Provider Referral Information
Referral Services Contact Information
Fax: 603-298-0465 Phone: 800-575-5162
Referrals can be called in 24 hours a day/ 7 days a week
Office Hours: Monday – Friday, 8:00 a.m. - 4:30 p.m.
Saturday-Sunday-Holidays: Phone only – 800-575-5162
PLEASE CALL BEFORE SENDING FAX ON WEEKENDS & HOLIDAYS
Need our mailing address? Visit the VNA & Hospice Office Locations and Addresses page.
- Scope of Services
- Definition of "Homebound"
- Service Area Map
Scope of Services
The VNA & Hospice of VT and NH serves all who qualify, regardless of age or ability to pay. Services are paid through Medicare, NH/VT Medicaid and private insurance companies. Agency staff will evaluate eligibility via phone or home visit.See the Provider Quick Reference Sheet for more information and a detailed list of towns served by each regional office.
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“Homebound”- What’s it all about?
Things to keep in mind when thinking about a patient who might be a Home Care referral candidate:
First and foremost, the Medicare Home Care criteria can be confusing at times. When in doubt call 800-575-5162 and let the VNA decide if the patient is eligible.
The VNA may talk with the patient on the phone or send a nurse out to do an assessment.
Homebound- more broadly interpreted than in the past. The following need to be considered:
- Most patients who have just been discharged from the hospital most likely can be considered “home bound”. i.e. post-op patients usually can’t drive for a period of time.
- Absences are infrequent and of short duration and must contribute to the patient’s state of well being: medical appointment, a special birthday party, going to the store when there is no-one else to pick up the food, hair appointment, church, a walk around the block.
- Leaving home for any occasion must take a considerable and “taxing” effort,use of a supportive device is necessary i.e. walker, cane, w/c, O2 (this must be documented by the home care staff).
- Patient requires the assistance of another person in order to leave the house. For example, a patient who is blind needs the guidance from another individual.
- Person who has dementia and cannot be left alone for safety reasons.
- Patient with significant cardiac disease who cannot go out because of the fatigue.
Patient may attend a certified/licensed or accredited day care program. - Driving does not mean the patient is NOT homebound if the driving is done with “considerable and taxing effort”.
- Visits can be made the same day as the patient goes to the MD as long as the visit and the MD appointment are happening for 2 different reasons (VNA is going in for wound care and the MD appointment is for a endocrine work up).
