Medicaid home health program requirements are the most consistent, largely because Medicaid follows the Medicare Conditions of Participation. A few supportive care programs pattern supervision requirements after home health programs. Supervisory home-visits, required by all home health programs, are also used by many supportive care programs. The nature and frequency of these visits range considerably. Client assessments and evaluations, present in almost all home care programs, differ in the method and frequency of assessments.
Most programs require annual assessments.
Case management, reported by many home care programs, varies greatly in application. Although sometimes used in home health, case management is more common in supportive care programs. Provider surveys are tied to Medicaid certification, state licensure, and accreditation review. This is a universal monitoring method in home health and is used in some supportive care programs. Most supportive care programs employ purchase of service contracts which include quality standards.