HOME HEALTH
ELIGIBILITY

Home 9 Home Health Eligibility

HOME HEALTH ELIGIBILITY

The patient must be under the care of a physician, physician assistant or nurse practitioner and have an order to receive home health services. The patient must also have a need for skilled care and the physician or practitioner must certify that a patient needs one or more of the following intermittent services: skilled nursing, physical therapy, occupational therapy, or speech therapy. Patients receiving home health must be homebound.

*While no specific number of symptoms is required when qualifying for home health, the following guidelines can help determine if a patient’s condition is, or will soon be, appropriate for home health care.

Young nurse helping elderly man walk in the room, holding his hand, supporting him. Home Health physical therapy treatment and rehabilitation after injury or stroke.

HOME HEALTH ELIGIBILITY REQUIREMENTS

  • The patient must be under the care of a physician, physician assistant or nurse practitioner and have an order to receive home health services.
  • The patient must have also seen the physician recently for a face to face visit for the same reason in which home health is needed.
  • The patient must have a need for skilled intermittent care such as: skilled nursing, physical therapy, occupation therapy or speech therapy.
  • Patients receiving home health must meet the homebound eligibility requirement, in which it is a considerable and taxing effort for the patient to leave home.

    *These guidelines are provided as a tool and not as a replacement for a physician’s professional judgment to help determine when their patients meet clinical guidelines for home health eligibility. Contact us with any questions about eligibility.

    HOME HEALTH VS. INPATIENT

    Home health services offer a cost-effective alternative to inpatient care. With home health, patients can receive high-quality care in the comfort and privacy of their own homes, while also enjoying the benefits of being close to family and friends. In addition, home health provides a personalized and patient-centered approach, allowing individuals to receive care tailored to their unique needs and preferences. Home health also promotes greater independence and can help prevent re-hospitalizations, allowing patients to maintain their daily routines and quality of life.

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