Home Health

Skilled Nursing Services provide Nursing Care, as well as Case Management, and Aide oversight. Nurses empower clients to reach their optimum level of wellness by delivering the highest quality of care in our clients’ homes.

Skilled Nurses:

• Evaluate and develop individualized plans of care for all patients in collaboration with primary care provider.
• Provide education to patients and caregivers regarding medication, wound care, and disease process.
• Provide wound care.
• Intravenous therapy
• Phlebotomy services/Obtain Lab Specimens
• Catheter maintenance/care
• Pain and symptom management
• Acute/Chronic disease management and therapy
• Other skilled needs ordered by a physician

Home Health Aides Services provide assistance with personal care such as:

• Grooming, Washing, and Bathing
• Basic hand and foot care
• Dressing
• Assist with other activities of daily living
• Helping clients move safely into chairs or beds

Physical Therapy Services restore balance, range of motion, strength and endurance. Physical Therapy in the home helps patients improve their ability to walk or to get up and down.

Physical Therapists:

• Evaluates and develops individual therapeutic plans for patients with mobility problems and functional limitations
• Determines equipment needs in the home and help decrease patient’s risk of falling.
• Assists to maintain and restore strength, increases endurance and range of motion, relieves pain and improves functional capabilities
• Gait training
• Therapeutic exercise
• Transfer techniques
• Recommendation and training in assistive device use

Occupational Therapy Services provided in the home help patients improve in daily tasks such as bathing, dressing and basic household activities.

A Registered Occupational Therapist:

• Evaluates and develops individual therapeutic plans for patients, focusing on rehabilitative and adaptive techniques.
• Make recommendations for adaptations to make the home safer and help patients establish a daily routine that allows them to do important tasks without overtaxing.
• Enables individuals to become more independent in activities of daily living (ADLs)
• Home safety evaluation
• Activities of Daily Living training
• Energy conservation skills
• Training on prosthetic or assistive device use
• Sensory-motor evaluation

Speech Language Pathology Services can help patients and their families in the home with memory problems, improving the ability to communicate, and restoring patient’s ability to swallow safely.

A Registered Speech Pathologist:

• Evaluates and develops individualized treatment plans for patients with communicative and swallowing disorders
• Serves patients with speech, communication, or swallowing impairment

If you are Medicare eligible and qualified for care, there are no out of pocket costs to you after you have met the Medicare deductible. Home Care can also be paid for by the individual or family, private insurance, or Medicaid, (if eligible). Because benefits and requirement vary, we can help you check with payer source about your specific benefits, even before beginning services, so you can have this information at the start of care.

To qualify for Medicare home health services there are five basic requirements:

1. A physician must determine that you need home health care services.
2. A physician must write the orders for home health care services.
3. You must require the skilled services that are provided by a nurse or therapist.
4. The services you need are only required on a part-time, or intermittent basis.
5. You must be homebound: requiring considerable effort and help to leave home.

Contact Us at 270-686-8123

• The Early and Periodic Screening, Diagnosis and Treatment Special Services program is a Medicaid program providing necessary home based therapy services for children and young adults under age 21. The patient must currently be under the care of a physician and qualify for Medicaid, (K-CHIP III does not cover EPSDT Special Services).
• EPSDT can provide Physical, Occupational, or Speech Therapy.
• Potential Eligibility Criteria: Some reasons that a child or young adult may qualify for services are Developmental Delay: If the child is not reaching age appropriate development in one or more skill areas such as cognition, communication, physical or fine motor skills, or self-help skills and has a diagnosis supporting need for therapy.
• EPSDT Special Services operates under the direction of Home Health.

Referrals can be made by anyone, but determination of qualification, need, and provider availability must be established by EPSDT Coordinators prior to establishing services.

For more information on this program, please call: 270-686-8123. Or toll free 1-800-928-7123 and ask to speak to an EPSDT Nurse.

• You or a family member has been in the hospital or long term care facility and are coming home.
• You’re feeling overwhelmed by the demands of providing care for someone.
• You or a family member want to remain in the home setting but need help to do so.
• A new caregiver needs instruction and training to provide care for you or a family member.

• Any individual, physician, or concerned person may request services by calling Green River District Home Health.
• Following a request for home health care, the patient’s physician will be contacted for approval of services.
• If you are interested in Home Health Services, call (270) 686-8123 or 1-800-928-7123 during office hours: 8:00 AM to 4:30 PM, Monday thru Friday.

Kentucky Home Health Association

Centers for Medicaid and Medicare

Cabinet for Health and Family Services

WebMD

National Association of Home Care

American Association of Retired Persons

National Institute of Health

American Association of Home Care