a1backgroundPatients experiencing injury, surgery or illness or self-management of chronic disease requiring recovery and recuperation may be eligible for home health care through their Medicare benefit.

To meet Medicare guidelines, each patient must:

Meet the definition of 'homebound (the normal inability to leave home). Must be a 'taxing and considerable effort' by the patient and requires the assistance of others or a supportive device. Absences from home for non-medical reasons must be infrequent and for a short duration.
Have a specific care need requiring part-time or intermittent care.
Require the care of a nurse or therapist.
Require the care of a nurse or therapist.
Be under the care of a physician licensed to practice in the state of Texas

  • Skilled Nursing

    Post-Acute Follow-up
    New Diagnosis
    Exacerbating Symptoms
    Fluctuating Vital Signs
    Weight Change
    Medication Adjustments
    Symptoms of Drug Toxicity
    Respiratory Changes/Initiation of Oxygen
    Circulatory Changes
    Anxiety, Confusion, Delusion
    Traumatic Event Recuperation

  • Teaching/Training

    Caregiver Teaching
    Chronic Illness/Disease Self-management
    CHF/COPD Monitoring
    Diabetic Teaching
    Understanding Medications/Medication Regimen
    Specific Procedures
    Nutritional Assessment
    Enteral/Parenteral Feedings
    Incontinence, Bowel/Bladder Training

    Skilled Procedures

  • Physical Therapy:

    Services may be indicated if the skills of a trained therapist are required by the client who has difficulty with:

    Post-Operative Rehabilitation
    Falls Prevention/Risk Management
    Balance, Gait, Stability
    Walking- Inside or Outside
    Going Up and Down Stairs
    Transfer Training
    Getting In/Out of Bed or Repositioning

  • Physical Therapy Cont:
    Standing/Sitting, Posturing
    Toileting or Bedside Commode
    Shortness of Breath with Activity
    Poor Safety Awareness
    Contractures or Pressure Sores
    Assistive Device Needs and Training in Equipment Usage
    Limited Range of Motion or Decreased Sensation or Strength
    Decline in Function Due to Stroke, Painful Arthritis, Amputation, etc

  • Speech Therapy:

    Services may be indicated if the skills of a trained therapist are required by the client who has:


    A voice, speech articulation, or language disorder
    Dysphagia or dysarthria
    Aural rehabilitation needs
    Difficulty with cognitive function


  • Occupational Therapy:
    Services may be indicated if the skills of a trained therapist are required by the client who has:

    Diffciulty performing activities of daily living including dressing, grooming, bathing, feeding etc.
    Difficulty safely completing mobility tasks
    Poor condition
    Limited use of arms or hands
    Difficulty in performing housekeeping or cooking chres
    Sensory loss
    A need for adaptive equipment
    Decline in upper extremity function
    Difficulty with memory/problem solving
    Energy conservation training needs

  • Home Health Aide:

    Services can be provided to clients who require assistance with activities of daily living if the client is also receiving care from a qualifying skilled nursing or therapy professional. Services include:

    Assistance with personal care and grooming
    Assistance with transfers/ambulation
    Assistance with exercises
    Assistance with light housekeeping and meals may be provided during the personal care visit.

  • Medical Social Worker:

    Services may be indicated if the clients social, emotional or economic situation impacts their ability to recover or to reach maximum rehab potential. Medical social services can only be provided when skilled nursing or therapy are provided. The need must be at a level requiring the intervention of a trained social worker for:

    Assessment of social and emotional factors
    Counseling for long-range planning and decision making
    Education about or assistance in accessing community resources
    Short term counseling