When do I need a Doctor’s Order for Care?

When it comes to home health care, there are a lot of questions. When should I get care? Does insurance pay for it? What kind of services can I get? All those questions immediately relate back to this one important question: when do I need my doctor’s ok to receive care?

Most insurance companies require a Physician’s signed order and referral to a home health agency of the patient’s choice before providing treatment services such as Skilled Nursing visits, Physical Therapy, Occupational Therapy and Speech Therapy. The ordering physician must agree to sign off on the patient’s treatment plan and all subsequent treatments that are added before services can be rendered. Insurance companies, such as Medicare, look for those signed orders as proof to provide payment for those treatments. However, in the case of non-medical home care services, a doctor does not need to sign off on treatment plans for the patient to receive care.

If your need is Non-Medical home care, you or a family member have the right to call the agency of your choice and request an agency representative come to your home, without needing to consult or attain prior authorization from a physician. These services, since they are non-skilled, can be paid for privately and usually involve bathing, grooming, light housekeeping, meal prep and other related supportive services. And although these services are considered “non-skilled,” limiting the range of services the caregiver can provide, CareGivers America is a proud provider of both non-skilled and skilled nursing across 30 Pennsylvania counties.

If at any point you feel the need for a higher level of care, such as wound treatment or help regaining your strength after surgery, then a physician will need to assess your condition and provide the necessary authorizations. We are here to help you every step of the way. Should you or a family member need any level of care to provide the empowerment for you to remain in your own home and community, please call your local CareGivers America office for more information or email us directly at info@caregiversamerica.com.