Common questions about home health care.
Start with coverage, eligibility, timing, or what happens at the first visit. If your question is not here, call our local team.
Home health questions
Plain-English answers about skilled home health, referrals, insurance, and what happens next.
What is skilled home health?
Skilled home health brings ordered nursing, therapy, medical social work, or aide services to an eligible patient at home. It is intermittent clinical care, not round-the-clock companion care.
Who can refer someone to your agency?
Anyone can start the conversation—a patient, family member, doctor, hospital, rehabilitation facility, or nursing home. Covered care still requires an order from a qualified provider and the required eligibility documentation.
What services do you provide?
Skilled Nursing, Physical Therapy, Occupational Therapy, Speech Therapy, Medical Social Work, and Home Health Aides. Medical Social Work and Home Health Aides are currently unavailable.
What payment types do you accept?
Medicare, Medicaid, private insurance, and private pay. Coverage may be complete or partial depending on eligibility and the plan. We explain what applies before care begins.
Where do you provide care?
We serve 48 Central Missouri counties from our Columbia office. A listed county does not guarantee admission, so call with the exact home address and ordered service for confirmation.
Is home health the same as hospice?
No. Home health helps you recover and regain independence after illness, injury, or surgery. Hospice focuses on comfort near the end of life. We provide home health.
Is home health the same as hiring a caregiver?
No. Home health is skilled, doctor-ordered medical care that Medicare can cover. Non-medical help alone—bathing, meals, companionship—is a different service that is usually paid privately.
How soon will someone call me back?
We call patient and family callback requests by the next business day. For a faster answer, call the Columbia office Monday through Friday, 8:00am to 5:00pm.
How soon can home health start?
Care is usually started within 48 hours, or as ordered by your physician. Timing still depends on patient need, address, coverage, eligibility, and staffing.
What happens after a provider sends the referral?
During weekday office hours, OHH confirms acceptance—or tells the referral source exactly what is still needed—within one business hour. Then we contact the patient or family to explain and schedule the next step.
Can I choose my home health agency?
Yes. Patients have the right to choose a qualified provider. Medicare coverage rules do not require you to use a specific agency because its name appears first on a discharge list.
Do you offer online scheduling?
No. Medicare home health requires a clinical order, eligibility review, and care planning. Call or request a callback so we can explain the right next step.
Do you have a Columbia office?
Yes. Our office is at 200 S. Keene St, Suite A, Columbia, Missouri 65201.
How can a provider refer a patient?
Providers can use OHH's secure online referral form, fax the printable referral to (573) 474-1796, or call our referral team at (573) 474-1786.
Is home health right?
Answers about skilled need, homebound status, physician orders, and how care begins.
What does homebound mean?
It generally means leaving home is difficult, requires another person's help or special equipment, takes a major effort, or is not advised because of your condition. It does not mean you can never leave home.
Do I need skilled care?
Medicare home health requires a need for intermittent skilled services such as nursing or therapy. Personal care by itself does not meet that requirement.
Do I need a physician order?
Yes for covered skilled home health. A physician or other qualified practitioner must order the care and support the required documentation.
What is the face-to-face requirement?
A qualified practitioner must complete and document a face-to-face encounter related to the need for home health within the allowed Medicare time window.
Does someone have to be in the hospital first?
No. A hospital or rehab stay is not required. Home health can start from a doctor's office referral as long as the eligibility requirements are met.
What counts as "home"?
Your house, an apartment, a relative's home, or an assisted living residence can all count as home. A hospital or skilled nursing facility cannot.
Can I get home health while living in assisted living?
Potentially, yes. Home health can be provided where you live, including an assisted living residence, if you meet the eligibility requirements and the services do not duplicate what the facility already provides.
How long does home health care last?
Care is ordered in periods, commonly 30 to 60 days. It can continue as long as you remain eligible and your doctor recertifies that you still need it.
What happens on the first visit?
A nurse or therapist reviews the order, health history, medications, goals, home setup, and immediate concerns. The clinician explains the visit schedule and works with you and your provider on the plan of care.
Can I call before all paperwork is ready?
Yes. We can explain what is usually needed and help you understand the next step, but care cannot begin without the required order and documentation.
Medicare coverage
Answers to common questions about Medicare home health eligibility, payment, and patient choice.
Does Medicare cover home health?
Medicare can cover eligible, medically necessary home health services when the skilled need, homebound status, order, and other requirements are met.
Does Medicare cover home health at 100%?
Eligible home health services under Original Medicare are generally covered without a home health copayment. Durable medical equipment and other services may have different costs. Confirm what applies to your coverage before care begins.
Does choosing OHH change my Medicare coverage?
Your Medicare coverage rules are the same across Medicare-certified home health agencies. You have the right to choose which qualified agency provides the care.
Does Medicare pay for 24-hour care at home?
No. Medicare home health covers intermittent skilled care, not round-the-clock custodial or companion care.
What if I have Medicare Advantage or private insurance?
These plans may have network or prior-authorization rules. OHH accepts Medicare, Medicaid, private insurance, and private pay and will explain the available coverage information before care begins.
You do not need every answer before you call.
Tell us the address and what is making recovery difficult. We'll call you back the next business day and explain the next step.
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