Eligibility Requirements

A patient is eligible for Home Health Care services if he/she meets the patient criteria for admission:
Is a resident of the agency’s service area in Berks, Carbon, Lehigh, Northampton and surrounding Counties.

  • Is a homebound adult with a physician-certified skilled need.
  • Consents to home health care and signs an informed consent.
  • Has medical, nursing and social needs that can be met adequately and safely by the agency’s team in his/her residence or an appropriate alternate care location.

If patient has Medicare, he/she can use home health benefits if he/she meets the following conditions:
1. Must be under the care of a doctor and must be getting services under a plan of care established and reviewed regularly by a doctor.

2. Must need and a doctor must certify that the patient needs one or more of the following:
 Intermittent skilled nursing care [Medicare defines part-time or “intermittent” as skilled nursing care that’s needed or given on fewer than 7 days each week or less
 than 8 hours each day over a period of 21 days (or less) with some exceptions in special circumstances.

  • Physical therapy
  • Speech-language pathology services
  • Continued occupational therapy

3. Must be homebound and a doctor must certify that patient is homebound. To be homebound means the following:

  • Leaving home isn’t recommended because of their medical condition.
  • Condition keeps patient from leaving home without help (such as using a wheelchair or walker, needing special transportation or getting help from another person).
  • Leaving home takes a considerable and taxing effort.

NOTE: A person may leave home for medical treatment or short, infrequent absences for non-medical reasons, such as attending religious services.

Jun 12, 2024

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