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Home Health Aide Services

Revised: 09-26-2012

Home Health Aide (HHA)

HHA services are medically oriented tasks required to maintain the recipient’s health or to facilitate treatment of an illness or injury. Services must be ordered by a physician and have professional supervision provided by a Medicare Certified agency.

Eligible Providers

MHCP-enrolled Medicare Certified Class A Licensed Home Health Agencies

Eligible Recipients

Recipients 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
  • • Waiver program recipients, refer to the HCBS Waiver Services section for more information
  • Authorization Requirements/Assessments

    Authorization is required for all HHA services. Refer to the Service Agreement Quick Reference Guide for the complete process.

    There is not an assessment required for HHA services; however, these services must be ordered by a physician.

    Covered Services

  • • Assisting 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
  • • Assisting with medications that are ordinarily self-administered and do not require the skill of a licensed nurse for safe and effective provision
  • • Assisting 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

  • • 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

    MS 256B.0651
    (Home Care Services)
    MS 256B.0656
    (Consumer Directed Home Care Project)
    MN Rule 9505.0290
    (Home Health Agency services)

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