FAQ For Physicians
Who should I refer for home care services?
Any patient who is in need of skilled services such as nursing, physical therapy, occupational therapy or speech therapy can be referred for home care services. These needs may arise at the time of transition from the hospital or nursing home, during an exacerbation of a chronic condition or in association with a new diagnosis or illness.
Poorly controlled chronic illness (heart failure, diabetes, HTN)
Nurse for disease management including vital signs monitoring, medication education and adjustment, monitoring of compliance with diet and treatments.
Administering and teaching Lovenox injections, monitoring blood pressure and education about other high-risk related complications.
Frequent falls, gait instability
Orthopedic conditions (post-fracture repair, joint replacement)
Physical and Occupational therapy for evaluation and management
New ostomy or feeding tube
Nurse for patient/caregiver instruction in dressing changes, ostomy care and administration of tube feedings.
Neurologic impairment (stroke, MS, Parkinson's, TBI, SCI)
Physical and occupational therapy for evaluation and treatment
Speech evaluation and therapy for swallowing difficulties, expressive and receptive language re-education, and cognitive training
What other services are available for patients who are receiving services at Montefiore Home Care?
Once a skilled service is in place, other services that can be provided in the home are:
What makes Montefiore Home Care different from other home health agencies?
CHF Program
Management of Wounds
Rehab program for Total Joint Replacement
Covid Pulmonary Program
Who pays for Home Care Services?
Medicare
Medicaid
CMO
Private insurance
Private pay
Financial aid
How do I make a referral to Montefiore Home Care?
Moses Liaisons: 718-920-7108
Weiler/Einstein Liaisons: 718-904-2828
Allscripts Care Management Portal (formerly ECIN) – refer to portal instructions to create referrals and upload required forms
Outpatient referrals:
Fax a community referral form to 718-367-0111
Click here to download form.
Call the central intake unit at 718-405-4800
For patients who require a Face to Face Encounter Form, please click here to download the form here and fax to 718-367-0111