Home Health Aide (HHA) Services

Home Health Aide (HHA) services are medically oriented tasks required to maintain the member’s health or to facilitate treatment of an illness or injury. A physician, advanced practice registered nurse (APRN), or physician assistant (PA) must order the services, and the person delivering the services must have professional supervision provided by a Medicare-certified agency.

Eligible Providers

Eligible providers include Medicare-certified home health agencies with a comprehensive homecare license.

Eligible Members

1. Members on Medical Assistance (Medicaid)
2. MinnesotaCare members
3. Members on the Elderly Waiver (EW) programs

Covered Services

1. Assisting with personal cares such as bathing, dressing, grooming, feeding, toileting, routine catheter and colostomy care, ambulating, and transfers or positioning
2. Simple dressing changes that do not require the skills of a licensed nurse
3. Assisting with medications that are ordinarily self-administered and do not require the skill of a licensed nurse to be provided safely and effectively
4. Assisting with activities that are directly supportive of skilled therapy services but do not require the skill of a therapist to be safely and effectively performed, such as routine maintenance exercises
5. Routine care of prosthetic and orthotic devices
6. Incidental household services necessary to the provision of one of the above health-related services

HHA services are normally paid on a per visit basis at a maximum of one HHA visit per day. As a waiver program service, HHA services may sometimes be authorized as approved units of service.

Non-Covered Services

1. HHA visits for the sole purpose of providing household tasks, transportation, companionship, or socialization
2. Services that are not medically necessary
3. Services provided in a hospital, NF, or ICF
4. More than one HHA visit per day

PW_11-19_549
Updated_05/15/2025