Home Health Care
Service Standard
Home Health Care Service Standard print version
Subcategories | Service Units |
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Home Health Care | Per visit |
Health Resources and Services Administration (HRSA) Description:
Home Health Care is the provision of services in the home that are appropriate to an eligible client’s needs and are performed by licensed professionals. Activities provided under Home Health Care must relate to the client’s HIV disease and may include:
- Administration of prescribed therapeutics (e.g., intravenous and aerosolized treatment, and parenteral feeding)
- Preventive and specialty care
- Wound care
- Routine diagnostic testing administered in the home
- Other medical therapies
Program Guidance:
The provision of Home Health Care is limited to clients that are homebound. Non-licensed personal care services may be funded with the Ryan White Part-B service category: Home and Community-based Health Services.
Limitations:
Home Health Care cannot be provided in nursing facilities or inpatient mental health/substance abuse treatment facilities. Personal care and non-licensed in-home care providers are not allowable services.
Services:
Home Health Care is services provided by a licensed/certified home health agency in a home or community-based setting in accordance with a written, individualized plan of care established by a licensed primary medical care provider. Home Health Care Services may include the following:
- Part-time or intermittent skilled nursing care
- Physical therapy
- Occupational therapy
- Speech-language pathology services
- Durable medical equipment
- Medical supplies for use at home
Universal Standards:
Services providers for Home Health Care must follow HRSA/DSHS Universal Standards 1-46 and 78-79.
Service Standards and Measures:
The following standards and measures are guides to improving healthcare outcomes for people living with HIV throughout the State of Texas within the Ryan White Part B and State Services Program.
Standard | Measure |
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Initiation of Care Orders: The home health agency must receive written orders from the client’s primary HIV medical provider before initiation of care by the home health agency from a licensed practitioner to include the following:
Note: Section 3708 of the CARES Act allows a nurse practitioner, clinical nurse specialist, or physician assistant who is working in accordance with State law to order or refer home health services. This applies on or after March 1, 2020. Homebound Status: Documentation of ordering provider certifying client is homebound or confined to home as applicable to receiving Home Health Services as meeting one or more of the following criteria: Due to illness or injury:
Note: If the client does leave the home, the client may still be considered homebound if the absences from the home are infrequent or for periods of relatively short duration or are attributable to the need to receive health care treatment. |
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Timely Initiation of Care: The client will be contacted within 1 business day of the referral, and services must be initiated at the time specified by the primary medical care provider, or within 2 business days, whichever is earlier. |
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Initial Assessment: A comprehensive assessment of the client’s psychosocial, functional, past medical history, current health status, and home environment should be completed to include:
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Implementation of Care Plan: A care plan will be completed based on the primary medical care provider's order and include:
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Provision of Services: Professional staff will:
The agency will maintain ongoing communication with the primary medical care provider. |
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Transfer/Discharge: Transfer and discharge of clients from home health care services should result from a planned and progressive process that considers the needs and desires of the client and the caregiver(s), family, and support network. A transfer plan must be developed when one or more of the following criteria are met:
Note: Staff should not inactivate clients in Take Charge Texas (TCT) at the time of case closure or graduation, unless the case is being closed due to a deceased client. |
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Notification of Transfer/Discharge: The following criteria must be followed when a client is transferred or discharged from services:
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References
Division of Metropolitan HIV/AIDS Programs, HIV/AIDS Bureau (HAB). Ryan White HIV/AIDS Program (RWHAP) National Monitoring Standards for RWHAP Part A Recipients. Health Resources and Services Administration, June 2022.
Division of State HIV/AIDS Programs, HIV/AIDS Bureau (HAB). Ryan White HIV/AIDS Program (RWHAP) National Monitoring Standards for RWHAP Part B Recipients. Health Resources and Services Administration, June 2022.
Ryan White HIV/AIDS Program. Policy Notice 16-02: Eligible Individuals & Allowable Uses of Funds. Health Resources and Services Administration, October 2018.