Frequently Asked Questions

Home Care
Private Duty
School Based Therapy

 


Home Care

What does “ homebound” mean?

For Medicare beneficiaries and for certain other insurance plans, patients must be homebound to qualify for home care services. This means that because of a physical condition or limitation, the patient cannot leave home without extreme difficulty or hardship. Homebound status is not affected by absences from home for doctor’s visits or medical treatments such as dialysis or chemotherapy. If the person is able to drive or is frequently transported by others for various activities, then the person is not considered homebound. The absence of transportation does not render a patient homebound.

What are the requirements to receive Home Health Care?

A patient must be under the care of a physician and must require the services of a skilled nurse or physical therapist. The physician writes the orders for the provision of home health services. Home Health service is designed to meet the goals determined by the team on the treatment plan within a defined time period. Home health services is not 24 hour care, but is a specialized treatment plan of skilled care visits by a team that teaches, gives treatments and helps a patient and family through an illness episode toward optimal independence.

Who pays for Home Health?

Most medical insurance policies cover home health services. This includes Medicare and Medicaid, which cover 100% of the cost of services, provided the patient meets the requirements for home care. Some private policies require a co-pay fee for visits or a deductible to be met. Each plan has its own reimbursement guidelines. Our agency handles the filing of all insurance claims. Please call your Insurance plan to find out what benefits you qualify for.

If a hospital system has it’s own Home Health Care Agency, how can I receive services from Constellation Home Care?

All patients have the right to choose which agency they would like. It is your choice as to which agency you invite into your home and trust to care for you or your loved ones. Hospitals must provide a list of qualified home care agencies to patient’s in need of services prior to discharge from the hospital. Patients can request Constellation Home Care as their home care agency at any time during their hospitalization; a Constellation representative will contact your Case Manager at the Hospital to facilitate a safe discharge with our services upon your return to home.

Will the Homecare staff stay all day?

Not for skilled care provided by nursing and therapy. Skilled visits are for intermittent care, and are usually for approximately an hour. The goal of the visits is to teach the patient and family to be independent in their care. Private Duty aide care is available in Connecticut regions for longer periods of time. This type of custodial care is usually not covered by insurance, but is available on a private pay basis.

I am a Physician and would like to refer my patients to Constellation Home Care. What is your referral process?

Many physicians write Constellation Home Care on the home care referral and orders prior to discharge. You can communicate with your Discharge planners in hospitals and skilled nursing facilities and inform them of your choice for Constellation Home Care to make sure this is implemented. If you are referring directly from your practice, please call us and we will send a representative, along with a referral form fax pad to use for all future patients needing Home Care.

Private Duty

Do I need to sign a contract?

No, a service agreement outlining the services to be provided needs to be signed but it doesn’t lock you into a specific time frame.

Do I have to commit to a minimum term of care?

Our visits are a minimum of 2 hours.

What is your screening process for your staff?

Constellation conducts thorough background checks on all employees, as well as reference checks and driver’s license checks. Additionally, the caregivers attend in-services throughout the year to keep them up to date with pertinent issues in the industry.

Are your caregivers employees or independent contractors?

All employees at Constellation Private duty work for Constellation, the company provides Worker’s Comp and Liability insurance.

What if my caregiver can’t make it to work?

The caregiver will call the office if there is a scheduling issue and we will replace them as soon as possible.

How do you stay in touch once I start?

All cases are supervised by a Nurse manager, who visits the client and caregiver at least once every other week.

What are your payment options?

Private duty accepts most Long Term Insurance policies as well as private pay

School Based Therapy

What does a School Based Occupational Therapist or Physical Therapist do in the schools?

School Based Therapists provide a continuum of services and support to students under the individuals with Disabilities Education Act (IDEA) and Section 504 of the Rehabilitation Act. Services could include screenings and evaluations, direct OT or PT intervention in the school environment, consultation and collaboration with teachers and other team members, training for school personnel and families. The services take place in natural school settings during the routines of the school day and are designed to support progress on the students Individualized Education Program ( IEP).

What specific areas would a school based OT or PT work on in the schools?

Areas would typically include developing fine motor and gross motor skills, mobility within the school environment, self care activities related to school functioning, feeding, sensory processing, written output which could include pre writing, handwriting and or typing skills. These services often take place in the classroom environment to help maximize the child’s ability to function in school.

What is the difference between educationally based and medically based services?

There are two primary models of occupational and physical therapy for children: clinical and educational. The basic purpose behind each of these models is different, although they can overlap. Fundamental similarities exist between the clinical and educational models. The student must have a recognized disability or disorder which adversely affects school performance. The therapy must address a condition/situation for which it is an accepted, essential, evidence-based method of intervention. Evaluation data is collected and interpreted to determine need for service and to develop an intervention plan.

The objective and measurable intervention plan must document the student’s functional strengths and limitations and address a condition/situation(s) that is expected to improve with a reasonable and generally predictable period of time, or establishes a safe and effective maintenance program. In the school setting, when activities are considered a standard part of another discipline’s intervention/care, these activities are not routinely provided by therapists (e.g., handwriting instruction for kindergarteners; transfers for severely disabled high school students.) Children can receive services through one or both models. An IEP is a fluid document, it can and should change to respond to both students’ needs and ensure least restrictive environment for the student. For some children the frequency or intensity of therapy they receive at school through the educational model will not meet all therapy needs. A child may have therapy needs outside the school setting that would require home or community based services from the medical model.

Why should a school district partner with Constellation School Based Therapy?

Constellation School Based Therapy provides advanced therapy staffing solutions across an array of educational settings. We service children in a variety of school settings and programs from pre school through high school. We provide support to school administrators to help organize resources, increase effectiveness and efficiencies and to maximize student outcomes. We provide schools with skilled pediatric Occupational and Physical Therapists and offer ongoing support and training to our therapists to maintain a high standard of service. We also offer staff training to school personnel on a variety of school related topics and consultations to district administrators to help maximize efficient and effective programs, caseload management.