Our Process
How to Start
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1. Service: Personal Care Process for Medicaid
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Referral (doctors order required)
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Client intake & Scheduled Nurse assessment visit
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Collect Authorization data
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Send all required information to insurance for approval (depending on insurance approval can take anywhere between 2-4 weeks)
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Process may differ for HMO coverage, private insurance or private pay clients
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Key Medicaid Requirements for Client:
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Medicaid or Program enrollment (ex: Family Care, Community Care, Iris)
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Medical Necessity (physical limitation or disability)
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Service must primarily occur in your home
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Clients have the option to refer a preferred qualified caretaker or we can provide one for them!
​2. Service: Skilled Service Process for Medicare
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Referral
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Client intake & Nurse assessment, Data collection, plan of care created
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Start of Care (up to 7 days from time referral received)
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Process may differ for private insurance or private pay clients
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Key Medicare Requirements for Client:
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Medicare enrollment
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Homebound: must have difficulty leaving home without significant effort/assistance and home absences are infrequent/short duration.
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Skilled Care: need for skilled nursing or therapy (not custodial care).
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Intermittent: Skilled nursing needed fewer than 7 day/week, fewer than 8 hours/day
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Medicare-Approved Agency: Must choose a Medicare-certified agency.
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Agency must provide caretaker​