Home Health Evaluation/Referral

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What Is Home Health Assessment & Referral?

We assess eligibility for skilled home health (nursing and/or therapy) and coordinate referrals with trusted agencies. We review homebound status, clinical needs, and safety to determine the right services.

Who it’s for: Adults in Texas who may qualify for skilled nursing/therapy at home after hospitalization or due to functional limits.

When to Seek Care

What to Expect

Evaluation:

We confirm diagnoses, homebound criteria (when applicable), and skilled needs.

Referral:

We send a detailed order to a partner home health agency and hand off the plan.

Follow‑through:

We remain available for clarification and adjust orders as needed.

Care Plan & Follow‑Up

Insurance & Eligibility

Most plans including Medicare cover skilled home health when criteria are met (e.g., homebound and intermittent skilled services). Coverage varies; Texas only.

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Frequently Asked Questions

Who can request a referral?

Hospitals, PCPs, specialists, and families (via Intake) can request evaluation.

Leaving home requires considerable effort/assistance, with infrequent/brief absences.

Depends on agency capacity and insurance approval; we aim to start promptly after order.

Yes. We coordinate with the agency and adjust the plan as needed.