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Home Health Aide Services

Revised: 10-05-2018

  • Eligible Providers
  • Eligible Recipients
  • Authorization Requirements and Assessments
  • Covered Services
  • Noncovered Services
  • Legal References
  • Home Health Aide (HHA)

    HHA services are medically oriented tasks a person needs to maintain health or to facilitate treatment of an illness or injury. A physician must order the services and the person delivering the services must have professional supervision by a Medicare-certified agency.

    Eligible Providers

    Medicare-certified home health agencies with a comprehensive homecare license

    Eligible Recipients

    Members must be eligible under one of the following programs:

  • Medical Assistance
  • MinnesotaCare: Expanded benefit set (pregnant women and children under age 21)
  • MinnesotaCare: Basic Plus; Basic Plus One; and Basic Plus Two
  • Emergency Medical Assistance (EMA) if being treated for chronic diagnosis
  • Waivered Service Programs
  • Authorization Requirements and Assessments

    Authorization is required for all HHA services.

    No assessment is required for HHA services; however, these services must be ordered by a physician.

    Covered Services

    MHCP covers the following services:

  • • Help with personal cares such as bathing, dressing, grooming, feeding, toileting, routine catheter and colostomy care, ambulating, transfers or positioning
  • • Simple dressing changes that do not require the skills of a licensed nurse
  • • Help with medications that are ordinarily self-administered and do not require the skill of a licensed nurse for safe and effective provision
  • • Help with activities that are directly supportive of skilled therapy services but do not require the skill of a therapist to be safely and effectively performed, such as routine maintenance exercises
  • • Routine care of prosthetic and orthotic devices
  • • Incidental household services necessary to the provision of one of the above health related services
  • Noncovered Services

    MHCP does not cover the following:

  • • Home health aide visits for the sole purpose of providing household tasks, transportation, companionship, or socialization
  • • Services that are not medically necessary
  • • Services provided in a hospital, nursing facility (NF), or intermediate care facility (ICF)
  • • More than one HHA visit per day
  • Legal References

    CFR 42 §440.70
    CFR 42 §484.36

    Minnesota Statutes 256B.0651
    (Home Care Services)
    Minnesota Rules 9505.0290
    (Home Health Agency services)

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