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Medicare Information

Visiting Nurse Association of Ohio is certified by the State of Ohio to participate in the Medicare program. The information on this page defines and describes key criteria to establish home care elgibility. Please use this information as a preliminary guide only.

Call VNA of Ohio at 1-877-698-6264 to determine your eligibility.

Homebound
A patient is considered homebound by Medicare if:

  • Leaving the home requires a considerable and taxing effort
    AND
  • Absences from the home for non-medical reasons are infrequent, are for a short period of time, and require the need for assistive devices or the assistance of another person.

Plan of Care
Services must be provided under a Plan of Care established and approved by a physician. The Plan of Care must be updated and reviewed by the physician at least every 60 days, or more frequently if the patient's condition changes.

Skilled Service
The patient must have a need for skilled nursing, physical therapy or speech therapy on an intermittent part-time basis or a need for occupational therapy.

Intermittent/Part-time
To meet the Medicare requirement guideline of “intermittent,” the patient must have a recurring need for skilled nursing, physical therapy or speech therapy at least once every 60 days. Part-time means any number of days per week, up to and including either 28 or 35 hours per week (skilled services and home care aide visits combined) for less than eight hours a day. Intermittent means skilled nursing care that is either provided or needed on fewer than 7 days each week, or less than 8 hours of each day for periods of 21 days or less.

 
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