Patient is under the care of a physician.

Patient requires skilled nursing, occupational therapy, physical therapy or speech therapy on an intermittent basis.

Patient qualifies for Medicare.

Care is medically reasonable and necessary.

Patient is homebound.

Patient's needs can be met on an intermittent or part-time basis.

Patient resides in a home or facility that does not perform skilled care (e.g., not in a nursing home or hospital).

A plan of care is rendered under the guidance of a physician.