1. Patient must be under care of a physician
Items and services must be furnished to an individual who is under the care of a physician. This physician may be the patient's private physician, or physician on the staff of the HHA, or a physician working under an arrangement with the institution which is the patient's residence, or if the agency is hospital-based, a physician on the hospital or agency staff. The attending physician establishes the plan of treatment and also certifies to the necessity for home health services.
Effective July 1, 1981, a physician is prohibited from establishing a plan of treatment, certifying or recertifying for home health services if the physician has a significant ownership interest in, or a significant financial or contractual relationship with such home health agency other than government owned.