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Will a doctor oversee my home health care services?

Will a doctor oversee my home health care services?

Your doctor will do the following to oversee your home health care:

  • Decide you need care in your home
  • Help to develop your care plan
  • Communicate with the home health agency about your progress

A care plan describes the kind of services and care you need for your health problem. Your doctor will work with a home health care nurse to decide:

  • What kind of services you need
  • What type of health care professional should give these services
  • How often you will need the services

Your care plan may also include things like the kind of home medical equipment you need, the kind of special foods you need, and what your doctor expects from your treatment. Your doctor and home health agency staff will review your care plan as often as necessary, but at least once every 60 days. If your health problems change, your care plan will be reviewed, and your doctor may change it. Home health agency staff must tell your doctor right away if your health changes. You will continue to get home health care as long as you are eligible and your doctor says you need it. Only your doctor can change your care plan. Your home health agency cannot change your care plan without getting your doctor's approval. You must be told of any changes in your care plan. If you have a question about your care, you should call your doctor. If your agency changes your care plan without your doctor's approval, you have the right to appeal. Your appeal rights are listed on the back of the Medicare Summary Notice that is mailed to you from the company that handles bills for Medicare. The notice will also tell you why Medicare didn't pay your bill and how you can appeal. If you feel your medical needs are not being met, you should talk to both your doctor and the home health agency.

FAQ_Category: 
Coverage
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