Usually, a patient will be considered homebound if leaving the home:

• Requires the aid of medical equipment such as crutches, a cane, a wheelchair, a walker, and the use of special transportation; or
• Requires the help of another person; or
• Absences from the home are medically contraindicated.

Even if a patient leaves the home, they may still be homebound if they leave infrequently for a short amount of time, or for the purpose of receiving medical treatment (For example: chemotherapy, radiation therapy, or kidney dialysis). Patients may leave home to attend a religious service. Occasional absences for non-medical reasons for a unique event, such as a family reunion, funeral, or graduation, are acceptable.

Patients who attend an adult daycare program are not disqualified from the homebound requirement if the program is licensed or certified by a State, or accredited to furnish adult day care services in the state. However, home care services must be provided in the patient’s home.

If the patient is no longer homebound or if the skilled need has been met, Medicare will not pay for the services.