Lamoille Home Health & Hospice serves all of Lamoille County in Vermont. Call us at (802) 888-4651 weekdays 8 a.m. to 5 p.m. For residents living in other Vermont counties, visit to find the agency that provides home health care services in your patient's area.


For nights, weekends and holidays, an LHH&H nurse is on call to support urgent medical needs.  Call the numbers above and a nurse will call you back. For referrals after hours when you do not need to speak to one of our nurses, we offer an after hours confidential voicemail box at 802-888-4651.


The Patient Protection Affordable Care Act mandates that a physician have a face-to-face encounter (in-person visit) for Medicare home health services. Here are the key things that you need to know:


The Medicare Face-to-Face rule requires:


Individuals who are referred for home health services must have a Face to Face Physician Encounter (“in person” visit) with a physician or non-physician practitioner* (nurse practitioner or physician’s assistant) within a mandatory time frame, either,


a. Within the 90 days before the start of home health services or

b. Within 30 days after the home health nurse or therapist makes the first visit.


*Please note that although a non-physician practitioner may perform the encounter, the certification must be signed by a Medicare enrolled physician.


If this requirement is not met, Medicare will not pay for the home health services.  All Medicare certified home health agencies are required to comply with this new requirement.


The following documents provide support for completing the documentation of the face-to-face encounter:



LHH&H greatly appreciates your willingness to comply with this requirement and provide the best possible service to our patients.

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Lamoille Home Health & Hospice | 54 Farr Avenue | Morrisville, VT  05661 | (802) 888.4651

© 2019 by Lamoille Home Health & Hospice