Home health care services definition
Examples of Home health care services in a sentence
Home health care services, as set forth in this section, shall be covered (1) under the MHCN option, when provided by MHCN's Home Health Services or referred in advance by a MHCN Personal Physician to a MHCN-authorized home health agency, or (2) under the Community Provider option, when provided by a State-licensed home health agency, prescribed by a Community Provider and authorized in advance by GHO’s Medical Director, or his/her designee.
Home health care services not in conjunction with a registered or licensed practical nurse and home health aide are not covered.
Home health care services are limited to 90 per member per calendar year.
Office location Outpatient Department of a Hospital 20% 20% ✔ 40% ✔ ✔ 40% of up to $350/day plus 100% of additional charges ✔ DME 20% ✔ 40% ✔ Breast pump $0 Not covered Orthotic equipment and devices 20% ✔ 40% ✔ Prosthetic equipment and devices 20% ✔ 40% ✔ Home health care services Up to 100 visits per Member, per Calendar Year, by a home health care agency.
Home health care services are provided as an alternative to otherwise Covered Health Services in a Hospital, Related Institution or Skilled Nursing Facility.