How do I obtain home care services?
Medicare home health care requires that the client is homebound, has an illness or injury that requires skilled nursing care on an intermittent basis, or physical, speech, or occupational therapy, and that care is provided on an intermittent basis for a short period of time. The client must be under the care of a doctor who has ordered home care.
Private insurance plan requirements vary. More information is available by contacting the NCHHA Intake Coordinator at (603) 444-5317.
What does “Homebound” mean?
This means that due to your illness or injury it takes a considerable taxing effort for you to leave your home and your absences are infrequent or of a relatively short duration. You can still be considered homebound if you leave home to attend a religious service, to receive health care treatment (including regular therapeutic, psychosocial or medical treatment in a state licensed/certified/or accredited adult day-care program), or to attend unique or infrequent special events (a family reunion, funeral, graduation, etc.) If you are able to drive, then you probably do not meet the homebound requirement.
If I don’t have medical insurance, can I still receive services?
Yes. With a referral from your doctor, a staff of professionals will assist you in determining your eligibility within our existing programs. If you do not qualify, private payment can be prearranged with our finance director or billing staff to meet your needs.
What services do Agency Nursing Assistants provide?
Nursing Assistants may provide assistance with personal care as needed including bath or shower, and skin, mouth and nail care; elimination; dressing or undressing; transfers; ambulation; prescribed PT or OT exercise plan; monitoring vital signs, temperature, pulse, blood pressure and weight.
What services do Agency Homemakers provide?
Homemakers provide light housekeeping inside the home. Climbing or heavy lifting is not performed. Dishwashing, shopping, running errands and making/changing bed linen, and doing laundry for the client are all available services.
Can an Agency employee provide me with transportation?
No. Agency policy does not allow an employee to transport a client.
How do I obtain Hospice services?
The Medicare Hospice Benefit requires that the client’s physician has determined that the prognosis for a patient is six months or less. The client and family must choose palliative care which focuses on comfort and symptom management rather than curative care. The client must have a primary caregiver who will continue to be involved in the care of the patient. The patient, family and physician must all agree to admission to the hospice program.
What services are available under the Hospice Program?
The Medicare hospice benefit includes nursing services on an intermittent basis with 24 hours on-call support, medications for pain relief and symptom management, hospice nurses aides, homemaking services, medical social work, pastoral care and counseling, volunteer support, short term hospitalization and in-patient respite care. Private insurance hospice benefits are often similar to the Medicare benefit. Some co-pays and deductibles may apply. Benefits vary according to individual insurance plans. More information is available by contacting the Hospice Director at (603) 444-5317.
Should I wait for our physician to raise the possibility of hospice, or should I raise it first?
The patient and family should feel free to discuss hospice care at any time with their physician, other health care professionals, clergy or friends.
Will I have to change physicians if I am admitted to hospice services?
No. Patients have the right to choose and keep a primary care physician. The physician will work with the hospice team to develop a plan for care and symptom management.