THERAPY
Therapies provided in a person’s place of residence or in the community where normal life activities occur. Home health therapies improve or maintain the person’s functioning and include physical, occupational, speech-language pathology and respiratory therapies.
COVERED SERVICES
Home health therapies are covered if they are classified as either:
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- Restorative therapy: Designed to restore the person’s functional status to a level consistent with the person’s physical or mental abilities
- Specialized maintenance therapy: Designed to maintain a person’s functional status at a level consistent with the person’s physical or mental abilities.
All home health therapies, including extended home health therapies, must be:
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- Ordered by a physician
- Medically necessary
- Provided to a person whose functional status is expected to progress toward, achieve or maintain the objectives in the person’s care or service plan.