Home Health Services: Coverage And Limitations

01. Services. Home health services and items include nursing services, home health aide services, physical therapy, occupational therapy, speech-language pathology services, audiology services, and medical supplies, equipment, and appliances provided under a home health plan of care. (7-1-26) 02. Settings. Home health services are covered in a participant’s residence and any setting in which IDAHO ADMINISTRATIVE CODE IDAPA 16.03.26 Department of Health & Welfare Medicaid Plan Benefits Section 243 Page 70 normal life activities take place. Services are not covered in a: (7-1-26) a. Any setting in which Medicaid covers inpatient services, including room and board; or (7-1-26) b. ICF/IID, unless such services are not otherwise required to be provided by the ICF/IID. (7-1-26) 03. Limitations. Home health services are limited to one hundred (100) visits per calendar year per person. Provision of durable medical equipment or supplies is not a visit. (7-1-26) 04. Requirements. Services and items, when appropriate, will meet the requirements for: (7-1-26) a. Audiology services under these rules; (7-1-26) b. Medical supplies, items, and appliances under these rules; (7-1-26) c. Physical therapy, occupational therapy, and speech-language pathology services under these rules; and (7-1-26) d. Early Periodic, Screening, Diagnosis, and Treatment Services under these rules. (7-1-26)