|Home Health Agencies and Residential Care Facilities|
1. Home Health Care Agencies and Long Term Facilities.
- The home healthcare agency must have a valid state license to practice Home Health.
- Medicare Certification and JCAHO or CHAP accreditation are
not the absolute qualifications to join CareNet Health System.
However, the agency that lacks one of these qualifications may
not be included in certain programs that the payer has set as
their criteria to provide services.
The Application Form
Each applicant must fully complete the participation application
form, and periodically supply and update all requested information.
The provider warrants that it is available to provide services
per patient's need and the company's approval.
The provider has on-call nurses 24 hours a day to handle new
referrals and emergency contacts. The provider should strictly
follow the guidelines of the professional standard and comply
with government (state or federal) regulations. All agencies shall
follow Title XXII. Medicare certified agencies must follow HCFA
guidance. JCAHO/CHAP accredited agencies must follow their respective
- Certified of current Professional and General Liability Insurance
Policy. The policy should include a minimum of $1,000,000 for
each claim and $3,000,000 for annual aggregate maximum.
- An acceptable malpractice experience history as determined
by the CareNet Health System Credentials Committee.
- Policy Declaration of Workers' Compensation and Employer's
liability. Coverage minimum is $1,000,000.
The provider warrants that all credentialing information provided
is true and factual and will continue to maintain the submitted
credential for the duration of participation in the CareNet network.
The provider authorizes CareNet or the payer to investigate the
accuracy of the information provided.
The provider also releases liability of both individuals and
organizations providing information and the company or the respective
health plan payers utilizing information to determine provider
|Non-Licensed Home Care Agencies|
The Application Form
Each agency must fully complete the credentialing forms, and periodically supply and
update CareNet with all requested information.
The agencies warrant that they meet the following guidelines so the patient will be
ensured to receive the highest quality of care from a qualified caregiver.
1. The agencies must follow a stringent hiring process:
- Require caregiver's full application and resume.
- Intensive interview and reference check to ensure the caregiver is mentally
and physically capable to take care of patients.
- Finger printing and criminal background check.
- Drug and alcohol check.
- DMV record check if caregiver is required to drive.
- Physical examiniation every two years.
- TB test every two years.
- The caregiver is properly oriented to the agency policy and procedures.
2. The agencies must send an RN or social worker to perform initial assessment
and to work out a care plan for the patient. The care plan is to be mutually
agreed by the RN/social worker and the patient/patient's family.
3. RN/social worker must provide on-going supervision in the office and in patient's
4. The agency must purchase professional liability, general liability and worker's
compensation coverage for the caregivers and an employee dishonesty policy to bond the