Home Health

Conditions and Criteria for Home Health Services:

  • Home Health Services are intermittent skilled nursing services, physical therapy, speech therapy, occupational therapy, home health aide and medical supplies.
  • Home Health Services must be ordered by a physician and rendered in accordance to a written plan of care that is reviewed every 60 days.
  • Home Health Services must be provided by a licensed and certified Home Health Agency.

For Home Health Providers

  • The Medicaid Provider Service Center will be happy to answer any questions you may have on Home Health program policies and claims resolution.  You may reach the Medicaid Provider Service Center during normal business hours, 8:30 a.m. to 5:00 p.m. Monday – Friday.  Provider Service Center Contact Information:   (888)289-0709.
  • To determine Medicaid Eligibility and the number of Home Health visits claims paid in the fiscal year July 1 to June 30 use the Web Tool.
  • To make a request to exceed the 50 visit limitation for Home Health Services please contact KePRO at (855) 326-5219.
  • For information on Home Health Policy and Procedures and Billing Procedures, please review the Home Health Provider Manual
  • SCDHHS no longer mails paper Medicaid Bulletins.  To receive future Medicaid Bulletins via e-mail, you must subscribe.
  • To register for upcoming Medicaid Provider Trainings.
  • Provider Enrollment and Screening Requirements

For Beneficiaries

Home Health References

 

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