Wellcare CalViva Health Dual Align (HMO D-SNP): Home Infusion Therapy
Delivery and administration of intravenous or subcutaneous medications in the home as a safe and effective alternative to inpatient care.
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$0 copay for professional services from a Primary Care Provider (PCP), including nursing services, training and education, remote monitoring and monitoring services.
$0 copay for professional services from a specialist, including nursing services, training and education, remote monitoring and monitoring services.
Home infusion therapy involves the intravenous or subcutaneous administration of drugs or biologicals to an individual at home. The components needed to perform home infusion include the drug (for example, antivirals, immune globulin), equipment (for example, a pump), and supplies (for example, tubing and catheters).
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Some medical conditions require a short-term or long-term infusion of medications. Infusion therapy requires needle- and line-guided access to veins (intravenous) or tissues beneath the skin (subcutaneous) for medication delivery. The components needed to perform home infusion include the drug itself, equipment, and supplies.
Drugs that are commonly administered by home infusion are:
antibiotics
antivirals
biologicals
immune globulins
inotropes
fluid volume or hydration solutions
Equipment includes an automated programmable pump that delivers the drug.
Supplies are those things that carry the drug from the pump to the body, such as peripheral venous access kits, tubing, and occlusive dressings.
Home infusion therapy is ordered by a provider and coordinated with a pharmacy (for delivery of the drug) and a home infusion therapy service (for the nurse to set up and administer the drug). Services include, but are not limited to:
Professional services, including nursing services, furnished in accordance with the plan of care
Patient and caregiver training and education on the drug and the infusion process
Remote patient monitoring (restrictions may apply)
Monitoring services for the provision of home infusion therapy and home infusion drugs furnished by a qualified home infusion therapy supplier
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