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Skilled Medicare Home Health Services Page 1

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 Tube, G Tube

› 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
› JP drain

Bowel & Kidneys

› Bowel and bladder training

Orthopedic Care

› Post-op (i.e. TKR, THR) care and observation
› Cast care
› Teaching, rehabilitation measures


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"The caregiver was patient and took the time to really understand the needs of my father."

Rachel K.

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