Home health therapies are covered if they are classified as either:
- 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:
- 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.