Medicare and Medicaid

Certified by Centers for Medicare and Medicaid Services (CMS), Humanity Home Health is recognized as a modern home health care agency which is scientifically measured and assessed to have high-quality services that promote health and improve the quality of life. Humanity Home Health complies with, and exceeds, all benchmark standards and is committed to continuous enhancements of its programs, services and staff competencies. 

All people with Medicare Part A and/or Part B who meet all of these conditions are covered:

  • You must be under the care of a doctor, and you must be getting services under a plan of care created and reviewed regularly by a doctor.
  • You must need, and a doctor must certify that you need, one or more of these: 
    • Intermittent skilled nursing care (other than drawing blood)
    • Physical therapy, speech-language pathology, or continued occupational therapy services. These services are covered only when the services are specific, safe and an effective treatment for your condition. The amount, frequency and time period of the services needs to be reasonable, and they need to be complex or only qualified therapists can do them safely and effectively. To be eligible, either: 1) your condition must be expected to improve in a reasonable and generally predictable period of time, or 2) you need a skilled therapist to safely and effectively make a maintenance program for your condition, or 3) you need a skilled therapist to safely and effectively do maintenance therapy for your condition. The home health agency caring for you is approved by Medicare (Medicare certified).
  • You must be homebound, and a doctor must certify that you're homebound.
    You're not eligible for the home health benefit if you need more than part-time or "intermittent" skilled nursing care.

You may leave home for medical treatment or short, infrequent absences for non-medical reasons, like attending religious services. You can still get home health care if you attend adult day care.

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Additional Information

Certain payers require additional information.

Depending on the payer, a home health agency may be required to obtain a "prior authorization" for home health billing. Prior authorization is "permission" to provide a type of service  for a specified duration. Most Medicaid and commercial insurance companies (Humana, Aetna, Blue Cross Blue Shield,  etc) require the HHA to obtain prior authorization before providing services.