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.
This New York State Medicaid program provides services to chronically ill or physically disabled individuals who have a medical need for help with activities of daily living (ADL's) or skilled nursing services. Services can include any of the services provided by a personal care aide (home attendant), home health aide, or nurse. Recipients have flexibility and freedom in choosing their caregivers. The consumer or the person acting on the consumer's behalf (such as the parent of a disabled or chronically ill child) assumes full responsibility for hiring, training, supervising and - if need be- terminating the employment of the persons providing the services.
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.
Managed long-term care helps people who are chronically ill or have disabilities and who need health and long-term care services, such as home care or adult day care, stay in their homes and communities as long as possible. The MLTC plan arranges and pays for a large selection of health and social services, and provides choice and flexibility in obtaining needed services from one place.
The Nursing Home Transition and Diversion (NHTD) program is Medicaid funded and provides special long term home care services.