Home Health Care · Medicare-Certified · ACHC-Accredited
Home Health Care in Philadelphia — Medicare-Certified Skilled Nursing & Non-Medical Home Care Under One Roof
A-Team Home Care is a Medicare-certified home health agency and a Pennsylvania-licensed personal care agency operating under one roof. An RN can be at your parent’s bedside this week for skilled nursing visits, and the same agency can have a home health aide bathing and dressing them next month. One care plan. One phone number. One Director of Nursing watching the whole thing.
Melinda Piechoski, RN — Director of Nursing, A-Team Home Care |
Reviewed by Melinda Piechoski, RN (PA License RN641214)
Last clinically reviewed: May 12, 2026 · Service area: Philadelphia, Bucks, Montgomery, Delaware, Chester counties
Home Health Care in Philadelphia — Medicare-Certified Skilled Nursing and Non-Medical Home Care Under One Roof
A-Team Home Care is a Medicare-certified home health agency and a Pennsylvania-licensed personal care agency operating under one roof. That means an RN can be at your parent’s bedside in Olney or Feasterville for skilled nursing visits this week, and the same agency can have a home health aide bathing and dressing them next month. Most agencies in Philadelphia do one of those two things. A-Team does both, with one care plan, one phone number, and one Director of Nursing watching the whole thing.
If you are reading this because a hospital social worker just handed you a discharge packet and said “find home health care,” what you actually need is a Medicare-certified agency that can take a physician’s order, schedule the first skilled nursing visit within 48 hours, and stay with your family after Medicare’s 60-day episode ends. That is what this page is about.
A-Team is ACHC accredited, Medicare certified, licensed by the Pennsylvania Department of Health, and listed on the Inc. 5000. Two offices serve Philadelphia and the four collar counties. Call (215) 490-9994 to speak with our intake nurse, or email service@ateampa.com.
What Home Health Care Means in Pennsylvania (and How It’s Different From Home Care)
Medicare-certified home health care delivers skilled nursing, therapy, and aide services in the patient’s home under a physician-signed plan of care. The phrase “home health care” is loaded with meaning in the US health system, and most families are not told the difference between the two things it can mean. Both are legitimate forms of care. They are paid for differently, regulated differently, and ordered differently. Knowing which one your parent needs is the first decision.
Home Health Care (Medicare-Certified, RN-Led)
Home health care is skilled, intermittent clinical care delivered in the home by licensed healthcare professionals — registered nurses, physical therapists, occupational therapists, speech-language pathologists, medical social workers, and home health aides working under the nurse’s plan of care. It is ordered by a physician, time-limited (typically a 60-day episode of care with recertification), and paid for primarily by Medicare Part A. A-Team’s skilled side is Medicare certified and ACHC accredited.
Home Care (Non-Medical, ADL Assistance)
Non-medical home care, sometimes called custodial or private-duty care, is help with activities of daily living: bathing, dressing, toileting, transfers from bed to chair, meal preparation, light housekeeping, medication reminders, and supervision for someone with dementia. The caregivers are home health aides or, in Pennsylvania, Direct Care Workers trained through the state’s DCW credential. There is no physician order required. It is paid for by Pennsylvania Medicaid through Community HealthChoices, the OPTIONS program through the PA Department of Aging, long-term care insurance, Veterans benefits, and private pay. A-Team’s non-medical side is the larger of our two service lines and covers personal care and ADL assistance plus companion care and supervision.
Home Health Care
Home Care (Non-Medical)
Who delivers it
RNs, LPNs, PT, OT, SLP, MSW, HHAs under RN supervision
Home health aides, Direct Care Workers, companions
Physician order
Required
Not required
How often
Part-time / intermittent visits
Hourly, daily, or 24-hour shifts
How long
60-day episode, recertified as needed
As long as needed
Primary payer
Medicare Part A
Medicaid CHC, OPTIONS, VA, LTC insurance, private pay
What’s Included in A-Team’s Home Health Care Program
A-Team’s home health program covers seven clinical service lines under one Medicare-certified plan of care. Each one is delivered by a licensed healthcare professional and documented in the patient’s chart that we share with the ordering physician.
