Association. One Voice. Greater Impact.
Stronger Representation Through a United Industry.
Medicare-certified home health agencies face specific federal payment and quality requirements, but share workforce, patient access, and care coordination concerns across the home-based care continuum. CAHSAH makes those perspectives part of one stronger voice.
- Unified Advocacy: One collective voice representing home care, home health, and hospice in state and federal policy discussions.
- Stronger Connections: Build relationships with providers, industry leaders, and potential referral partners across the continuum of care.
- Greater Membership Value: Access education, resources, and benefits across multiple eligible service lines through one membership.
- Broader Industry Influence: Bring together different perspectives to inform policy decisions affecting providers, patients, and families throughout California.
Membership Value
One Membership. More Opportunity.
One membership connects Medicare-certified agencies to policy information, education, and professional relationships. Agencies operating additional eligible service lines should use the multi-section membership category.
Medicare-certified home health dues are revenue-based.
Annual dues are determined by Net Patient Service Revenue (NPSR) from the most recently completed financials. NPSR includes applicable care-in-the-home service lines across locations. Review the current dues schedule or contact CAHSAH to identify your tier.
Annual NPSR below $300,000: $750 in dues.
Example: An agency reporting $3.2 million in annual NPSR falls in the $2.5 million to $4,999,999 tier, with annual dues of $3,950.
What counts as NPSR? The net amount realized from patients, third-party payers, and others, rather than gross charges, across all care-in-the-home service lines and all locations, using your most recent completed financials.
Payment options: Pay in full, semi-annually, or quarterly, by check, Visa, MasterCard, or American Express, subject to current CAHSAH payment arrangements.
New agency? Agencies licensed less than 12 months or awaiting licensure may qualify for New Start-Up Organization membership at $550 for the first year.
Multiple service lines? Organizations also operating hospice, licensed home health, home care, or another eligible section should enroll as a Multi-Section Provider.
Your Next Step
Getting Started Is Simple
Explore the benefits, find your category, and connect with CAHSAH.
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Review the Benefits
Explore advocacy, Medicare-focused education, and resources that help agencies plan for regulatory change.
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Discuss Membership Options
Share your service lines and annual NPSR from your most recent completed financials to confirm your dues category.
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Apply Online
Complete the online application and provide required information. Membership is subject to CAHSAH Board approval.
Application Checklist
- Review benefits and the full dues schedule on the Provider Benefits page.
- Apply online using the Medicare-Certified Home Health application. An authorized CEO, CFO, or executive management representative should complete the application and accept CAHSAH's membership Conditions of Participation. Allow approximately 15 to 20 minutes.
- Select your payment option and submit the application.
- Send a copy of your state license to membership@cahsah.org as requested.
- Board approval and welcome: CAHSAH Board of Directors approval is required. After approval, staff will share instructions for activating eligible member benefits.
Frequently Asked Questions
Can an agency with multiple service lines join?
Yes. CAHSAH has a multi-section provider category for organizations operating more than one eligible service line. Contact the membership team to confirm the best category for your organization.
How are Medicare-certified home health dues calculated?
Annual dues are based on Net Patient Service Revenue from the most recently completed financials. Review the current schedule or contact CAHSAH to confirm the correct revenue tier. Review the dues schedule.
Does membership extend to my staff?
Yes. CAHSAH membership is organization-wide, and eligible staff may create their own member logins to access applicable benefits.
Do you offer Medicare billing and survey education?
CAHSAH offers home health billing and survey-readiness education and other programs relevant to Medicare-certified agencies. Check current events and course availability.
Can I learn more before joining?
Absolutely. Browse upcoming events or contact the membership team to discuss education and networking opportunities.
What if my agency has been licensed for less than a year?
Agencies licensed less than 12 months, or awaiting licensure, may be eligible for the $550 New Start-Up Organization first-year membership category. Contact membership staff to confirm your eligibility.
Can we pay our dues in installments?
Annual, semiannual, and quarterly payment options have been listed by CAHSAH, with check and major credit card methods. Confirm the payment options currently available when you apply.
What should we know about dues and optional contributions?
Dues and voluntary contributions are non-refundable. Membership dues are not charitable contributions but may qualify as business expenses, subject to applicable lobbying limitations. CAHSAH's supplied membership information identifies a 16% lobbying portion; confirm the current notice and consult your tax adviser. Optional contributions to CAHSAH's PAC, Legislative Action Fund, and Legal Defense Fund may be available.
When do benefits begin?
Member benefits begin after CAHSAH receives payment, subject to membership approval, and ordinarily continue for one year. Benefits are limited to eligible employees of the member organization.
Home Care at the Heart of Healthcare
Let's Strengthen Medicare Home Health Together.
Different sectors. Shared priorities. One stronger voice. Join CAHSAH for informed advocacy, Medicare-focused resources, and connections that support your agency.
Contact CAHSAH staff at membership@cahsah.org