Long Term Support Services - Home Care Unit

Home Health

 Home Health services provide medically necessary skilled interventions, including:

  • Nursing Services
  • Physical Therapy
  • Occupational Therapy
  • Speech Therapy
  • Respiratory Therapy
  • Dietician Services 

All Home Health services require a doctor’s order and prior authorization.

Home Health Medicaid Services Manual (MSM):
Refer to Regulatory section

A doctor’s order is required for Home Health services.  Your healthcare provider will submit the doctor’s order to a Medicaid enrolled Home Health Agency.  The agency will submit the required documentation to HPES to request prior authorization for Home Health services.

To request Home Health services for a Medicaid recipient

  • Complete and fax the Home Health Agency Prior Authorization Request (FA-16) to Hewlett Packard Enterprise Services at (866) 480-9903.

To enroll as a Medicaid Home Health provider

Billing information

Last Edited: 2/2/2016