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:
- 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
- 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.