Confined to the home
He/She has a condition due to an illness or injury that restricts his/her ability to leave their place of residence except with the aid of supportive devises such as crutches, canes, wheelchairs, and walkers, the use of special transportation, or the assistance of another person or leaving home is medically contraindicated.
He/She may be considered homebound if the absences from the home are infrequent or for periods of relatively short duration, or are attributable to the need to receive medical treatment.
Services are provided under a plan of care established and approved by a physician
The plan of care must contain all the pertinent diagnoses, including the patient’s mental status, the type of services, supplies and equipment required the frequency of visits, all medications.The orders on the plan of care must specify the type of services to be provided.
The plan of care must be reviewed and signed by the physician who established the plan of care at least every 62 daysThe plan of care is considered to be terminated if the patient does not receive at least one covered skilled nursing, physical therapy, speech-language pathology service, or occupational therapy visit in a 62 day period unless the physician documents that the interval without such care is appropriate to the treatment of the patient’s illness or injury.
Under the care of a physician
Patient must be under the care of a physician who is qualified to sign the plan of care. Needs either skilled nursing care, physical therapy, speech therapy or has continued need for occupational therapy on an intermittent basis. Care that is medically reasonable, necessary and needed on an intermittent basis.