What are the requirements for services

A Medicare beneficiary must meet all the following “qualifying” criteria to be covered under the Medicare home health benefit:

Is eligible for Medicare
Is provided services as defined in the HHA Manual and meets the specific coverage rules related to the six services (nursing, physical therapy, occupational therapy, speech/language pathology, medical social services, or home health aid)
Is provided medically reasonable and necessary services
Receives physician certification and oversight of the patient’s POC