The California Department of Public Health has issued an All Facilities Letter announcing that initial and change of ownership (CHOW) application packages for home health agencies will no longer be reviewed and approved by district offices. Instead, the Centralized Applications Unit (CAU) will take over this function. The change is effective from September 1, 2009. Home health agencies should now submit their applications to the CAU, which will review them and forward approved applications to the appropriate district office for the licensing and certification initial survey. District offices will continue to process other changes, such as name changes, change of officers, and change of location. Applications submitted before September 1, 2009, will still be processed by the district offices.

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