When to Refer for Psychiatric Home Care Services

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Assessment for Psychiatric Home Care Services

Although each individual is screened according to need for care, criteria to consider in making a psychiatric home health referral are:

  • Does the individual have a psychiatric diagnosis?
  • Is the individual under the care of a physician?
  • Does the individual require the skills of a registered nurse?
  • Can care be safely provided in the home?

In addition to psychiatrists, any physician may refer patients for psychiatric home health services when warranted, and if the patient is under active treatment. The patient is not required to have a medical diagnosis to be eligible for Medicare reimbursement for psychiatric home health services; however, he or she must be home-bound to meet the requirements of CMS.