2011 Vermont Code
Title 08 Banking and Insurance
Chapter 107 HEALTH INSURANCE
§ 4095 Definitions
§ 4095. Definitions
As used in this subchapter:
(1) "Home health agency" means a nonprofit home health agency which has been certified under Title 18 of the Social Security Act (42 U.S.C.A. { 1395 et seq.);
(2) "Home health care" means care and treatment provided by a home health agency and designed and supervised by a physician, without which care and treatment a person would require institutionalization in a hospital or skilled nursing facility as those are defined by medicare regulations. The care and treatment shall consist of one or more of the following:
(A) Part-time or intermittent skilled nursing care;
(B) Physical therapy;
(C) Part-time or intermittent home health aide services which consist primarily of caring for the patient;
(D) Medical supplies, drugs and equipment, and laboratory services to the extent that laboratory services would have been covered if the patient had been institutionalized. The medical necessity of equipment may be reviewed by reference to the Medicare guidelines for durable medical equipment. (Added 1975, No. 205 (Adj. Sess.), { 1.)
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