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24.5.2 Home Health Aide Services
HHA visits are a benefit of Home Health Services when a client requires nursing services for an acute condition or an acute exacerbation of a chronic condition that can be met on an intermittent or part-time basis. HHA visits are intended to provide personal care services under the supervision of a RN, PT, or OT employed by the home health agency to promote independence and support the client living at home.
HHA visits are considered medically necessary for clients who require general supervision of nursing care provided by an HHA over whom the RN is administratively or professionally responsible in addition to the following:
• Skillful observations and judgment to improve health status, skilled assessment, or skilled treatments or procedures.
•Individualized, intermittent, acute skilled care.
•Skilled interventions to improve health status, and if skilled intervention is delayed, it is expected to result in the deterioration of a chronic condition or one of the following:
•Loss of function.
•Imminent risk to health status due to medical fragility, or risk of death.
When documentation does not support medical necessity for HHA visits, providers may be directed to possible alternative services based on the client's age and needs.
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