1. (1) To be eligible for home health care, a recipient must meet all of the following criteria:

   1. (a) The recipient’s illness, injury, or disability prevents the recipient from going to a physician’s office, clinic or other outpatient setting for required treatment; as a result, he or she would, in all probability, have to be admitted to a hospital or nursing home because of complications arising from lack of treatment.
   2. (b) The recipient is unable to function without the aid of supportive devices, such as crutches, a cane, wheelchair or walker and requires the use of special transportation or the assistance of another person.

Author: Mattie Jackson, Program Manager, Program Management Unit, Long Term Care Division

Statutory Authority: Titles XVIII and XIX, Social Security Act; 42 C.F.R. §440.70; State Plan.

History: Rule effective October 1, 1982. Amended effective December 12, 1988. Amended: Filed February 5, 2001; effective March 12, 2001. Amended: Filed May 11, 2012; effective June 15, 2012.