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Home Health Care & Hospice Services - Referrals
 
"The Choice of Hoosier Families for Generations!"
Care Coordinators
Mandi Dersch, RN
Director of Home Health Care and Hospice
Lori Williams, Home Health Intake Coordinator
Amanda Bernet, RN, Home Health/Hospice Liaison Hospice Patient Care Coordinator
Telephone & Fax
Call all referrals to the Mitchell office at (812) 849-4447 or toll-free at 1-800-827-2219.
Referrals may be faxed to (812) 849-3068.
Hoosier Uplands Nurses are available to answer your questions. These knowledgeable and experienced nurses will explain which services are most appropriate for you.
All services are provided without regard to race, creed, national origin, color, sex, age, disability, gender identity, sexual orientation, sex stereotyping, veteran status or lifestyle.
Eligibility
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Cheryl Boone, Hospice Billing/Accounts Receivable Manager and JoDeana McNabb, Director of Accounting Services
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Medicare for Home Health Patients
Clients must be homebound, have a skilled need for nursing, physical, speech, or ongoing
occupational therapy. Home care aides, medical social services, and medical supplies
necessary to the plan of care, are covered only when skilled services are involved.
Medicaid for Home Health Patients
Home Health starts immediately following hospitalization, if the discharging M.D.
documents an order for home health services. When there has been no hospitalization,
prior authorization must be obtained from Medicaid. Services may not begin until
approval is obtained. Indiana Medicaid Managed Care, requires home care
authorization by Primary Care Case Management, (PCCM), or Risk Based Managed Care, (RBMC).
Hospice Medicare/Medicaid Benefit
If ordered on the Hospice plan of care, nursing, personal care, social services,
spiritual counseling, short-term inpatient stays for caregiver respite, symptom control,
medication, medical equipment/supplies, continuous home care during brief periods of crisis,
therapy, and dietary consultation are covered by a per diem payment.
Commercial Insurance
Employer and private insurance plan, home health care and along with fee for service
or managed care coverage often covers Hospice. Per visit coverage, rather than per diem,
may limit the frequency and type of service covered. The Care Coordinator contacts the
insurance company to verify coverage and negotiates care arrangements with
insurance case managers, when necessary. The client is informed of insurance benefits,
deductibles, and co-payment responsibilities.
Private Pay
Clients may arrange with the billing department for private pay services.
Hoosier Uplands will work to find a funding source for those without
means to pay for needed services.
Home Health Client Admission Policy and Procedure Policy: Acceptance of applicants who have been referred for home health care services is based on a reasonable expectation that the applicant's medical, nursing and social needs can be adequately met by home health care staff members in the applicant's place of residence. Purpose: 1. To establish specific admission criteria for acceptance of applicants referred for home health care services. 2. To assess client referrals for appropriateness of applicant's admission for home health care services. Procedure: 1. Home health care referrals are documented on a client referral form by an Intake Coordinator or designee. 2. The Intake Coordinator or designee obtains a physician or allowed practitioner's order for a home health evaluation if one is not present. 3. The Intake Coordinator or designee also ensures that a face-to-face has been conducted in the past 90 days related to the patient's current condition for all MCR PPS patients; and for all newly admitted MCD patients. 4. The RN or therapist assesses the appropriateness of the applicant's admission for home health care services based on the following criteria: a. The applicant meets applicable insurance/pay source coverage criteria. b. The agency has adequate and suitable staff and resources to provide the needed care. c. The agency has satisfactory orders to start care. All care is provided under the orders of a qualified physician or allowed practitioner. d. There is an adequate plan to meet medical emergencies. e. Physical facilities and equipment are adequate to meet the applicant's safety and care needs. f. The applicant or applicant's family demonstrate willingness to promote the goals of care and consent to services being provided in the home. g. The applicant's residence will provide a safe environment for and is accessible to staff. h. The applicant's residence is within the geographic boundaries of the agency's service area. * This list is not all-inclusive and merely serves as a guideline. Unusual circumstances will be reviewed by agency administrative personnel. 5. The RN or therapist: Contacts the applicant or applicant's family by phone to obtain additional information and arrange for a home visit. If the applicant does not have a telephone, a home visit will be the initial contact. The Intake Coordinator or designee will be notified and this will be documented on the referral form. The admission will be completed within 48 hours of the referral; or within 48 hours of the patient's return home; or on the physician or allowed practitioner ordered start of care date. The physician or allowed practitioner is to be notified if the client requests an alternate date; or if there are extenuating circumstances. Make a home visit to assess the applicant's needs for home health services based on agency admission criteria and completes all required documentation which includes the consent form stating the client has received and been instructed on their rights. See "Client Rights" form. Documentation will be completed and submitted to the Medical Records Department and incorporated into their file within 14 days following the admission. Informs applicant or applicant's family of the decision to accept or not to accept the applicant to the home health agency. Notifies the Intake Coordinator or designee of the decision to accept or not to accept the applicant to the home health care agency as soon as possible. The Intake Coordinator or designee documents this on the referral form, records this in Netsmart and forwards accepted client referral forms to the medical records department. If a patient requires a referral to an alternate source and is not admitted to home health this will be relayed to the physician or allowed practitioner by the Intake Coordinator or designee. The Intake Coordinator or designee notifies the physician or allowed practitioner if patient is not admitted to home health services.
Discrimination is Against the Law (Indiana-specific)
Hoosier Uplands Home Health Care & Hoosier Uplands Hospice complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
Hoosier Uplands Home Health Care & Hospice does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Hoosier Uplands Home Home Health Care & Hospice: Provides free aids and services to people with disabilities to communicate effectively with us. Provides free language services to people whose primary language is not English.
If you need these services, contact Debbie Coleman, Director of Human Resources.
If you believe that Hoosier Uplands Home Health Care or Hoosier Uplands Hospice has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance in person or by mail, fax, or email.
Debbie Coleman, Director of Human Resources 500 West Main Street, Mitchell, IN 47446 Telephone Number: 1-800-827-2219 or GTE's TRS 1-800-743-3333 Fax Number: 812-849-6785 Email: dcoleman@hoosieruplands.org
If you need help filing a grievance, Debbie Coleman, Director of Human Resources, is available to help you.
You can file a civil rights complaint with Indiana Civil Rights Commission (ICRC) by calling 1-800-628-2909 or filing electronically at in.gov/icrc/.
You can file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.gov/ocr/portal/lobb.jsf, or by mail or telephone at:
U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1-800-368-1019; 1-800-537-7697 (TDD) 
 
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