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BOX 9-2Medicare Coverage of Personal Care Services as a Home Health Service

  • Home health services are covered under Medicare Parts A and B.
  • To qualify for home health care, a person must need skilled care, be homebound, and have a plan of care ordered by a physician.
  • Home health services include intermittent or part-time skilled nursing care, physical therapy, speech therapy, occupational therapy, medical social services, and home health aide services.
  • Home health aide services, which may include personal care services such as help with eating and dressing, are limited to beneficiaries who are also getting skilled nursing or therapy services.
  • Medicare is conducting three two-year demonstration projects to assess the provision and costs of services to people with certain chronic conditions who would not qualify as homebound.

SOURCES: CMS (2004a,c) and GAO (2000).

From: 9, Coverage of Assistive Technologies and Personal Assistive Services

Cover of The Future of Disability in America
The Future of Disability in America.
Institute of Medicine (US) Committee on Disability in America; Field MJ, Jette AM, editors.
Washington (DC): National Academies Press (US); 2007.
Copyright © 2007, National Academy of Sciences.

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