- Forms
- Prior Authorization
- Electronic Visit Verification
- HH Agency Licensure
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FAQs
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- Provider Enrollment
Medicaid Home Health (HH) Services
Home Health services may include:
- Home Health visits (skilled nursing and home health aide services) for Medicaid recipients of all ages requiring medically necessary home health visit services, unless an age limitation is listed within the Home Health Visit Services Coverage Policy; and
- Private duty nursing and personal care services for Medicaid recipients under the age of 21 years.
Home Health Visits
Florida Medicaid reimburses for:
- Up to four intermittent home health visits, per day, for recipients under the age of 21 years and pregnant recipients aged 21 years and older
- Up to three intermittent home health visits, per day, for non-pregnant recipients aged 21 years and older
Recipients may receive any combination of skilled nursing or home health aide visit services up to the coverage limits specified in the Home Health Visit Services Coverage Policy.
Private Duty Nursing (PDN) and Family Home Health Aide (FHHA) Services
PDN services are medically necessary skilled nursing services that may be provided to recipients under the age of 21 years in their home or community to support the care required by their complex medical condition, illness, or injury.
FHHA services are available to medically fragile recipients under the age of 21 who are eligible for private duty nursing services. Relatives of the recipient are eligible to receive training and be employed by a home health agency to provide services to the child.
Please consult the Private Duty Nursing and Family Home Health Aide Services Coverage Policy[ ],
Frequently Asked Questions
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, and
Medicaid Eligibility for Family Home Health Aides Flyer
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for more information on PDN and FHHA services.
Personal Care Services (PCS)
PCS provides medically necessary assistance, in the home or in the community, with activities of daily living (ADL) and age-appropriate instrumental activities of daily living (IADL) to give recipients under the age of 21 years the ability to accomplish tasks they would normally be able to do for themselves if they did not have a medical condition or disability.
Please consult the Personal Care Services Coverage Policy for more information on PCS.
Medicaid reimburses Home Health services that
- Do not duplicate another service,
- Are determined medically necessary, and
- Meet the criteria as specified in the applicable coverage policy.
Please consult the Definitions Policy for the meaning of medically necessary/medical necessity.
