Long-Term Home Health (LTHH) PARs
All LTHH Services shall be submitted to the Department’s authorizing agency as soon as possible, but no
more than 10 business days from the start date of the LTHH PAR. Authorizing agency information is
listed in Appendices C and D of the Appendices located in the Provider Services Billing Manuals section of
the Department’s website. The Home Health PAR form must be completed and reviewed by the
Department’s authorizing agency before services can be billed.
Long-Term Home Health PARs that are not received by the authorizing agency in a timely manner shall
have the PAR start date amended to 10 business days prior to the date the PAR was originally scheduled
to start.
A PAR is not considered complete until the authorizing agency reviews all information necessary to
review the request. All LTHH PAR submissions must include:
o Client’s diagnoses that will be addressed by Home Health, using V-codes whenever
appropriate;
o The specific frequency and expected duration of the visits for each discipline ordered; and
o The duties/treatments/tasks to be performed by each discipline during each visit.
All other supporting documentation to support your request including physician’s orders,
treatment plans, nursing summaries, nurse aide assignment sheets, medications listing, etc; and
Any other documentation deemed necessary by the Department or its authorizing agency.
