Medicare Home Health Care Guidance
Project Health is Medicare-certified and helps patients and families understand how Original Medicare may apply to skilled home health services in Fairfax and Northern Virginia. Coverage depends on Medicare requirements and the patient’s documented clinical needs.
Medicare-certified. CHAP-accredited. Licensed in Virginia.
Trusted Care Clear Credentials
- Medicare-certified
- CHAP-accredited
- Licensed by the Virginia Department of Health
- Serving Northern Virginia
How Medicare Home Health Works
Original Medicare may cover certain home health services under Part A or Part B when its requirements are met. Project Health can discuss the patient’s needs and explain intake or referral next steps, but Medicare coverage depends on eligibility, clinical need, orders, and supporting documentation.
Core Medicare Home Health Requirements
These conditions are reviewed together. Meeting one condition alone does not establish coverage.
Part-Time or Intermittent Skilled Need
The patient generally must need intermittent skilled nursing, physical therapy, speech-language pathology, or qualifying occupational therapy services.
Homebound Status
The patient must normally have difficulty leaving home without help, or leaving home must require a considerable and taxing effort.
Face-to-Face Assessment and Order
An allowed healthcare provider must assess the patient, certify the need for home health care, and order the care.
Plan of Care and Certified Agency
Services must follow an established plan of care and be provided by a Medicare-certified home health agency.
Project Health Home Health Services
Services are selected according to the patient’s assessed needs and ordered plan of care.
- Skilled Nursing
- Physical Therapy at Home
- Occupational Therapy
- Speech Therapy
- Medical Social Work
- Home Health Aide Services
Coverage is not guaranteed. Medicare determines coverage based on its requirements and the patient’s circumstances. Medicare does not cover 24-hour-at-home care, unrelated homemaker services, meal delivery, or personal care when personal care is the only service needed.
Common Medicare Questions
Brief answers about eligibility, coverage, orders, and the next step.
Does Project Health work with Original Medicare?
Project Health is Medicare-certified and works with Original Medicare for eligible home health services. Coverage depends on Medicare requirements and the patient’s documented clinical needs.
Does Medicare cover every home health service?
No. Medicare covers specific home health services when its requirements are met. It does not cover every service or every type of help provided in the home.
What does “homebound” mean for Medicare?
Medicare generally considers a patient homebound when the patient normally cannot leave home without help, or when leaving requires a considerable and taxing effort.
Does Medicare home health care need to be ordered?
Yes. An allowed healthcare provider must complete the required assessment, certify the need for home health care, and order services under a plan of care.
What should I do next?
Call Project Health or submit a care request. A team member can discuss the patient’s needs, location, referral information, and the next step.
Questions About Medicare and Home Health Care?
Contact Project Health to discuss the patient’s needs, Medicare-related next steps, or a home health referral.
Project Health Corp Phone: +1 703 899 4109 Fax: 571 404 0516 Email: Info@projecthealth.usThis page provides general information only. It does not guarantee Medicare eligibility, coverage, approval, or payment.