Qualifying Criteria

Admission for home health services requires meeting admission criteria established by Medicare, Medicaid or the patient's insurance provider.

This generally includes, but is not limited to:

  • The patient must be under the care of a physician.  All services must be ordered and approved by a physician.  Effective Jan. 1, 2011, a physician who certifies a patient as eligible for Medicare home health services must see the patient.  This requirement can be satisfied by a non-physician practitioner (NPP) if the NPP is working for or in collaboration with the physician.
  • All services ordered must be a reasonable and medically necessary for the treatment of the patient's illness or injury.
  • The patient must need a skilled primary service.
  • Skilled nursing and/or home health services must be provided on an intermittent or part-time basis unless the skilled need is therapy.
  • The patient must iive within a 50-mile radius of Hutchinson.  We serve patients in Barton, Ellsworth, Harper, Harvey, Kingma, Marion, McPherson, Pratt, Reno, Rice, Saline, Sedgwick, Stafford and Sumner counties.
  • The patient must be homebound.  A person is considered homebound if it takes a considerable and taxing effort to leave the home.  Absences from the home can only be of short duration and infrequent.
  • The patient or their family must desire services for the patient's care.
  • The patient's home must be adequate for safe and effective care.
  • Other criteria set by the patient's insurance carrier.