SENDING YOUR REFERRAL
When referring, please include the patient's demographic information, insurance information, physician's order for specific home health services, face-to-face encounter attestation, and progress notes of the encounter, and fax to (708) 924-0501. You may download and use our referral and face-to-face encounter forms found below. Upon receipt and review of your referral, we may also ask for additional information such as patient's history and physical, and hospital discharge summary, if the patient is coming from a hospital or rehabilitation facility. We will coordinate with you with diligence and efficiency to ensure the patient's smooth transition to our services.
WE ARE COVERED
We are Medicare-certified. We are also in-network with some health plans provided by Aetna/Aetna Better Health, Meridian, Wellcare and Blue Cross Blue Shield of Illinois.
OUR SPECIALTIES
Geriatric Care, Wound Care, Palliative Care (not hospice), Cardiac Care and Post Stroke Disorders, Alzheimer's/Dementia Care, Diabetes Care, Home G-Tube Care and Education, Pulmonary/ COPD, Osteoarthritis Care, Orthopedic Physical Therapy and Progressive Neurological Conditions.
RESOURCES AND FORMS
Referral Form
Face-to-Face Encounter Form to Start Home Health Care
Certifying Patients for the Home Health Care Benefit, MLN Matters Number SE 1436, CMS.gov
Please call us at (708) 924-0500 for any questions you may have.
Updated as of 1/14/2022
When referring, please include the patient's demographic information, insurance information, physician's order for specific home health services, face-to-face encounter attestation, and progress notes of the encounter, and fax to (708) 924-0501. You may download and use our referral and face-to-face encounter forms found below. Upon receipt and review of your referral, we may also ask for additional information such as patient's history and physical, and hospital discharge summary, if the patient is coming from a hospital or rehabilitation facility. We will coordinate with you with diligence and efficiency to ensure the patient's smooth transition to our services.
WE ARE COVERED
We are Medicare-certified. We are also in-network with some health plans provided by Aetna/Aetna Better Health, Meridian, Wellcare and Blue Cross Blue Shield of Illinois.
OUR SPECIALTIES
Geriatric Care, Wound Care, Palliative Care (not hospice), Cardiac Care and Post Stroke Disorders, Alzheimer's/Dementia Care, Diabetes Care, Home G-Tube Care and Education, Pulmonary/ COPD, Osteoarthritis Care, Orthopedic Physical Therapy and Progressive Neurological Conditions.
RESOURCES AND FORMS
Referral Form
Face-to-Face Encounter Form to Start Home Health Care
Certifying Patients for the Home Health Care Benefit, MLN Matters Number SE 1436, CMS.gov
Please call us at (708) 924-0500 for any questions you may have.
Updated as of 1/14/2022