Before you receive Medicare-covered home health care, your home health agency (HHA) should assess your condition to create a plan of care. Generally, your plan of care will list:
- The types of health services and items you need
- How often you will receive services
- The predicted outcomes of treatment
Your doctor must sign the plan of care at the start of your care or soon after it starts. The plan of care is often paired with the home health certification form that your doctor must sign to show you need care. The first time your doctor certifies your eligibility for home health care, you must have a face-to-face meeting to discuss the reason you need care. This meeting must take place within the 90 days before you start care or the 30 days after the first day you receive care.
Your initial plan of care and certification will last 60 days. If you need additional care, the certification and plan of care can be renewed for as many 60-day periods as necessary, as long as your doctor continues to sign them. Make sure that your doctor agrees with the plan of care and thinks it contains all the care you need. A face-to-face meeting is not required for recertification.
Return to: Medicare In-depth
This content was created and copyrighted by the Medicare Rights Center ©2020. Medicare Rights Center is a national, nonprofit consumer service organization that works to ensure access to affordable health care for older adults and people with disabilities. These materials are presented here with support from YourMedicare.com and may not be distributed, modified or edited without Medicare Rights’ consent.
YourMedicare.com takes pride in providing you as much information as possible concerning your Medicare options, but only a health insurance broker licensed to sell Medicare can help you compare your plan options from various insurance companies. When you’re ready, we recommend you discuss your needs with a YourMedicare.com Licensed Sales Agent.