Home Health Frequently Asked Questions
Understanding what home health care is and how it can benefit you or a loved one is important. We offer our care resources as a benefit to you. Below are answers to frequently asked questions about home health:
“Home health” refers to medical services provided at the patient’s residence. The residence can be a private home or assisted living facility. The home health services typically include skilled nursing, physical therapy, occupational therapy, medical social work and in-home aide. Home health may also include medical equipment and supplies.
Medicare, Medicaid and many private insurance plans have a home health benefit. A brief summary is listed under Paying for Home Health. Additionally, our expert financial staff can help you understand your coverage provisions and will contact your insurance company to determine your specific benefits.
Individuals of all ages and with a variety of health care needs can receive home health services. As the name implies, home health is for people who require assistance from a health care professional at home. Medicare, Medicaid and insurance companies require medical orders from a physician before care can be initiated. If you feel that you or a loved one may benefit from home health, we are only a phone call away. A member of our experienced staff can work with you and your physician to determine if home health is right for you.
- thorough interview process
- state and federal background checks
- drug testing
- comprehensive personal and professional reference checks
- submission of current license
- competency evaluations
- complete health assessment
Yes. All staff members are fully insured. In addition, all are fully bonded against theft.
You do, in consultation with your physician. According to Medicare, “a patient is free to choose any qualified agency offering him/her services.”
For a patient to be eligible to receive covered home health services under both Part A and Part B, the law requires that a physician certify in all cases that the patient is confined to his/her home. For purposes of the statute, an individual shall be considered “confined to the home” (homebound) if the following two criteria are met:
- Criteria One
The patient must either: Because of illness or injury – need the aid of supportive devices such as crutches, canes, wheelchairs, and walkers; the use of special transportation; or the assistance of another person in order to leave their place of residence orhave a condition such that leaving his or her home is medically contraindicated. If the patient meets one of the Criteria-One conditions, then the patient must also meet two additional requirements defined in Criteria Two below.
- Criteria Two
There must exist a normal inability to leave home AND Leaving home must require a considerable and taxing effort. If the patient does in fact leave the home, the patient may nevertheless be considered homebound if the absences from the home are infrequent or for periods of relatively short duration, or are attributable to the need to receive health care treatment. Absences attributable to the need to receive health care treatment include, but are not limited to: Attendance at adult day centers to receive medical care; Ongoing receipt of outpatient kidney dialysis; or The receipt of outpatient chemotherapy or radiation therapy.