States may be complicating non-physician certifications in home health care, as hospitalizations and homecare needs rise. In this edition of the Homecare Software blog...the CARES Act has made it possible for nurse practitioners, physician assistants, and clinical nurse specialists to certify eligibility for home health. This has facilitated movement in the home health care industry towards eliminating Medicare’s rigid physician certification requirements and policies. Congress first warmed to the idea of allowing non-physician certification in the early spring just as the COVID-19 pandemic was beginning to surge. At the end of the day, in spite of the federal government’s efforts, states by law have the final say when it comes to making these overtures into reality.