Home Health Services
Home Infusion Therapy
Benefits are provided for home infusion therapy services approved by Acentra for treatment in the patient's home. Acentra must certify services as medically necessary before beginning the therapy.
Prescription drugs
Intravenous solutions
Durable medical equipment
Pharmacy compounding and dispensing services
Fees associated with drawing blood for the purpose of monitoring response to therapy
Therapist services
Ancillary medical supplies
Nursing visits – including initiation of home infusion therapy, intravenous restarts, and emergency care when medically necessary to provide home infusion therapy
Nursing Services
Private duty and home health nursing services of a registered nurse (RN) or licensed practical nurse (LPN) are covered when those services meet the following criteria:
Ordered and supervised by a provider
Require the technical skills of an RN or LPN
Certified by Acentra to be provided in the home
Certified by Acentra as medically necessary before initiation
No nursing benefits will be provided for:
Services of a nurse who ordinarily lives in the patient's home or is a member of the patient's family
Services of an aide, orderly, companion or sitter
Nursing services provided in a nursing facility or a personal care facility