Use Home Health Compare and call the home health agency to complete this checklist.
Home Health Agency name and phone number______________________________________
| Questions |
Yes |
No |
Comments |
| 1. Medicare-certified? |
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| 2. Medicaid-certified (if you have both Medicare and Medicaid)? |
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| 3. Offers the specific health care services I need (like skilled
nursing services or physical therapy)? |
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| 4. Meets my special needs (like language or cultural preferences)? |
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| 5. Offers home health aide services I may need (like help bathing,
dressing, and using the bathroom)? |
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| 6. Offers the support services I need, or can help me arrange for
additional services, such as Meals on Wheels, that I may need? |
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| 7. Has staff that can provide the type and hours of care my doctor
ordered and start when I need them? |
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| 8. Is recommended by my hospital discharge planner, doctor, or
social worker? |
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| 9. Has staff available at night and on weekends for emergencies? |
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| 10. Explained what my insurance will cover and what I must pay
out-of-pocket? |
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| 11. Does background checks on all staff? |
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| 12. Has letters from satisfied patients, family members, and
doctors that testify to the home health agency providing good care? |
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