Qualifications for Services

Every insurance company has its own specific guidelines for coverage. Below are Medicare's Coverage Guidelines

The following items are required for Medicare to pay for home health care services:

Eligible patients are homebound. This means that, due to their illnesses or injuriess, it takes a considerable and taxing effort to leave home and home absences are infrequent or of relatively short duration. Patients can still be considered homebound if they leave home to attend a religious service; to receive health care treatment, including regular absences to participate in therapeutic, psychosocial or medical treatment in a state licensed/certified and /or accredited adult day-care program; or to attend unique or infrequent special events (family reunion, funeral, graduation, etc.). Patients able to drive probably do not meet the homebound requirement.

Eligible patients have had a recent illness or injury (or worsening of a condition) which requires Skilled Nursing Care on an intermittent basis, or Physical Therapy, Speech-Language Pathology, or have a continuing need for Occupational Therapy. Medicare will not pay for routine blood draws as a stand-alone service.

An eligible Medicare beneficiary is under the care of a doctor who has ordered the treatment or services that  CHCS provides. If the services are not reasonable or medically necessary and specifically ordered by the doctor, Medicare will not pay for those services.

Care is provided on an intermittent basis. This means Medicare will not pay for health care staff to stay with patients for an extended period of time. CHCS will only visit for the length of time it takes to provide the specific treatment ordered by the physician.

CHCS Mission

Community Health and Counseling Services will provide community health services that are needed and valued by the communities and individuals we serve.