我查了一下，似乎要求挺高的。不是護士的話，也需要有一定培訓證書的。我朋友自己開的Broker就是有

這種服務的，但她雇的都是正式的護士。

To qualify for home health care, several requirements must be met, including a doctor's order, a need for intermittent skilled care, and being considered "homebound". Additionally, for Medicare coverage, the care must be provided by a Medicare-certified agency and must meet specific criteria for what is considered medically necessary. 

 

Elaboration:

1. Physician's Order: A doctor must assess the individual's health and determine that home health care is medically necessary. 

 

2. Intermittent Skilled Care: The care must be "intermittent," meaning it's not continuous and is provided in a way that allows the person to be at home for a period of time. This typically involves skilled nursing, physical therapy, speech therapy, or occupational therapy. 

 

3. Homebound Status: The person must be considered "homebound," meaning they have a medical condition that makes it difficult or impossible for them to leave their home without assistance. 

 

4. Medicare-Certified Agency: If seeking Medicare coverage, the home health care must be provided by an agency that is certified by Medicare. 

 

5. Medical Necessity: The services provided must be medically reasonable and necessary, meaning they are directly related to the individual's medical condition and are not merely for convenience or personal preference. 

 

6. Face-to-Face Encounter: A face-to-face assessment with a healthcare provider is often required before a doctor can certify the need for home health services. 

 

7. Specific Services Covered by Medicare: Medicare typically covers skilled nursing, physical therapy, occupational therapy, speech therapy, and home health aide services (up to a certain number of hours per week). 

 

8. Exclusions from Medicare Coverage: Medicare does not typically cover 24-hour care, home meal delivery, homemaker services, or custodial care (personal care for activities of daily living) if it's the only care needed. 

 

9. State-Specific Requirements: In addition to federal requirements, states may have their own regulations for home health agencies, including licensing, certification, and staff qualifications.