Frequently Asked Questions - Client home health care

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Home health care is a set of services that allows clients of all ages, from

children to the elderly, to continue in the comfort of their own homes while

receiving additional care, either following a stay in a medical institution or

to avoid hospitalization. A registered caregiver and medical experts provide

home health care, allowing patients to stay independent and retain their

own quality of life. Please visit our "Services " page to learn more about

home health care. 

A home health aide is a professional caregiver who offers basic personal

care and health-related services to a range of patients, often the elderly or

disabled, who need daily support. Home health aides work in the homes of

clients or residential facilities. Home health aides must complete a formal

training program and be qualified or registered. Registered nurses and

other medical professionals supervise these professionals.

Home care eligibility depends on your medical needs, financial status, and home

care agency, insurance provider, and government program standards.

General eligibility factors include:

Medical Need: Your health determines eligibility. Home care may be available

if you're recovering from surgery or sickness, have a chronic ailment, or have

physical or cognitive disabilities that make daily chores challenging. A doctor

must approve home care.

Financial Resources: Insurance or other programs may cover a portion of the

cost of expensive home care services. Medicaid covers home health services for

low-income people. Long-term care insurance may cover home care. Medicare

may fund short-term home care under certain conditions.

Professional Assessment: Home care may require a professional assessment.

Doctors, nurses, and social workers conduct this. To determine if home care is

appropriate, they will assess your physical, mental, functional, and home

surroundings.

To understand your eligibility and possibilities, speak with healthcare specialists

and reach out to us to find out the process at 201-515-2355.

The cost of a home health aide can vary significantly based on a variety of

factors, including the specific services provided, the number of hours of

assistance required each day, the cost of living in your specific area and

your Medicaid eligibility

Home care waivers, also known as waiver paid services, are state-financed

programs for people who need long-term care but want to stay in the

comfort of their own home. Waiver programs are Medicaid-assisted, but

participants must meet certain eligibility conditions and complete an

application. Please see our "Services" page for additional information about

home care waiver services.

In general, home health care is less expensive than care received in a

hospital or skilled nursing facility. According to the US Department of

Health and Human Services, the national average cost for home health care

is one-third that of a nursing home--and the treatment you receive from All

American Home Care is just as effective as any long-term care facility.

No. Your Medicare benefit will cover all costs associated with Home

Health Care.

If you are not being discharged from the hospital or nursing home,

your doctor needs to submit an order for home care services. If

necessary, we can assist you with the process.

No. To be considered for at-home care, the patient does not have to

be bedridden. Under Medicare, a patient is considered "homebound" if he or she cannot leave the house without "considerable and taxing

effort".

 Home Health services are skilled nursing, physical therapy, occupational therapy, speech therapy, medical social work, and home health aide. 

 No. Your Medicare benefit will cover 100% of your Home Health related costs. 

 If you are not getting discharged from the hospital or nursing home, then you will need to have your doctor send an order for home care services. We can assist you with the process if need be. 

 No. The patient does not need to be bedbound to be considered homebound. The patient is considered “homebound” under Medicare if the patient cannot leave home without “considerable and taxing effort”. 

 Yes. We are here for you  to address any concerns you have. We have dedicated staff to always answer your questions during our office hours.  

In a nutshell answer is “yes”. However, requirements to receive benefits vary state by state. Each state has its own Medicaid programs, which offer different home care benefits. Below, we discuss Pennsylvania’s Medicaid coverage for home care so you can make the best decisions for yourself or a loved one before working with a home care agency.

 Home Health services are skilled nursing, physical therapy, occupational therapy, speech therapy, medical social work, and home health aide. 

 No. Your Medicare benefit will cover 100% of your Home Health related costs. 

 If you are not getting discharged from the hospital or nursing home, then you will need to have your doctor send an order for home care services. We can assist you with the process if need be. 

Pennsylvania has three Medicaid programs that offer financial assistance for home care: Pennsylvania Department of Aging (PDA) Waiver, the Services My Way Program, and the newly-adopted Pennsylvania Community Health Choices (CHC) Program.

 No. The patient does not need to be bedbound to be considered homebound. The patient is considered “homebound” under Medicare if the patient cannot leave home without “considerable and taxing effort”. 

 Yes. We are here for you  to address any concerns you have. We have dedicated staff to always answer your questions during our office hours. 

The PDA Waiver offers an extensive range of home care and community based services to senior individuals who require nursing facility care but prefer to remain in their own homes or in a community living domicile. This waiver is also referred to as the PA Council of Aging Waiver, the PDA Waiver, the Office of Long Term Living (OLTL) Waiver, and the Home and Community-Based Services (HCBS) Waiver for Individuals Aged 60 and Over. 

This program covers basic personal care services and support to help family members pay for services such as adult day care and respite care. Additionally, the program pays for home medical equipment as well as home modifications to improve accessibility such as wheelchair ramps and stair glides. Under this waiver, individuals can choose from which vendors they purchase certain goods or self care services. 

Services provided under this waiver are determined on a needs basis, and there is no limit on how many can be received by a single beneficiary.

Adults aged 19- 64 and up years old are eligible to apply through Pennsylvania State of Health. Under managed care, Medicaid beneficiaries are entitled to join to  ReliableCare USA Home care community.