Jacksonville 904-899-5520
Tampa 813-544-CARE (2273)

Medicare Home Health Guidelines

In order to qualify for home health services under Medicare, the patient must:

  • Be eligible for Medicare benefits.
  • Be under the care of a physician who establishes and periodically reviews the plan of care.
  • Require skilled nursing on an intermittent basis or physical therapy or speech (or occupational therapy) for on-going services.
  • Require services reasonable and necessary for treatment of the illness or injury.
  • Be home-bound.

Definition of Home-bound

  • The patient’s condition must be such that leaving the home requires a taxing effort.
  • In most instances a “home-bound” patient’s absence from home will occur for the purpose of receiving medical treatment.
  • Absences are infrequent, are of relatively short duration and do not indicate that the patient has the capacity to obtain health care provided outside rather than inside the home.
  • If patient’s condition, due to an illness or injury, restricts the patient’s ability to leave home except with the aid of supportive device: cane, wheelchair, walker, or assistance of another person.
  • If patient’s condition is such that leaving home is medically contradicted.
  • Any absence for religious services is deemed to be an absence of infrequent or short duration, and thus does not negate home-bound status.

Reimbursement for home health services is contingent upon the claimant being “confined to home.” (5240.1) Failure to meet these guidelines means that the individual is unable to receive home health services under Medicare benefits.


Still not sure if you qualify for home health care? We would be happy to provide you with a complimentary consultation and help you evaluate your needs. 


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  • Private Duty

    Assistance with Personal Care, Meals, and Meal Prep, Mobility Assistance

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  • Physical Therapy

    Balance and Gait Training, Strength and Conditioning, Training to Improve Mobility

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  • Occupational Therapy

    Activities of Daily Living (ADL) Skills Training, Energy Conservation Skills

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  • Speech Therapy

    Swallowing Exercises, Articulation Exercises, Cognitive Retraining

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  • Medical Social Services

    Individual Counseling, Community Resource Support, Grief Counseling and Bereavement Support

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  • Home Health Aide Services

    Assistance with Personal Care, Light Housekeeping, Laundry Services, Meal Planning

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  • Skilled Nursing Care

    Comprehensive Clinical Assessment, Chronic Disease Management, Medication Management

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  • Set An Appointment

    Let us help you put careful thought into what’s best for your senior.

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  • Resources

    Helpful resources to help your family transition into home health care.

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A Care Connection – Jacksonville
1525A The Greens Way
Jacksonville Beach, Florida 32250
Phone: 904-899-5520
Fax: 904-899-5521


A Care Connection – Tampa
602 South Boulevard • Tampa, Florida 33606
Phone: 813-544-CARE (2273)


We are Medicare Certified

Jacksonville License #: HHA 299993754 License #: NR 30211781 Tampa License #: NR 30211989 License #: NR 30212038

joint Comission
  • 5 star agency highest quality rating medicare
  • HomeCare Elite 2017 Top Agency
  • HomeCare Elite 2016 Top Agency
  • HomeCare Elite 2015 Top Agency
  • HomeCare Elite 2014 Top 500 Agency
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