1. Program Definition
Home Health Service in Idaho provides skilled nursing care and at least one additional therapeutic service in the patient's place of residence. Services may include physical therapy, speech language pathology, occupational therapy, medical social services, and home health aide services.
2. Regulations
Home Health Services are governed by IDAPA 16.03.07, "Rules for Home Health Agencies"
3. Licensing or Certification
Home Health Agencies must be licensed in Idaho and certified to participate in the Medicare Program
4. Responsible State Agency
The Idaho Department of Health and Welfare oversees Home Health Services
5. Application Process
Providers must enroll as an Idaho Medicaid provider through the Idaho Medicaid website (www.idmedicaid.com)[4].
6. Required Documentation
Providers must submit:
- HHA license Application
- Information on the HHA Licensure Checklist
- Health Insurance Benefits Agreement (CMS 1561 Form)
- Fiscal year ending date Form
- Home Health Agency Survey and Deficiencies Report (CMS 1572a Form)
- CMS-855A Medicare Application
7. Timeline for Approval
The specific timeline for approval is not explicitly mentioned.
8. Pre-Application Process
There is no specific pre-application process mentioned for Home Health Service providers.
9. Pre-Application Training
No specific pre-application training is mentioned. However, providers must meet the requirements set by the Idaho Department of Health and Welfare.
10. Additional Notes
- As of July 1, 2021, Home Health Agencies must implement an Electronic Visit Verification (EVV) system
- Services are limited to 100 medically necessary visits per participant, per calendar year
- A face-to-face visit with the participant's physician is required to initiate home health services
- Providers must submit a written plan of treatment approved by the member's physician within 72 hours after an initial evaluation
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