Qualifying for Services

Qualifying for Home Health Care

We can accept a referral for home health and help determine if an individual qualifies. In North Carolina and Virginia, a physician or non-physician practitioner such as a nurse practitioner or physician’s assistant must then order services. Services in South Carolina must be ordered by a physician. Once this determination and order have been made, we work directly with that physician/NP/PA and his or her staff to develop a custom home care plan for the patient. Conditions that generally meet coverage criteria include:

  • A new diagnosis
  • Recent exacerbation of a previous diagnosis
  • New medication or medication dosage change
  • Recent fall

Additional criteria can include:

  • Patients are homebound, meaning the person has an illness, medical condition or injury that restricts the ability to leave home without the assistance of others; the aid of supportive devices such as crutches, canes, wheelchairs or walkers; the use of special transportation; or those instances where leaving the home is medically contraindicated.
  • There must exist a normal ability to leave the home and leaving the home must require a considerable taxing effort.

Liberty Home Care is a dually certified Medicare and Medicaid home health agency. Home health care services may be covered under Medicare Part A or Part B.

Qualifying for Hospice Coverage

Patients of any age can qualify for hospice services. The patient does not need to be homebound, but must meet the following criteria:

  • The patient’s physician uses his or her best clinical judgment to certify the patient is terminally ill with a life expectancy of six months or less, if the disease runs its normal course.
  • The patient chooses to receive hospice care rather than curative treatments for the illness.
  • The patient enrolls in an approved Hospice Program.

Liberty can provide hospice services in the home, an assisted-living community, a nursing center or in a hospital.