Skilled Medicare Home Health Services

Criteria for Home Health Care under Medicare

› Patient must be Homebound
› Unable to function outside of the home without a considerable and taxing effort (i.e. with the aid of another person and/or assistive device)
› Have an exacerbation of an existing illness of onset of a new disease process
› SN, PT, or SLP need on an intermittent basis


Wound Care 

› Removing sutures, care of drain, packing, etc.
  (With specific orders)
› Observing surgical incision
› Teaching aseptic procedure
› Wound VAC by KCI or Smith & Nephew



› Inserting or changing Foley catheter
› Observing contents, amounts, etc.
› Observing hydration
› Teaching-catheter care, including irrigation
› Obtaining sterile urine
› Straight cath for residual


NG Tube, J Tube, G Tube

› Inserting or changing NG Tube
› Instructing care of tube, feeding formula, etc.
› Instruction on use of pump


Ostomy Care (case-by-case basis)

› Change of new stoma, dressing, observation of discharge, care of skin
› Teaching Ostomy care
› Irrigation
› Diet for colostomy patient
› Skin and would assessment an care
› JP drain


Bowel & Kidneys

› Bowel and bladder training


Orthopedic Care

› Post-op (i.e. TKR, THR) care and observation
› Cast care
› Teaching, rehabilitation measures

IM Medications / IV Therapy

› Administer IM injections
› Teach administration when appropriate 
› Supervise administration


Diabetic Teaching

› Signs and symptoms of hyper/hypoglycemia
› Skin and foot care
› Insulin injection technique
› Diet teaching


Eye Care (Post Cataracts)

› Sterile dressing
› Assess interactions of drops & medications with an additional skilled need


Vital Signs 

› Assess BP readings, apical/radial pulse quality and rate, respiratory rate and temperature. If patient is stable, vital signs alone are not skilled care.


Lab Work

› Only in conjunction with an additional skilled need. Venipuncture to determine blood levels but not necessarily limited to:

› Protime
› Blood glucose
› Blood specimen
› Chemistry profile
› Drug Levels
          › Dioxin 
          › Theophylline
          › Dilantin 
          › Vancomycin


Other Specialized Services Provided

› Physical Therapy (PT)
› Speech Language
› Pathology (SLP)
› Occupational Therapy (OT)
› Medical Social Workers (MSW)
› Home Health Aides (HHA)
› Pathologist/ST 
› Assessment/Evaluation of Appropriate DMEs

The patient must be post hospitalization or referred for home health from the physician’s office. If there are any questions concerning a particular patient, please feel free to contact us.