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NEW YORK STATE DEPARTMENT OF HEALTH Home and Community Based Services (HUBS)Licensed Practitioner of the Healing Arts (ALPHA) Attestation Medically Fragile Form MF Medically Fragile (MF) Instructions
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01
Gather all necessary information and documents such as patient's personal details, medical history, and healthcare provider orders.
02
Complete the patient intake form provided by the certified home health agency, ensuring that all sections are filled out accurately.
03
Provide any supporting documentation such as insurance information, advance directives, and relevant medical reports.
04
Schedule an assessment visit with a registered nurse from the certified home health agency who will evaluate the patient's needs.
05
Develop a care plan in collaboration with the patient, their family, and the healthcare team, outlining the specific services and goals of care.
06
Obtain necessary signatures and permissions from the patient or their legal representative for the provision of home health services.
07
Submit all completed forms and documentation to the certified home health agency for review and approval.
08
Follow any additional instructions or requirements provided by the agency to ensure a smooth transition to home healthcare.
09
Keep a copy of all submitted forms and documents for your records.
10
Review the agency's policies and procedures regarding communication, scheduling, emergency situations, and any other relevant guidelines.

Who needs certified home health agency?

01
Certified home health agencies are typically needed by individuals who require skilled nursing care or therapy services in the comfort of their own homes.
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This includes individuals who have recently been discharged from a hospital or rehabilitation facility, those with chronic illnesses or disabilities, or those recovering from surgery.
03
Certified home health agencies may also be utilized by family members or caregivers who need support and education in providing care to their loved ones.
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Ultimately, anyone who requires professional medical care or assistance with daily activities but prefers to remain at home can benefit from a certified home health agency.
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A certified home health agency is an organization that provides healthcare services at home and has been certified by Medicare or other regulatory bodies to ensure compliance with federal and state standards.
Agencies that provide home health services and wish to receive Medicare and Medicaid reimbursements are required to file for certification as a home health agency.
To fill out the certification, agencies must complete the necessary application forms provided by the Centers for Medicare & Medicaid Services (CMS), including documentation of services offered, staffing qualifications, and compliance with health and safety regulations.
The purpose of a certified home health agency is to deliver quality medical care and support services to patients in their homes, ensuring they can receive necessary treatments while maintaining independence.
Agencies must report information such as agency ownership, services provided, staffing levels, patient rights, and adherence to health and safety regulations.
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