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The Curious Bag
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Medicare allows for coverage of home health care expenses for Medicare beneficiaries if certain criteria are met. The services that are provided by home health care personnel must be reasonable and necessary.
Requirement
The Medicare recipient's doctor must be the one to order the home health care evaluation and must also be the person to develop a plan for this care.
Needs Assessment
The person requiring home health care must need one or more of the following: intermittent skilled nursing care, physical therapy, speech-language pathology services or continued occupational therapy.
Medicare Certified Agency
Medicare must have previously certified the home health care agency that will be servicing the Medicare patient.
Homebound
The recipient of home health services must be considered home bound, for the most part. Leaving the home requires considerable effort and the person generally requires assistance with ambulation.
Visit Limitations
Although a person is considered eligible and in need of home health care services, there are limitations on the number of hours per day and days per week that he can continue receiving services. The limit is based on the patient's diagnosis and continued need.
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