For physicians, discharge planners, case managers, and clinic staff
Refer a patient
Send home health referrals to Adaptive Home Health by fax or email. Our intake team checks coverage and service area, contacts the patient, and keeps your office updated.
Email referrals should go through your organization's secure or encrypted email. Patients and families can call us directly.
What to send
- Home health order or referral, with the services you want (nursing, PT, OT, speech, social work, aide)
- Face-to-face encounter note, if it has happened
- History and physical, discharge summary, or recent clinical notes
- Current medication list
- Demographics and insurance face sheet
- Name and contact details for the certifying practitioner and the primary care physician who will follow the patient
Missing something? Send what you have and we will follow up.
Medicare eligibility checklist
- Ordered and certified by a physician or allowed practitioner (NP, CNS, or PA), who reviews the plan of care
- Patient is homebound: leaving home takes a considerable and taxing effort
- Patient needs intermittent skilled nursing or skilled therapy
- Face-to-face encounter within 90 days before or 30 days after the start of care, related to the primary reason for home health
- Plan of care is certified in 60-day periods and can be recertified while the patient remains eligible
Source: Medicare home health coverage. Improvement is not required. Skilled care to maintain function or slow decline can qualify.
Services we staff
Skilled nursing
Assessment, medication management and teaching, chronic disease care (heart failure, COPD, diabetes), and post-surgical care. Our team includes WOCN-certified, oncology, and infusion nurses.
Wound & infusion care
Surgical, pressure, diabetic, and vascular wounds, negative pressure wound therapy, and IV therapy at home.
Physical, occupational & speech therapy
Mobility, transfers, daily activities, speech, cognition, and swallowing. Our therapy team includes lymphedema specialists.
Orthopedic rehab
Rehab after joint replacement, fractures, and spine surgery. We work with many orthopedic groups in Texas.
Medical social services and home health aides
Social work for community resources and care planning, and aide visits for personal care as part of the plan of care.
Where we provide care
We serve Texas (Houston, Dallas–Fort Worth, Austin, San Antonio, and Central Texas) and Colorado (Denver). Each location page lists every ZIP code we serve and the services offered there. Not sure about an address? Call us.
Insurance
We accept Medicare and many other plans. See the insurance plans we accept. Our intake team verifies coverage, including any prior authorization, before care starts.
What happens after you refer
- We confirm we received the referral. If we are missing anything, we contact your office.
- We verify coverage and service area. If we cannot accept the patient, we let your office know.
- We contact the patient or family. We explain home health and schedule the first visit.
- A clinician does the start-of-care visit. The nurse or therapist assesses the patient, reviews medications, and checks home safety.
- We send the plan of care for signature. We keep the certifying practitioner updated as care continues.
Questions from referring offices
Can a nurse practitioner or physician assistant order and certify home health?
Yes. Under Medicare, a physician or an allowed practitioner (nurse practitioner, clinical nurse specialist, or physician assistant) can order home health, certify eligibility, and sign the plan of care.
Can I refer a patient who has a Medicare Advantage plan?
Send the referral the same way. Medicare Advantage plans cover home health but may require prior approval or an in-network agency. Our intake team checks the plan before care starts and tells you if we cannot accept it. See the insurance plans we accept.
Can my patient ask for Adaptive Home Health by name?
Yes. Medicare patients have the right to choose any Medicare-certified home health agency that serves their area. If your patient or their family asks for Adaptive Home Health, send the referral to us and we will take it from there.
What if the referral is missing information?
Send what you have. Our intake team will call or fax your office for anything we still need, such as a signed order, the face-to-face note, or a current medication list.
Patient questions about Medicare, homebound status, and costs are on our FAQ page.