Question 1

What is the difference between Home Health and Home Care in Washington?

Accepted Answer

Home Health is medical care at home. A doctor orders it. Nurses, physical therapists, and occupational therapists visit your home. They do things like wound care, IV meds, post-surgery recovery, and skilled rehab.
Home Care is non-medical help. Caregivers help with bathing, meals, errands, and company. No doctor's order needed.
Home Health is usually paid by Medicare. Home Care is usually paid out of pocket or by long-term care insurance. Both serve people who want to stay home.

Question 2

Does Medicare cover home health in Washington?

Accepted Answer

Yes, often. Medicare Part A or Part B pays for home health when you meet four rules:
1. A doctor says you need it.
2. You need part-time skilled care — nursing, physical therapy, occupational therapy, or speech therapy.
3. You are "homebound." Leaving home is hard for you.
4. The agency is Medicare-certified.
If you qualify, Medicare pays 100% for covered visits. You pay nothing for the visit itself. Medical equipment may have a 20% copay.

Question 3

What is the CMS Quality of Patient Care Star Rating?

Accepted Answer

CMS rates every Medicare-certified home health agency from 1 to 5 stars. The rating is based on real patient outcomes, not opinions.
CMS looks at how well patients improve at walking, bathing, and managing meds. It also tracks how often patients avoid the hospital and how fast care starts.
A 4 or 5-star agency in Mercer Island has stronger results. New agencies may not have a rating yet — that does not mean they are bad. CMS just has not measured them.

Question 4

How do I verify a home health agency is Medicare-certified in Washington?

Accepted Answer

Two ways:
1. Use Medicare's Care Compare tool at medicare.gov/care-compare. Search by zip code or city. If the agency shows up, it is certified.
2. Ask the agency for its CMS Certification Number (CCN). You can verify the number with the Washington Department of Health.
If an agency is not Medicare-certified, Medicare will not pay for its care — even if you qualify on every other rule.

Question 5

What medical conditions qualify for home health care?

Accepted Answer

Common reasons doctors order home health:
- Recovery after surgery (knee or hip replacement, heart surgery)
- Wound care or IV antibiotics
- Stroke recovery (physical, occupational, or speech therapy)
- Heart failure, COPD, or other long-term conditions that need monitoring
- Diabetes management with skilled teaching
- Falls or balance issues that need physical therapy
- Cancer recovery
You do not need a hospital stay first. Your regular doctor can order home health if you meet Medicare's rules.

Question 6

How do I find and vet a home health agency in Mercer Island?

Accepted Answer

Start with our directory of 15 home health agencies in Mercer Island. Sort by CMS star rating to see top performers first.
When you call, ask:
- What is your CMS quality rating?
- Are your nurses RNs or LPNs?
- How fast can you start care after a referral?
- Who is on call nights and weekends?
- Do you accept my insurance?
Get the agency's CCN and verify it on Medicare's Care Compare before signing anything.

Home Health & Skilled Nursing in Mercer Island, WA

Eden Home Health

Evergreenhealth Home Care Services

Providence At Home With Compassus Home Health, King

Amicable Health Care

Signature Healthcare At Home

Kline Galland Home Health

Amedisys Home Health

Brookdale Home Health

Centerwell Home Health

Careage Home Health

Haven Home Health Care

Wesley Homes At Home, Llc

Kaiser Permanente Home Health And Hospice

Sea Mar Home Health

Unity Home Health

Frequently Asked Questions