What is home health care? This page will help you to learn and understand how Texas regulates home health agencies and what Texas home health services are (and are not) covered by Medicare.
Texas home health care provide skilled nursing and rehabilitation help for people who are homebound on a short-term basis. If you have limited mobility due to a temporary injury or illness and need in-home medical help, you could get it through a home health agency.
Here are answers to a few questions many people have about the home health agencies.
Question: Are Texas home health services covered by insurance?
Answer: They can be. It depends on your policy—every health care policy is different. You can also get coverage for home health agency services through Medicare, Medicaid, or Veteran’s Administration insurance, although you’ll have to meet certain requirements to qualify. For Medicare, you can get 100% of the costs covered if your doctor deems skilled rehabilitation or nursing services necessary for the short term.
Question: Can I get other services provided?
Answer: If you need in-home nursing or rehabilitative care, you may also need help with activities of daily living such as bathing, dressing, and light housekeeping; these services may also be provided through a home health agency. Some offer long-term nursing and other services on a more permanent basis, although these services may not be covered by Medicare or most health insurance policies.
Question: Where can I find Texas home health?
Answer: Usually, you would get a referral to a local home health care agency from your hospital or doctor. You can also check online. If you’re looking for yourself, be sure that the agency is certified by the Department of Health or the appropriate agency or organization in your state. Your Department of Health may provide a list of certified home health agencies in your state.
Question: How is Texas home health regulated?
Answer: In most states, home health agencies are regulated at the state level, and the laws governing what they can and can’t do are different in each state. Some states do not regulate home health agencies directly.
In Texas, home health agencies oversight is provided by the Texas Department of Aging and Disability Services.
Most of the time, whether a home health agency is regulated by the state or by a separate agency, they are required to follow licensing rules for all staff—so someone without the proper medical training and certification could work as a companion, for example, but not administer medication or give injections.
Question: How do I know if I need home health?
Answer: Usually, your doctor will refer you to one if you need one—and you can’t get Medicare coverage for these services without a doctor’s referral. In general, however, a home health agency’s services may be needed if you or a loved one prefers to stay home—or has been discharged from the hospital—but still needs more care than the family is capable of providing.
Not all home health agencies in Texas are the same, and depending on your state, conditions may vary in terms of the types of services the agency can provide and what is covered by insurance. However, if you start with a doctor or hospital referral, you are likely to be able to find an agency that can provide you with the services you need.
Elder Options of Texas