Routine Home Care definition

Routine Home Care means a level of intermittent and part-time care provided in accordance with a Member’s Plan of Care and rendered by qualified professionals in the Member’s home. Such care shall include nursing services, social services, physical therapy, occupational therapy, speech pathology, and counseling and support services for both the Member and the Member’s family.
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Routine Home Care means hospice services provided in a patient’s residence to a patient who does not require nursing services to be available 24 hours a day.
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Routine Home Care means, for purposes of this regulation, the level of care a patient/family receives according to the interdisciplinary team's plan of care each day the patient is at home and not receiving continuous home care.
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Examples of Routine Home Care in a sentence

  • Part 418, subpart G, provides for a per diem payment in one of four prospectively-determined rate categories of hospice care (Routine Home Care (RHC), Continuous Home Care (CHC), inpatient respite care, and general inpatient care), based on each day a qualified Medicare beneficiary is under hospice care (once the individual has elected).

  • Currently, the labor portion of the payment rates is as follows: for Routine Home Care, 68.71 percent; for Continuous Home Care, 68.71 percent; for General Inpatient Care, 64.01 percent; and for Respite Care, 54.13 percent.

  • Routine Home Care (RHC) which is a day when a beneficiary who has elected to receive hospice care is at home and is not receiving Continuous Home Care.

  • Routine Home Care Days: Provide the total number of Routine In-Home level care Patient Days provided during the reporting period.

  • Total In-Home Patient Days: The sum of Routine Home Care Days (C1a.) and Continuous Care Days Billed (C1b.).

  • Therefore the non-labor portion of the payment rates is as follows: for Routine Home Care, 31.29 percent; for Continuous Home Care, 31.29 percent; for General Inpatient Care, 35.99 percent; and for Respite Care, 45.87 percent.

  • Therefore the non- labor portion of the payment rates is as follows: for Routine Home Care, 31.29 percent; for Continuous Home Care, 31.29 percent; for General Inpatient Care, 35.99 percent; and for Respite Care, 45.87 percent.

  • Reason in Blank “E” on the ABN: “Medicare does not pay for hospice care when your illness is not considered terminal.” Example B: A hospice patient’s care was upgraded from Routine Home Care (RHC) to Continuous Home Care (CHC) during a period of crisis.

  • Routine Home Care - The hospice is paid the routine home care rate for each day the patient is under the care of the hospice and not receiving one of the other categories of hospice care.

  • Hospice bills Medicaid for Routine Home Care and may also bill as a Service Intensity Add On (SIA) for a Registered Nurse RN or Social Worker up to 4 hours per day during the last 7 days of life of the recipient.


More Definitions of Routine Home Care

Routine Home Care means the provision of Hospice Services to a Resident in the facility who is not receiving Continuous Home Care, Hospice Inpatient Care or Respite Care.
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Routine Home Care means the core level of service for patients not receiving continuous care, general inpatient care, or inpatient respite care.
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Routine Home Care means the core level of service for pa- tients not receiving continuous care, general inpatient care, or inpa- tient respite care.
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Routine Home Care. When an individual who has elected to receive hospice care is at home and is not receiving continuous care;‌
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Routine Home Care means short term, intermittent hospice including skilled nursing, home health aide and/or homemaker services provided to a hospice eligible member in his or her own home or, HCB approved alternative residential setting. Routine home care services may be provided on a regularly scheduled and/or on-call basis. The hospice eligible member must not be receiving continuous home care services as defined in this section at the time routine home care is provided. Routine home care is available to members residing in an NF Medicaid certified bed. AMOUNT, DURATION ANDSCOPE In order to receive hospice services the member requires a physician‘s certification stating that the member‘s prognosis is terminal, with the member‘s life expectancy not exceeding six months. Due to the uncertainty of predicting courses of illness, the hospice benefit is available beyond six months provided additional physiciancertifications are completed. The physician certification is only permitted for two 90-day periods. However, an unlimited number of physician certifications for 60 day periods are permitted thereafter. State licensure standards for hospice care require providers to include skilled nursing, respite and bereavement services. Hospice providers must also have social services, counseling, dietary services, homemaker, personal care and home health aide services and inpatient services available as necessary to meet the member‘s needs. The following components are included in hospice service reimbursement when provided in approved settings: 1. Bereavement services provided by the hospice provider, which include social and emotional support, offered to the member‘s family both before and up to twelve months following the death of that member. There is no additional cost to AHCCCS for bereavement services provided to the family after the death of the member. 2. Continuous home care (as specified in the definition of hospice in this policy) which may be provided only during a period ofcrisis. 3. Dietary services, which include a nutritional evaluation and dietary counseling when necessary. 4. Home health aide services. 5. Homemaker services.
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Related to Routine Home Care

  • Routine care means medical care which is not urgent or emergent in nature and can wait for a regularly scheduled physician appointment without risk of permanent damage to the patient’s life or health status. The condition requiring routine care is not likely to substantially worsen without immediate clinical intervention.

  • Home care services means skilled or personal care

  • Home health aide services means the personal care and maintenance activities provided to individuals for the purpose of promoting normal standards of health and hygiene.

  • Palliative care means medical service rendered to reduce or moderate temporarily the intensity of an otherwise stable medical condition, but does not include those medical services ren- dered to diagnose, heal or permanently alleviate or eliminate a medical condition.

  • Homemaker services means the professionally directed or supervised simple household maintenance or management services provided by trained homemakers or individuals to families in their own homes.

  • PREVENTIVE CARE SERVICES means covered healthcare services performed to prevent the occurrence of disease as defined by the Affordable Care Act (ACA). See Preventive Care and Early Detection Services in Section 3. PRIMARY CARE PROVIDER (PCP) means, for the purpose of this plan, professional providers that are family practitioners, internists, and pediatricians. For the purpose of this plan, gynecologists, obstetricians, nurse practitioners, and physician assistants may be credentialed as PCPs. To find a PCP or check that your provider is a PCP, please use the “Find a Doctor” tool on our website or call Customer Service.

  • Hospice services means palliative and supportive care and other services provided by an interdisciplinary team under the direction of an identifiable hospice administration to terminally ill hospice patients and their families to meet the physical, nutritional, emotional, social, spiritual, and special needs experienced during the final stages of illness, dying, and bereavement, as defined in Minnesota Statutes, § 144A.75, subd. 8, and includes the set of services as determined by the Medicare program under §1861(dd) of the Social Security Act and defined in 42 CFR § 418.3.

  • Related Services means the services incidental to the supply of the goods, such as transportation, insurance, installation, training and initial maintenance and other such obligations of the Supplier under the Contract.

  • Acute care means a short course of intensive diagnostic and therapeutic services provided immediately following a work injury with a rapid onset of pronounced symptoms.