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5 Requirements to Qualify for Medicare Home Health Care

1.) You’re under the care of a doctor, and you’re getting services under a plan of care established and reviewed regularly by a doctor

2. )You need, and a doctor certifies that you need, one or more of these:

  • Intermittent skilled nursing care (other than drawing blood)

  • Physical therapy

  • Speech-language pathology services

  • Continued occupational therapy

3.) The home health agency caring for you is approved by Medicare.

4.)You’re homebound, and a doctor certifies that you’re homebound. To be homebound means: You have trouble leaving your home without help (such as a cane, wheelchair, walker, crutches, special transportation or help from another person) because of an illness or injury, or leaving your home isn’t recommended because of your condition.

5.) As part of your certification of eligibility, a doctor, or other health care professional that works with a doctor, must document that they’ve had a face-to-face encounter with you within required time frames and that the encounter was related to the reason you need home health care.

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