Skilled Nursing Visits
An RN visits the home to assess the patient, write the plan of care, manage medications, monitor chronic conditions like CHF or COPD, perform wound care, and educate the family on what to watch for. Deeper detail lives on the skilled nursing at home page.
Physical, Occupational, and Speech Therapy
Physical therapy rebuilds strength and balance after hip surgery, stroke, or extended hospitalization. Occupational therapy helps the patient relearn dressing, cooking, and bathroom tasks. Speech-language pathology covers swallowing therapy, aphasia recovery, and cognitive rehab. All three therapies are delivered in the patient’s home by licensed therapists.
Home Health Aide and Personal Care
Home health aide services cover the hands-on personal care a patient cannot safely manage alone: bathing, dressing, toileting, grooming, transfers, and feeding. When the aide is part of a Medicare home health plan of care, the RN supervises every visit. Outside the Medicare episode, A-Team’s aides continue as personal care and ADL assistance under our non-medical line, paid through Community HealthChoices or private pay.
Medical Social Work and Care Coordination
A licensed medical social worker helps the family navigate insurance, durable medical equipment orders, community resources, and transitions to long-term care if that becomes the right call. The MSW is also the family’s bridge to hospice when home health is no longer enough.
Wound Care, Medication Management, and Chronic Disease Support
Surgical wounds, pressure injuries, diabetic ulcers, and ostomy care are managed in the home by an RN. Medication management includes reconciling the discharge list with the home med list, setting up pill organizers, watching for drug interactions, and teaching the patient and family to take medications safely. Chronic disease support is the day-to-day work of keeping someone with CHF, COPD, diabetes, or Parkinson’s out of the hospital.
Who Qualifies for Medicare Home Health Care in Philadelphia
Medicare home health eligibility requires five things. If the patient meets all five, Medicare Part A pays 100% of the home health benefit. There is no deductible and no copay for the covered services.
The Five Medicare Eligibility Requirements
- Homebound status. Leaving home is a considerable and taxing effort. The patient can still leave for medical appointments, religious services, and occasional short outings.
- A physician order. A doctor, nurse practitioner, or PA has signed the plan of care after a face-to-face encounter within 90 days before or 30 days after the start of care.
- A skilled need. The patient needs intermittent skilled nursing care, physical therapy, speech-language pathology, or a continuing need for occupational therapy.
- Part-time or intermittent care. The services are not 24-hour care. They are scheduled visits — typically a few times a week for a few weeks.
- A Medicare-certified agency. The agency you choose must hold Medicare certification. A-Team Home Care is Medicare certified and ACHC accredited.
For a deeper walk-through of the eligibility rules, see the Medicare home health eligibility requirements.
How A-Team Starts Care After a Hospital Discharge
When a hospital case manager faxes the discharge order to A-Team, an intake nurse reviews the chart the same day. We confirm the patient’s Medicare eligibility, schedule the start-of-care RN visit within 48 hours of discharge, and call the family before that visit so they know who is coming and what to expect. The RN completes the OASIS assessment in the home, writes the physician-ordered care plan, and the rest of the team — physical therapy, occupational therapy, home health aide — begins visits per that plan.
Insurance and Payment We Accept
A-Team Home Care accepts Medicare Part A, Pennsylvania Medicaid, Community HealthChoices through Keystone First, UPMC, and PA Health & Wellness, the OPTIONS program through the PA Department of Aging, VetAssist, VA Aid & Attendance, long-term care insurance, and private pay. Most families pay nothing out of pocket for the Medicare home health benefit.
Medicare and Medicaid
Medicare Part A pays 100% of skilled home health services for eligible beneficiaries. There is no deductible and no copay for nursing, therapy, MSW, or aide visits when they are part of the Medicare plan of care. Durable medical equipment is covered at 80% under Part B. Pennsylvania Medicaid (Medical Assistance) covers home health care for low-income beneficiaries who do not have Medicare, and is the secondary payer for dual-eligible patients.
