Eligibility for Home Health

To qualify for home health services, the patient must have:

  • Skilled need
  • Primary Care Provider
  • Face-to-Face Visit within 30 days of start
  • Signed orders from provider
  • Meet homebound status criteria (defined below)

Homebound Status

In home skilled nurse assisting disabled patient

Definitions of “Homebound” by Medicare:

  • There exists an inability to leave home and, consequently, leaving home would require a considerable and taxing effort.
  • Absences from the home are infrequent and of short duration.

Medicare deems the following groups of people to be homebound:

  • Because of an illness or injury, need the aid of supportive devices such as crutches, canes, wheelchairs, and walkers; the use of special transportation; or the assistance of another person to leave their place of residence.
  • People for whom outings may be medically contraindicated as determined by the physician.