1.Program Definition and Services

Home Health Services in Kentucky provide part-time or intermittent health and health-related services to patients in their place of residence. Services include :

• Skilled nursing services 

• Physical therapy 

• Occupational therapy 

• Speech-language pathology 

• Medical social services 

• Home health aide services 

• Non-routine medical supplies 

2. Regulations 

Home Health Services are governed by Kentucky Administrative Regulations, specifically 907 KAR 1:030 and 902 KAR 20:081 

3. Licensing or Certification 

Providers must be: 

• Enrolled in Medicare 

• Licensed by the state where they practice 

• Certified by the Office of Inspector General (OIG) 

• Enrolled as an active Medicaid provider 

4. Responsible State Agency 

The Kentucky Cabinet for Health and Family Services, Department for Medicaid Services oversees Home Health Services 

5. Application Process 

Providers must enroll as Medicaid providers through the Department for Medicaid Services. They must also contact the Office of Inspector General (OIG) for a Certificate of Need and license 

6. Required Documentation 

Providers must maintain: 

• Physician-prescribed written plan of care 

• Documentation of each patient contact 

• Service records including date, duration, and itemization of services 

• Monthly progress notes 

7. Timeline for Approval 

The exact timeline for approval is not specified in the provided results. 

8. Pre-Application Process 

Providers must obtain a Certificate of Need from the OIG before applying for licensure 

9. Pre-Application Training 

While not explicitly stated as pre-application training, staff must meet specific qualifications and training requirements as outlined in the regulations 

10. Additional Notes 

• Services are available to Medicaid beneficiaries of all ages and are intended to be short-term in duration 

• There is an annual limit of 20 visits each for occupational therapy, physical therapy, and speech-language pathology services per recipient per calendar year, with some exceptions 

• As of March 2025, Home Health Services continue to play a crucial role in providing care to Kentucky's seniors and individuals with chronic conditions 

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