What are Home Health Services?
Home Health Services are Medicaid State Plan services that are provided on a part-time and intermittent basis to Medicaid consumers of any age. Home health services include home health nursing, home health aide, and skilled therapies (physical therapy, occupational therapy, and speech-language pathology). The only provider of home health services is a Medicare Certified Home Health Agency (MCRHHA).
The medical necessity for home health services must be certified by the consumer's qualifying treating physician. A face-to face encounter with the consumer and the physician, advanced practice nurse in collaboration with the physician, or a physician assistant under the supervision of the physician is required for certification of medical necessity. A face-to-face encounter must be conducted within the 90 days prior to the home health care start-of-care date, or within 30 days following the start-of-care date, inclusive of the start-of-care date.
Part-time and intermittent basis for home health services means:
Who is eligible to receive home health services?
In order to be eligible to receive home health services, the consumer must be eligible for Medicaid with some caveats:
What must a MCRHHA do in order for home health services to be covered?
What are Private Duty Nursing Services and how are they different from Home Health Services?
Private Duty Nursing Services are Medicaid State Plan skilled nursing services that are provided on a continuous basis to Medicaid clients of any age in their home.
Home Health Services are Medicaid State Plan services that are provided on a part-time and intermittent basis to Medicaid clients of any age. Home Health services include home health nursing, home health aide, and skilled therapies (physical therapy, occupational therapy, and speech-language pathology).
Questions about Home Health Services? Call (614)466-6742 or email BCSP@medicaid.ohio.gov