Health Services, Home-based

Sub categories include:

Certified Home Health Agencies (CHHA) provide home care services including skilled nursing, physical therapy, occupational therapy, medical social work, durable medical equipment, and home health aides. Only CHHAs and Long Term Home Health Programs (see also) are able to bill Medicare. When care is covered by Medicare, it is usually provided for a short period of time following treatment for an acute medical problem, but may also be provided for longer periods of time in special situations. It must be ordered by a physician. Payment sources include Medicare, Medicaid, commercial insurance and long term care insurance.
Licensed Home Care Service Agencies (LHCSA) provide some of the same services as CHHAs but cannot directly bill Medicare. LHCSAs primarily offer personal care services such as dressing, bathing and toileting, but some provide nursing service as well. LHCSAs may also offer non-medical services such as housekeeping, meal preparation and companion service. Payment sources include private pay, commercial insurance, and long term care insurance. LHCSAs may provide aide service to a client during a Medicare covered episode if it does so through contract with a CHHA for billing purposes.
Also called "Nursing Homes Without Walls", Long Term Home Care Health Programs (LTHHCP) provide nursing home level care within the client's own home. Clients must be eligible for nursing home care. LTHHCPs differ from Certified Home Health Agencies in that services are provided on a long term basis rather than short term or acute care basis. These programs are specific to New York State. Services include nursing, physical therapy, respiratory therapy, medical social work, and home health aides. Additional services may include social adult day services, home delivered meals, personal emergency response systems, transportation services, and nutritional counseling. Payment sources include Medicare, Medicaid, commercial insurance, long term care insurance, and private pay.
The Nursing Home Transition and Diversion (NHTD) program is Medicaid funded and provides special long term home care services.
Physician Home Services
Physical, occupational, speech, respiratory or infusion therapies provided within the home.