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How is Home Health Care Paid For?
Home care can be paid for by the individual, family, private insurance, or a
variety of public programs such as
Medicare,
Medicaid, Labor & Industries. However, benefits and requirements vary greatly.
It is prudent to check with the payor regarding specific benefits allowed BEFORE
beginning services. Interim HealthCare can help you with this task.
How Do I Go About Finding Home Health Care?
Finding the best home care agency for your needs
requires research, but it is time well spent. To locate home care agencies in
your community, start by asking your doctor, hospital discharge planners or
hospital nurses. You could also call the Texas Association for Home Care
for a list of agencies, since all are licensed by the State. Home care agencies
are also listed in the telephone books (yellow pages) under " Nursing," "Home
Care," "Home Health Care," and/or "Hospice."
There are many factors to consider when choosing a home health care agency.
Once you have the names of a few agencies, you will want to find out about what
services they provide, as well as their reputations. The following are a list of
questions that you may wish to ask in order to determine the right agency for
you. How long has the agency been serving the community? Is the agency
licensed? By whom? In Texas, agencies must be licensed by the State. Medicare,
Medicaid and independent accrediting bodies that certify and accredit home
health agencies. Licensure, certification, and accreditation ensure that the
agency meets basic standards, particularly for personnel, supervision, and
accountability. Is the agency eligible to receive reimbursement from the sources that you
require? Medicare, Medicaid, and many private insurance companies reimburse
home health agencies for their services. Does the agency offer the expertise
that you need (i.e., medically intensive home health care)? How long has the
agency been providing this type of care? Who owns the agency? Is it a local
company that can respond quickly to your needs? How does the agency choose its employees? How are the nurses/caregivers
oriented and trained? Does the agency protect its workers with written
personnel policies, benefit packages, and malpractice insurance?
Does a nurse or therapist conduct an evaluation of your needs at home?
What is included?
What services and equipment does the agency provide? Can the agency
provide all the services and equipment that you need or does it contract
with other companies for medical equipment or other services? If so, does
the agency coordinate these services for you? Is there an extra cost? Are
these services covered under your reimbursement source (s)? Does the agency provide written statements regarding its services, fees
(including any minimum hour/ day requirements and any extra charges),
eligibility requirements, and funding sources? Is the plan of care written? Does it include specific duties to be
performed? Who performs these duties? At what intervals and for how long?
Can you review the plan? Does the agency send supervisors to visit your home and evaluate the
quality of care regularly? How often? Interim HealthCare can say yes to all
these situations.
Who do you call with questions and complaints? How are problems resolved?
Is this done in a timely manner?
What arrangements are made for emergencies and transportation? Can you
reach someone at the agency 24 hours a day?
Does the agency have a "Bill of
Rights?" Ask to see it. It should describe many of the agency’s policies and
patient/client care philosophy.
Are there extra charges for home
assessments, telephone calls, co-pays, etc.? If so, who pays for these?
Interim HealthCare has polices and procedures to address the
situations . They will be discussed with you before care is started.
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