Skilled Medicare Home Health Services


Criteria for Home Health Care under Medicare

› Patient must be Homebound

› Unable to function outside of the home without a considerable and taxing effort (i.e. with the aid of another person and/or assistive device)

› Have an exacerbation of an existing illness of onset of a new disease process› SN, PT, or SLP need on an intermittent basis


Wound Care

› Removing sutures, care of drain, packing, etc. (With specific orders)

› Observing surgical incision

› Teaching aseptic procedure› Wound VAC by KCI or Smith & Nephew



› Inserting or changing Foley catheter

› Observing contents, amounts, etc.

› Observing hydration

› Teaching-catheter care, including irrigation

› Obtaining sterile urine

› Straight cath for residual


NG Tube, J Tubes, G Tubes

› Inserting or changing NG Tube

› Instructing care of tube, feeding formula, etc.

› Instruction on use of pump


Ostomy Care (case-by-case basis)

› Change of new stoma, dressing, observation of discharge, care of skin

› Teaching Ostomy care

› Irrigation

› Diet for colostomy patient

› Skin and would assessment an care


Bowel & Kidneys

› Bowel and bladder training


Orthopedic Care

› Post-op (i.e. TKR, THR) care and observation

› Cast care

› Teaching, rehabilitation measures


IM Medications

› Administer IM injections

› Teach administration when appropriate 

› Supervise administration


Diabetic Teaching

› Signs and symptoms of hyper/hypoglycemia

› Skin and foot care› Insulin injection technique

› Diet teaching


Eye Care (Post Cataracts)

› Sterile dressing

› Assess interactions of drops & medications with an additional skilled need


Vital Signs

› Assess BP readings, apical/radial pulse quality and rate, respiratory rate and temperature. If patient is stable, vital signs alone are not skilled care.


Lab Work

› Only in conjunction with an additional skilled need. Venipuncture to determine blood levels but not necessarily limited to:


› Protime

› Blood glucose


› Blood specimen

› Chemistry profile

› Drug Levels

› Dioxin

 › Theophylline› Dilantin


Other Specialized Services Provided

› Physical Therapy (PT)

› Speech Language

› Pathology (SLP)

› Occupational Therapy (OT)

› Medical Social Workers (MSW)

› Home Health Aides (HHA)


The patient must be post hospitalization or referred for home health from the physician’s office. If there are any questions concerning a particular patient, please feel free to contact us.