For Health Professionals
This section contains resources for health care professionals. We’ve included important information about processes and procedures relating to coordinating your patient’s care with us. We’ve also included a convenient on-line referral form for both in-patient and ambulatory care situations.
How to make a referral
A referral can be made through this Web site by following the appropriate link below. Please enter the information in the required fields and submit the request. A representative may contact you for more information.
If the referral is sent after 5:00 p.m. we will process it the next business day.
If you have question about making a referral or about our services, contact us at or 734-677-1515 or 800-842-5504
Certified and Rehab Services Referral Information
Medicare Homebound Definition:
"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 relatively short duration and generally for medical purposes."
Most Insurance require (except Medicaid, Work Comp. and Auto)
Certified need for care
Criteria for home care admission
- Services must be provided under the direction of a physician.
- The pt. has had a recent illness or injury or exacerbation of a condition that requires skilled Nursing Care on an intermittent basis or Physical or Speech Therapy.
- OT, MSW & nutritionist or HHA services cannot “stand alone”, must have a PT or Nurse , SP need
- Patient cannot be open to more than one home care agency in one episode
Generally SOC will be initiated within 48 hours of referral unless otherwise ordered.
If the patient is not admitted the agency will notify the referral source.
Physician will receive orders that will indicate how many times a week the patient will see a clinician and what the clinician will be doing in the home.
Face To Facee
New ruling from Center for Medicare and Medicaid Services, effective April 2011, to provide closer oversight by physicians managing care.
- Patient must have a face to face with a PECOS (Medicare enrolled physician) 90 prior or 30 after the home care start of care date
- Encounter must be in part for the reason that home care was ordered.
- Form must include
- Date of encounter
- Reason for encounter
- Brief statement of what is ordered
- Clinical statement to support home care order
- Reason for home bound function
- Signer must be a physician
- The document can be completed by the physician after review of documentation and completed based upon review
This visit must be related to the need for home care services and may be carried out by a non physician practitioner that is supervised by a physician. However only the physician can order home care.
The face to face includes the diagnosis for that is the primary reason for home care, the services needed and why – Nursing for wound care, urinary catheterization, injections… Physical therapy for gait training, range of motion, therapeutic exercises.