Home Health & Hospice Week

One MAC answers pressing day care-related questions.Question: Can I provide services to a patient who attends an adult day care center? What if the center provides medical care?Answer: The Medicare Benefit Policy explains that "an adult day care center must be either licensed or certified by the State or accredited by a private accrediting body" for home care coverage, HHH Medicare Administrative Contractor NHIC clarified in its Aug. 15 Ask the Contractor Telecon-ference (ACT). "If the day care center the patient attends is indeed licensed or certified by the state or accredited by a private accrediting body, then the patient could be considered homebound," the MAC says in a question-and-answer set.But remember: "If records are requested, you must include documentation that the agency meets the above requirement," NHIC says of the state licensure/certification or accreditation rule.A day care center won't be able to obtain separate payment for therapy furnished there, [...]