Aurora Health at Home follows the lead of the Centers for Medicare and Medicaid Services (CMS) when determining whether someone qualifies for home health care. Following CMS guidelines makes it more likely that government insurance, and most private insurance plans, will cover the services we provide. Before referring someone to Aurora Health at Home, it’s important to understand the criteria for home health care. Only a medical doctor (MD) or doctor of osteopathy (DO) can order home health. NPPs (non-physician providers) can initiate home health services with the confirmation of a verbal order from a MD or DO.
For home health care, the following criteria must be met:
Skilled nursing services are health-related tasks only performed safely and effectively by a registered nurse (RN) or under the supervision of an RN. These tasks might include:
While a bedbound or bedridden person must remain in bed, homebound status doesn’t require confinement to the home. A homebound person may occasionally leave home for short periods of time. However, leaving home requires a taxing effort or assistance from medical equipment or another person.
The following health care professionals can perform the required face-to-face meeting:
Aurora Health at Home’s services include IV infusion, home medical equipment and hospice care. People are not required by CMS to meet the home health care criteria to receive these services.