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Home Care Referrals

Learn how to refer a patient to home health care.

At VNS Health, we strive to make home care referrals easy, so your patients in New York City and in Nassau, Suffolk, and Westchester counties can get the care they need to heal and recover at home.

Physicians, nurse practitioners, and physician assistants can order home care services.

Refer a Patient to VNS Health Home Care

We offer several options to submit referrals and sign orders. All referrers must complete and submit the FFE form.

Refer a Patient Online

Submit your VNS Health home care referral online.

Refer a Patient by Email or Fax

Download the home care referral form and email it to [email protected] or fax it to 1-212-290-3939.

Refer a Patient by Phone or Get Support

For phone referrals or questions about any referral, call 1-866-632-2557.

Refer via a Digital Platform

Use your designated digital platform:

You can also submit a referral directly to your VNS Health liaison.

Why Refer to VNS Health

VNS Health provides high-quality home care that helps people recover, manage chronic conditions, and stay safe at home. Our teams deliver coordinated care across nursing, therapy, behavioral health, and social support—so patients and families get clear guidance and consistent care.

We are recognized for clinical excellence and age-friendly care.

  • Our Home Care program has Deemed Status and Age-Friendly Care at Home certification from CHAP, reflecting our use of the 4Ms framework (What Matters, Medication, Mentation, and Mobility) to support better outcomes and patient experience.
  • We’ve also earned Home Health Heart Failure certification from the American Heart Association, which reflects our ongoing goal to enhance the care we provide to diverse populations with multiple complex conditions, including heart disease.

When you refer to VNS Health, your patients benefit from:

  • Proven quality care: Accredited home care focused on safety and outcomes
  • Age-friendly approach: Care aligned to what matters most to older adults
  • Coordinated, team-based care: Nursing, therapy, social work, and behavioral health
  • Support after hospitalization: Care that helps reduce complications and readmissions
  • Clear education: Guidance for patients and caregivers on medications and care at home
VNS Health Home Care was awarded Deemed Status and Age-Friendly Care at Home certification from CHAP (Community Health Accreditation Partners).
Community Health Accreditation Partner (CHAP) Deemed Status Seal of Accreditation Deemed Status reflects our overall excellence in clinical care. Community Health Accreditation Partner (CHAP) Age-Friendly Care at Home Certification Age-Friendly Care certification affirms that our Home Care clinicians consistently use the “4-Ms” care model, which has been shown to improve health outcomes and patient satisfaction.
 

Home Care Eligibility Criteria

Your patient may be eligible for home care if they meet one or more of the following criteria:

  • Is recovering from an acute episode (e.g., illness, recent fall) and needs assessment, treatment, or education in disease management
  • Lives in the community with a disability or chronic illness but can live independently with some support
  • Is depressed
  • Is cognitively impaired
  • Requires post-operative care, such as wound, ostomy, or catheter care
  • Has complex medical needs that require special equipment or monitoring or must follow complex medication plans
  • Needs assistance with activities of daily living with registered nurse supervision 
  • Is homebound as defined by Medicare

A patient does not need to have been hospitalized to qualify for home care.

Medicare Definition of Homebound

Medicare defines “homebound” as when a patient is unable to leave their home without considerable and taxing effort. They must also meet criterion 1 and criterion 2:

Criterion 1

They need the aid of one of these supportive devices or modes due to illness or injury: 

  • Crutches
  • Wheelchair
  • Walker
  • Special transportation
  • Help from another person to leave home, including for cognitive or psychiatric concerns

OR

They have a condition that makes leaving home medically not recommended.

Criterion 2

They have symptoms that make leaving home a significant effort. Examples include:

  • Shortness of breath
  • Pain
  • Anxiety
  • Confusion
  • Fatigue

Patients may still be considered homebound even if they can leave the home infrequently for short excursions or for health care needs. Some examples include: 

  • Religious services
  • Haircuts
  • Short walks, such as around the block
  • Family events, such as funerals or graduations
  • Outpatient kidney dialysis, chemotherapy, or radiation therapy

Rehabilitation Therapy Eligibility Criteria

PT = physical therapy
OT = occupational therapy
SLP = speech-language pathology

If your patient has difficulty with:They may be eligible for:
Ambulation (gait abnormality, new assistive device)PT
Going up or down stairsPT
Balance (fall risk or history of falls)PT
Bed mobility (scooting, turning, sitting up)PT/OT
Transfers (toilet, tub, sit to stand)PT/OT
Weakness or deconditioningPT/OT
Safety (concerns about living alone) PT/OT
Dyspnea/difficulty breathing at any levelPT/OT
Balance disordersPT/OT
Cardiopulmonary conditions (pre-/postsurgery, endurance issues, energy conservation, activity modification)PT/OT
Dressing/groomingOT
BathingOT
Feeding/meal preparationOT
Confusion at any level, including memory problemsSLP/OT
SwallowingSLP
Articulating clearlySLP

Home Care Insurance Coverage

Your patients or their caregivers may be concerned about whether insurance will cover the home care services you're referring.

In most cases, Medicare, Medicaid, Veterans Administration benefits, and private insurance cover medically necessary home care services for homebound patients. This care is usually short-term and is provided while a patient is recovering from an illness or injury.

Insurance companies usually do not cover home care that is long-term or goes beyond skilled medical needs. If your patients want care after their covered services end, VNS Health's Personal Care team can provide in-home support.

Make sure to talk to your patients about checking with their insurance company before starting services to ensure coverage.

Home Care service map

Home Care Service Area

VNS Health Home Care services are available in:

  • The Bronx
  • Brooklyn
  • Manhattan
  • Queens
  • Staten Island
  • Nassau County
  • Suffolk County
  • Westchester County

Related Resources

Personal Care

Personal care services include home health aide services, private duty nursing, geriatric care management, respite care, and more.

Behavioral Health

VNS Health offers specialized behavioral health programs that deliver consistent, coordinated care to the people who need it.

Refer your patients to VNS Health.

Questions about referring to VNS Health? Check our our referral FAQ.

Refer patients to VNS Health.