Home Health Billing

How is Home Health Paid For?

Home Health coverage is provided by Medicare, Medicaid and many private health insurance organizations.

Medicare Coverage

Medicare covers many part-time skilled intermittent services, including:

• Skilled nursing care
• Physical therapy
• Speech therapy

If the patient receives one of the above, Medicare will also cover:

• Occupational therapy
• Home health aide services
• Medical social services
• Medical supplies

Medicare does not cover:

• Full-time nursing care at home
• Medications
• Personal comfort items/convenience items
• Meal delivery
• General housekeeping services
• Long-term custodial care

Medicare Qualifications

To qualify for Medicare, a patient must:

• Be considered "homebound"
• Have a doctor authorize the need for Home Health care
• Use a Home Health agency that is certified with Medicare
• Have a skilled care need (ie. Nursing, Physical Therapy or Speech Therapy)
• Care is provided on an intermittent basis