Care recipients should be actively involved in deciding how their package funds are spent, including considering any legal exclusions. A review of your medical history, certified by your doctor and reviewed by a residential health care facility (nursing home), can indicate whether placement in such a facility would decrease your ability to perform activities of daily living. When a Certified Home Health Agency (CHHA) informs a social services district, in accordance with 216 (a), that the recipient has orally stated that they no longer wish to receive home health services, the district must send the recipient a timely and appropriate notification. The CHHA carried out a tax assessment of a health care recipient who, at the time of the tax assessment, was receiving home health services from the CHHA and was not hospitalized, and the CHHA reduced or suspended the recipient's home health services on or after November 15, 1993, as a result of the tax assessment. Home care providers must remain vigilant to prevent the introduction of acute respiratory infections (ARI), such as COVID-19 and influenza, into a person's home.
It is also important to consider whether the beneficiary can receive other long-term care services, including, but not limited to, those provided under the Long-Term Home Health Care Program (LTHHCP), the Assisted Living Program, or the Enriched Housing Program. The costs of continuing to provide you with home health services are reasonably expected to be lower than the costs of placing you in a residential health care facility or other type of residential care, combined with the costs of providing services to the person you live with. The beneficiary must use such services instead of home health care services to minimize their need for home health services or other long-term care services. The social services district must use the new notice attached to this directive as Appendix F and entitled “ADEQUATE NOTICE OF INTENT TO INTERRUPT HOME HEALTH CARE SERVICES” (AT THE REQUEST OF THE RECIPIENT). This notice includes information about Assistant, Personal Care Services, Adult Day Health, Long-Term Home Health Care Program, Assisted Living Program, and Enriched Housing.
The CHHA must continue to provide home health services to the recipient in accordance with the doctor's recommendations. Medically, you are not eligible for services from a residential health care facility (nursing home care) or other non-residential long-term care services, including other residential long-term care services. In addition, the order does not apply to CHHA determinations to reduce or interrupt a beneficiary's home health services for reasons unrelated to the beneficiary's care costs, compared to 90 percent of the costs of residential health care facilities and the beneficiary's failure to meet any exceptional criteria. However, the medical assistance program (MA) will continue to pay for your home health services until you have the other appropriate long-term care services available. The Department of Health determines the average monthly cost of care at a general hospital by adding up the payments made to all general hospitals in the region for the group related to the diagnosis. As an expert in home health care in Orange County, I can tell you that there are many different types of treatments that can be provided by Certified Home Health Agencies (CHHAs).
These treatments range from basic assistance with activities of daily living such as bathing and dressing, to more complex medical treatments such as wound care and physical therapy. In addition, many CHHAs offer specialized programs such as Long-Term Home Health Care Programs (LTHHCPs), Assisted Living Programs, and Enriched Housing Programs. These programs provide additional support for those who need it most. When considering what type of treatment is best for you or your loved one, it is important to consult with your doctor and review your medical history. This will help determine if placement in a residential health care facility is necessary or if home health services are more appropriate.
It is also important to consider whether other long-term care services are available that may reduce your need for home health services. Your doctor can help you make this decision. When receiving home health services from a CHHA, it is important that you remain actively involved in deciding how your package funds are spent. This includes considering any legal exclusions that may apply. Additionally, if you decide that you no longer wish to receive home health services from a CHHA, they must provide you with adequate notice before reducing or suspending your services. In conclusion, there are many different types of treatments that can be provided by Certified Home Health Agencies in Orange County.
It is important to consult with your doctor and review your medical history before deciding which type of treatment is best for you or your loved one. Additionally, it is important to consider whether other long-term care services are available that may reduce your need for home health services.