HealthBridge's In-Home Care Blog

“You don’t have to go home, but you can’t stay here.”

• have an acute disability that prevents them from returning home with family care
• medical or surgical conditions are sufficiently stable to allow participation in therapies
• demonstrate the ability to participate in at least 1 hour of therapy two times a day
• demonstrate the ability to make progress in the acute care therapies
• have a social support system that will allow them to return home after reasonable improvement of function
• receive financial clearance from their insurer.

• have an acute disability
• have  medical or surgical conditions that may not be sufficiently stable to allow full participation in therapies, but do not require inpatient hospitalization
• demonstrate the ability to participate in at least 1 hour of therapy a day
• acceptance of fiscal responsibility by insurer and/or patient

Funding
Most insurers have subacute rehabilitation benefits within a nursing home (skilled nursing facility or "SNF"), including non-managed care Medicaid, non-managed care Medicare Part A, and most private insurers.  Subacute rehabilitation in an acute rehabilitation unit or acute hospital is only occasionally covered by insurers.  Medicaid reimbursement for SNF level care specifically directed at rehabilitation (as opposed to medical) needs is rare. 

Have you had to navigate between hospitals, rehab hospitals, and skilled nursing facilities?