Colorado Medicaid implemented a mandated Face-to-Face encounter as a requirement of home health services for all admissions after July 1, 2017. Spark Home Health must have documentation stating that each patient has seen his or her Physician/Nurse Practitioner/Clinical Nurse Specialist/Certified Nurse Midwife or Physician Assistant 90 days prior to, or 30 days after the Start of Care. The primary reason the patient is receiving home health services must be documented in the provider’s clinical note. The documentation needs to be sufficient to make the link between the individual’s health condition, the services ordered and actual service provision.
If the patient has had an appointment with his/her physician, nurse practitioner, or physician assistant regarding the need for home health therapy services within the last 90 days, there is no need to make another appointment. A “well child” check up qualifies if you also discussed your concerns for your child’s development and this is documented in the medical record. Our therapists can help you contact your doctor’s office to determine if a recent appointment with your physician meets this requirement.
If you have not had a recent appointment with your physician regarding concerns in development, please schedule the equivalent of a sick child visit to review the patient’s health and development and need for home health therapy services.
I understand the Face-To-Face requirements set forth by Colorado Medicaid. I understand if my child has not had an appointment with his/her physician/nurse practitioner/clinical nurse specialist/certified nurse midwife or physician’s assistant within the past 90 days satisfying the Face-To-Face requirement that I must see my qualified clinician within 30 days of admission to Spark Home Health. If my qualified clinician is not able to produce documentation of a Face-To-Face visit within 30 days of my admission, I understand and agree that my child will be discharged from Spark Home Health, LLC.