Levels of Home Care
Skilled Home Health
- Skilled or licensed clinicians
- A Dr's order is necessary
- Must meet Homebound status
- Medicare and private insurance will pay
- Must continue to meet the need
- You can choose your provider
- Services are intermittent and temporary
"Non-skilled home care"
- No doctor's order necessary
- Non-medical and personal care
- Personal care; CNA assisting with personal care and activities of daily living
- Private pay, long term care insurance
- Start and stop at any time, for any duration
- For personal care services, quarterly assessment by an RN and regular documentation is required
Hospice and Palliative Care
- The goal of hospice is quality of life
- Ongoing support to family and caregivers
- Paid for by medicare with doctor's order
- Patients are qualified for hospice based on their diagnosis of a terminal debilitating illness
- "Non-skilled" home care can be utilized at the same time
- Palliative care can be utilized for those who do not qualify for hospice but need chronic disease management including pain management
Information provided by Pam Reynolds of Allegiance Home Care