Wellcare CalViva Health Dual Align (HMO D-SNP): Home Health Agency Care
Intermittent skilled nursing, therapy, social work, and home health aide services provided in the home to support recovery or address functional decline.
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How To Receive
Details on how to apply
Select a network home health agency
Contact the Member Services at 1-833-236-2366 (TTY users should call 711) for additional questions.
Prior to receiving home health services, a doctor must certify that you need home health services and will order home health services to be provided by a home health agency. You must be homebound, which means leaving home is a major effort.
Covered services include, but are not limited to:
Part-time or intermittent skilled nursing and home health aide services (to be covered under the home health care benefit, your skilled nursing and home health aide services combined must total fewer than 8 hours per day and 35 hours per week)
Physical therapy, occupational therapy, and speech therapy
Medical and social services
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Home health is a wide range of health care services that can be provided in the home for an injury or illness. Often it is implemented following a hospitalization or skilled nursing facility stay. To qualify for home health care, the recipient must be deemed homebound* (leaving home takes considerable and taxing effort, or illness could get worse by leaving home) and a provider must certify that home health services are needed.
Home health services include, but are not limited to, part-time or intermittent skilled nursing and home health aide services; physical, occupational, and speech therapy; medical and social services; and medical equipment and supplies. Skilled nursing and home health aide services combined must total fewer than 8 hours per day and 35 hours per week to be covered under the home health care benefit.
*Note that since the COVID-19 pandemic, the Centers for Medicare and Medicaid Services have relaxed homebound requirements; check with a provider for qualifying criteria.
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