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The Vermont Statutes Online



Title

08

:
Banking and Insurance






Chapter

107

:
HEALTH INSURANCE






Subchapter

005
:
HOME HEALTH SERVICES










 

§

4095. Definitions

As used in this

subchapter:

(1) "Home

health agency" means a nonprofit home health agency which has been

certified under Title 18 of the Social Security Act (42 U.S.C.A. § 1395 et

seq.);

(2) "Home

health care" means care and treatment provided by a home health agency and

designed and supervised by a physician, without which care and treatment a

person would require institutionalization in a hospital or skilled nursing

facility as those are defined by medicare regulations. The care and treatment

shall consist of one or more of the following:

(A) Part-time or

intermittent skilled nursing care;

(B) Physical

therapy;

(C) Part-time or

intermittent home health aide services which consist primarily of caring for

the patient;

(D) Medical

supplies, drugs and equipment, and laboratory services to the extent that

laboratory services would have been covered if the patient had been

institutionalized. The medical necessity of equipment may be reviewed by

reference to the Medicare guidelines for durable medical equipment. (Added

1975, No. 205 (Adj. Sess.), § 1.)