The Care Manager often arranges home care services before the patient is discharged from the hospital. I a patient defers any home care before discharge, and then services are needed after discharge a community referral is made by the physician.

Skilled Services: provided by professional healthcare people such as Registered Nurses, Physical Therapists, Speech therapists, Occupational Therapists, and Medical Social Workers.

Custodial Care: provided by a Home Health Aide (HHA) or a Personal Care Aide (PCA). This includes:

• Bathing
• Meal Preparation
• Feeding
• Toileting
• Supervision
• Or any other care that does not require a professional