Skilled Health Care Services
Certified Home healthcare is an option that provides part-time or intermittent skilled health care services to a patient in their home for an acute illness or injury sustained, or after surgery, if necessary. The services provided may include one or more of the following:
These services are usually ordered by your physician after a doctor visit or a hospital stay, and are generally provided by a “certified” home health agency of your choice. The advantage of certified home healthcare is that the patient is able to get healthy and regain their independence at home rather than at a medical facility.
However; not all patients are eligible to receive Certified Home Healthcare.
Who is eligible to receive Certified Home Health Care Services?
To be considered for certified home healthcare:
- You must be under the care of a doctor,
- You must need, and a doctor must certify that you need, one or more of these:
- Intermittent skilled nursing care (other than just drawing blood)
- Physical therapy, speech-language pathology, or continued occupational therapy services. These services are covered only when the services are specific, safe and an effective treatment for your condition. The amount, frequency and time period of the services needs to be reasonable, and they need to be complex or only qualified therapists can do them safely and effectively. To be eligible, either:
- your condition must be expected to improve in a reasonable and generally-predictable period of time, or
- you need a skilled therapist to safely and effectively make a maintenance program for your condition, or
- you need a skilled therapist to safely and effectively do maintenance therapy for your condition.
- The home health agency caring for you must be Medicare-certified.
- You must be homebound, and a doctor must certify that you are homebound, even if it is temporarily due to illness or injury. Patients are considered to be “homebound” if they meet these two criteria:
Patients either need supportive devices such as crutches, canes, wheelchairs, and walkers; special transportation; or help from someone else in order to leave their home because of illness or injury,
have a condition that makes leaving the home medically inadvisable;
“There must exist a normal inability to leave home; and leaving home must require a considerable and taxing effort.”
You may leave home for medical treatment or short, infrequent absences for non-medical reasons, like attending religious services. You can still get home health care if you attend adult day care.
You are not eligible for certified home healthcare if you need more than part-time or "intermittent" skilled nursing care.
What will insurance cover?
Your insurance may provide complete or partial coverage for these services.
We are currently authorized by Medicare and Medicaid to provide certified home health services to eligible individuals. If you are a Medicare beneficiary (through) Medicare, or a Medicaid beneficiary, and your primary care physician certifies a need for services, we may be able to provide services to you free of charge.
We also offer Private Pay services to individuals with no current health coverage benefits.
Contact us to review your current coverage!
Call Us Today • (956) 544-7714
IN BUSINESS SINCE 1996
Commitment to Excellence
Abundant Life Home Health, Inc. is accredited by Accreditation Commission for Health Care (ACHC) for compliance with a comprehensive set of national standards. By choosing a healthcare provider that has achieved ACHC accreditation, you can take comfort in knowing that you will receive the highest quality of care. If you have any concerns about the product or service that you receive from Abundant Life Home Health, Inc., you may contact ACHC directly at 855-937-2232.