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Patient eligibility

Who qualifies for home health services and how to find out more.

Senior mother with daughter in home

Qualifying for home health services

The Centers for Medicare and Medicaid Services states that for a patient to be eligible to receive covered home health services, a physician must certify that the patient is confined to his or her home. An individual is considered “confined to the home” (homebound) if he or she:

  1. Because of illness or injury, needs 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
  2. Have a condition such that leaving his or her home is medically contraindicated.

In addition, there must exist a normal inability to leave home, and leaving home must require a considerable and taxing effort.

Please note, an individual may still qualify for home health care if he or she leaves home for medical treatment or short, infrequent absences for non-medical reasons, such as attending religious services.

If you believe you or someone you know may qualify for home health services, please call our intake team at 1-800-551-6566 for more information.

Qualifying for hospice care

If you or your loved one have been diagnosed with a terminal illness with a prognosis of six months or less, our team can meet with you to see if hospice is right for you.  When you choose hospice, curative treatment is no longer sought. We encourage you to speak with your doctor about this decision. An order from your attending physician is needed to be admitted to hospice care.  

Our interdisciplinary hospice team includes advanced nurse practitioners, registered nurses, certified nursing assistants, licensed social workers, chaplains and volunteers.

Qualifying for pediatric home care services

The physician must certify and acknowledge the following:

  • Pediatric home care services are necessary.
  • A plan for treatment has been established.
  • The patient is in need of the various services as outlined under the treatment plan.
  • He/she will not falsify or conceal essential information.

The physician will review the treatment plan periodically and re-certify that there is continuing need for service.

Contact us

TEL: 1-800-551-6566

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