HOME CARE NURSING
Professional nursing services provided to a person who requires more continuous care than a skilled nursing visit (SNV) and beyond the scope of what personal care assistance (PCA) and home health aide (HHA) services can provide. HCN services are based on an assessment of the person’s medical/health care needs and are provided in the person’s place of residence or in the community. All HCN services must be ordered by a physician, physician assistant (PA) or advanced practice registered nurse (APRN).
COVERED SERVICES
Regular HCN covers the following activities:
-
- Assessments and interventions needed by a person who is considered stable but has episodes of instability that are not immediately life-threatening
- Nursing observation, monitoring, assessment and evaluation to determine appropriate interventions that will maintain or improve the person’s health status.
Complex HCN covers all of the regular HCN activities listed above, in addition to life-sustaining interventions that reduce the risk of long-term injury or death for people who meet at least one of the following requirements:
-
- The person requires life-sustaining interventions to reduce the risk of long-term injury or death
- The person is dependent on a ventilator for life support for at least six hours a day and is expected to be or has been dependent for at least 30 consecutive days.