Medicare_Benefit_Policy_Manual / Chapter_15 / CMS_100-02_15_60.4.1

Article Overview

This Medicare Benefit Policy Manual section discusses the criteria used to assess whether an individual is considered homebound for purposes of the home health benefit. It is relevant to home health, case management, utilization review, and billing staff who need to understand the broad policy framework and the types of patient circumstances CMS associates with homebound status. The article also addresses how Medicare expects the condition to be evaluated over time and what information may be requested when homebound status is questioned.