California direct providers of health and supportive services and products in the home. There are seven different provider sections with CAHSAH. These provider sections were designed to ensure that CAHSAH is meeting the needs of all home care providers within California. Each of the seven sections is unique, with its own needs and priorities, yet all seven share a similar goal - serving the home care patient.
- Medicare-Certified Home Health Agency
As required by the Medicare Conditions of Participation, these agencies must provide skilled nursing as well as one or more additional therapeutic services, including home health aides, physical, occupational or speech therapy, and medical social services. Additional specialty services, such as enterostomal therapy, IV nursing therapy or perinatal care, are also included in each agency's listing. Medicare-certified home health agencies typically provide skilled services on an intermittent basis to Medicare beneficiaries or other individuals with acute conditions. Medicare-certified home health agencies are licensed by the State of California and are certified to participate in Medicare.
- Licensed Home Health Agencies
These agencies provide skilled nursing and, frequently, other services in the home, including continuous care and home care aide services. These agencies specialize in working with private insurance companies, although many are also certified to accept Medicare or Medi-Cal. Services provided by these agencies are similar to those provided by Medicare-certified home health agencies. Home health agencies are certified by the state of California.
Hospices provide a specialized interdisciplinary program designed to provide palliative care to the terminally ill, and supportive care for the primary caregiver and family members. Medicare-certified hospices must meet the Hospice Medicare Conditions of Participation. New California hospices must also be licensed by the State of California.
- Home Infusion Pharmacies
These companies provide pharmaceuticals and related high-tech services, such as enteral or parenteral nutrition, pain management, antibiotics, or chemotherapy. They are licensed by the Board of Pharmacy. Home infusion pharmacies that provide or arrange for skilled nursing services are required to be licensed as home health agencies.
- Home Medical Equipment Companies
These companies provide medical equipment, products and supplies in the home. They may also provide home respiratory therapy or specialized services such as home phototherapy, wheelchair rehabilitation, or home apnea monitoring. They are licensed by the Department of Health Services.
- Private Duty/Home Care Aide Organizations
These companies provide a wide variety of supportive services, such as assistance with home management and non-medical personal care. Home care aide organizations may offer such services as homemaking, meal preparation, live-in attendants, supervision and assistance with feeding, dressing, bathing and toileting, respite/companion and child care, and escort or transportation services.
- Interdisciplinary Professional Services
These companies provide home care services and products, such as physical therapy/rehabilitation, podiatry, or mobile x-ray or mobile laboratory services, in the home.
- Suppliers - Businesses which specialize in providing services and supplies to the home care industry.
- Associates - Home care providers outside the State of California.