VA home health Medicaid bonds.
$1,000 flat.
A home health agency that participates in Virginia Medicaid must post a $50,000 surety bond under federal rule 42 CFR 441.16, naming the Medicaid agency (Virginia DMAS) as obligee. Ours is $1,000 flat — the premium set by our carrier's rate book for this bond, identical for every agency. A quick soft credit check may apply, and it never affects your score. E-signed in 1–2 business days.
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Three steps to enrolled.
Your Medicaid participation is waiting on this bond. Here is the entire process — no broker phone tag:
Apply once, online
Agency details, owner information, your DMAS provider number, and an effective date. That is the application — the only extra step is a one-time consent to a soft credit pull.
Reviewed & approved
Most of these clear quickly; if underwriting needs anything, you hear from an underwriter within 48 hours. The credit check is a soft pull that never affects your score.
E-sign & file with DMAS
Pay online and receive the executed $50,000 bond naming Virginia DMAS as obligee, ready to file with your Medicaid provider enrollment. Wet-ink originals mailed whenever the agency insists.
What it is and who needs it.
What the bond actually guarantees
When a home health agency enrolls as a Virginia Medicaid provider, federal law requires it to post a surety bond. The rule comes from the Balanced Budget Act of 1997 and is codified at 42 CFR 441.16 — every Medicaid-participating home health agency must obtain and maintain the bond and furnish a copy to the state Medicaid agency, the Department of Medical Assistance Services (DMAS).
The bond is a program-integrity guarantee: it names your agency as principal, the Medicaid agency (DMAS) as obligee, and the surety company as surety. It stands behind uncollected overpayments — Medicaid funds your agency owes back that have not been recouped — so the surety pays on DMAS's written demand with sufficient evidence of liability.
The amount is $50,000. The rule originally said $50,000 or 15% of annual Medicaid payments, whichever is greater, but the 15% alternative expired in 2005, so $50,000 is the standard minimum (DMAS can require more based on an agency's overpayment history). It is not insurance for you — if the surety pays a claim, you repay the surety. Let the bond lapse and your provider agreement can be denied or terminated, so we track it and notify you 60 and 30 days out.
You need this bond if you're
One application, issued instantly.
These are the actual underwriting fields, including a one-time consent to a soft credit pull. Submit once and your bond is typically issued within 1–2 business days.
Start the application →Common questions.
Other Virginia bonds.
Your DMAS enrollment is waiting on one document.
$1,000 flat, short application, e-signed bond in 1–2 business days. Free until issued.