What’s in a complete referral?

A referral tells us who the patient is and what care the doctor ordered. This page lists what our intake team needs to accept a referral and start home health care. It is for doctors’ offices, hospital discharge planners, and families.

What every referral must have

Every referral needs the patient’s name, date of birth, address, and phone number. Add a family member or emergency contact if you can.

We treat a referral as complete when it also has these four things:

  • A signed order for home health. It can come from a doctor, nurse practitioner, clinical nurse specialist, or physician assistant. List the services the patient needs, such as nursing or physical, occupational, or speech therapy.
  • The doctor who will follow the patient at home. This is the doctor or other provider who will sign the plan of care. Send their name and phone number, and their fax number and NPI if you have them.
  • The main diagnosis. This is the main reason the patient needs home health. Include the ICD-10 code if you have it.
  • Insurance we can accept. Send the plan name and member ID. A copy of the front and back of the card is best. See the insurance plans we accept.

What helps us start care faster

  • A hospital discharge summary or recent visit notes
  • The face-to-face visit note. Medicare requires a face-to-face visit about the main reason for home health. It must be within 90 days before or 30 days after care starts.
  • Notes that show why the patient is homebound and needs skilled care
  • A current medication list
  • For wound care: where the wound is, its size and type, and the wound care orders
  • For infusion: the drug, dose, and schedule, and the type of IV line

Missing something? Send what you have. We will call or fax your office for the rest.

How to send a referral

Doctors and discharge planners: see how to refer a patient, the services we staff, and what happens after you refer.

For patients and families

Ask your doctor or hospital discharge planner to send a referral to Adaptive Home Health. They can use this page as a checklist.

You can choose your home health agency. If you have Medicare, you can choose any Medicare-certified agency that serves your area.

Have questions? Call us at 214-440-1394 (Texas), 303-597-0505 (Colorado), 248-607-6698 (Michigan), or 702-450-1855 (Nevada).

Read what to expect from home health care, from the first visit to when care ends.

More questions

Who can send a home health referral to Adaptive?

A doctor’s office, a hospital or rehab discharge planner, a skilled nursing facility, or a case manager can send it. The order must be signed by a doctor, nurse practitioner, clinical nurse specialist, or physician assistant. Patients and families can ask any of them to send it.

Can I email a home health referral?

Yes. Email it to referrals@adaptivehh.com. Use your secure or encrypted email, because a referral has private health information. You can also fax or call. See how to send a referral above.

Does the face-to-face visit have to happen before I send the referral?

No. Medicare allows the face-to-face visit up to 30 days after care starts. It must be about the main reason for home health. If the visit has not happened yet, send the referral and tell us when it is planned.

Related pages

Questions? Call us.

We can answer questions about home health, Medicare, and your insurance, before or during care.

General information, not medical advice. Follow your care team’s instructions. How we write and review.