The range of home health care services a patient can receive at home is limitless. Depending on the individual patient's situation, care can range from nursing care to specialized medical services, such as laboratory workups. You and your doctor will determine your care plan and services you may need at home. At-home care services may include:
Texas Health and Human Services licenses, certifies and surveys home and community support services agencies for compliance with state and federal laws and regulations. Through these regulatory activities, HHS protects Texas citizens receiving home health, hospice and personal assistance services.Being a Licensed Provider in Texas
Home Health Services and Medicare
Medicare Part A (Hospital Insurance) and/or Medicare Part B (Medical Insurance) covers eligible home health services including Intermittent skilled nursing care, Physical therapy, Speech and language pathology services.
You can get 100% of the costs covered if your doctor deems skilled rehabilitation or nursing services necessary for the short term and writes and order for it.
Question: Are home health services covered by Medicaid?
Answer: Texas covers home
health services under its Medicaid program. If your doctor
prescribes home health services like nursing or therapy services in
your plan of care for a particular medical condition, Medicaid will
cover those. Medicaid reviews your need for home health care every
60 days. You do not need to meet the nursing home level of care to
qualify for home health services. However, because these
Medicaid-funded home health services are related to a doctor’s plan
of care for a particular medical condition, they are generally
offered on a short-term basis.
If you apply to the PHC program and meet financial eligibility criteria, the state will send an assessor to meet with you and ask you about your ability to do all of the activities of daily living. Based on your answers, the state will rank your need and approve you for certain types and amounts of PHC services.
PHC services include things like assistance with bathing, dressing, cooking, shopping, and escorting to medical appointments. PHC does not have a waitlist and is available statewide. For more information and to apply, contact the Texas Health and Human Services PHC Program. Medicaid covers home health care for eligible Medicaid recipients. Individuals have to meet both federal and state regulations to receive covered home health care services. Medicaid does not limit the services simply to the term “Home health care.” Medicaid covers a wide variety of home health-related services.
Question: Can I receive other services?
Answer: If you need in-home
nursing or rehabilitative care, you may also need help with
activities of daily living such as bathing, dressing, and light
housekeeping; these services may also be provided through a home
health agency. Some offer long-term nursing and other services on a
more permanent basis, although these services may not be covered by
Medicare or most health insurance policies.
Question: Where can I find Texas home health?
Answer: Usually, you would get a referral to a local home health care agency from your hospital or doctor. You can also check online. If you’re looking for yourself, be sure that the agency is certified by the Department of Health or the appropriate agency or organization in your state. Your Department of Health may provide a list of certified home health agencies in your state. Or, click here to find a Texas home health agency.
Question: How do I know if I need home health?
Answer: Usually, your doctor will refer you to one if you need one—and you can’t get Medicare coverage for these services without a doctor’s referral. In general, however, a home health agency’s services may be needed if you or a loved one prefers to stay home—or has been discharged from the hospital—but still needs more care than the family is capable of providing.
Not all home health agencies in Texas are the same, and depending on your state, conditions may vary in terms of the types of services the agency can provide and what is covered by insurance. However, if you start with a doctor or hospital referral, you are likely to be able to find an agency that can provide you with the services you need.
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DISCLAIMER: Links to other websites or references to products, services or publications do not imply the endorsement or approval of such websites, products, services or publications by Elder Options of Texas. The determination of the need for senior care services and the choice of a facility is an extremely important decision. Please make your own independent investigation.