Community HealthChoices (Keystone First, UPMC, PA Health & Wellness)
Community HealthChoices is Pennsylvania’s managed long-term services and supports program. It is the primary payer for non-medical personal care in the home for adults on Medicaid. A-Team is in network with all three CHC managed care organizations operating in southeastern Pennsylvania: Keystone First CHC, UPMC Community HealthChoices, and PA Health & Wellness. If your parent has Medicaid and needs help with bathing, dressing, or transfers, the personal-care side of A-Team is paid for by their CHC plan.
Veterans Benefits, OPTIONS, and Private Pay
Veterans qualify for in-home care through VA Aid & Attendance and the VetAssist Program. The OPTIONS Program through the Philadelphia Corporation for Aging covers older adults who are not on Medicaid but meet income and functional eligibility for in-home support. Long-term care insurance policies typically cover non-medical home care at the policy’s hourly rate. Private pay is available for any service line at standard hourly rates. See if Medicare covers your care — request a free assessment.
Aging in Place — When Home Health Care Becomes Long-Term Home Care
When the Medicare home health episode ends, the same A-Team caregiver continues as personal-care support — no new intake, no caregiver transfer, no gap in coverage. According to the AARP 2024 Home and Community Preferences Survey, 75% of adults age 50 and older want to stay in their current home and community as they age. The clinical reality is that most cannot do it alone. The 60-day Medicare episode handles the acute recovery. After that, what keeps someone at home is the day-to-day work of personal care, supervision, and family support.
From Skilled to Custodial Without Switching Agencies
Families who pick a Medicare-only agency for the post-surgical episode end up doing a second agency search 60 days later. They re-screen caregivers, re-explain their parent’s history, and re-train someone on the same routine. The patient gets a different aide who does not know which hand the cane is in. A-Team’s dual model means the home health aide who started during the Medicare episode can be the same Direct Care Worker who continues afterward, paid through Community HealthChoices or private pay. Same face. Same routine. Same agency on the phone.
The Family Caregiver Program
If you are the adult son, daughter, niece, or grandchild already doing the work — getting paid for it is legal in Pennsylvania for non-medical personal care. Through Community HealthChoices participant-directed services, an eligible family member can be hired as the paid caregiver. A-Team is the employer of record, runs payroll on a bi-weekly schedule (every other Friday), provides workers’ comp, and handles the Medicaid paperwork. Spouses cannot be paid under CHC, but most other adult family members can. Find out if you qualify for the Family Caregiver Program.
Service Area — Philadelphia and the Four Collar Counties
A-Team Home Care operates two offices that cover Philadelphia and the four collar counties: Bucks, Montgomery, Delaware, and Chester. Skilled nursing visits and home health aide services are dispatched from whichever office is closest to the patient.
Philadelphia (Center City, North Philly, Olney, Northeast)
Our Philadelphia office at 2751 N. 5th Street in the Fairhill section covers Center City, North Philadelphia, Olney, the Northeast, and South Philly. RNs are dispatched citywide for skilled nursing visits and OASIS start-of-care assessments. See home care across Philadelphia.
Bucks County (Feasterville-Trevose office)
Our Bucks County office at 2 Park Lane #106 in Feasterville-Trevose covers lower and central Bucks: Bensalem, Langhorne, Newtown, Doylestown, Warminster, and Levittown. Bucks County home health.
Montgomery County
Montgomery County is served by both offices: Abington, Cheltenham, Jenkintown, Elkins Park, Norristown, and Lansdale. Montgomery County home health.
Delaware County
Delaware County: Upper Darby, Drexel Hill, Media, Springfield, Havertown, Chester. Delaware County home health.
Chester County
Chester County: West Chester, Coatesville, Downingtown, Phoenixville, Kennett Square. Chester County home health. To confirm we cover your ZIP code, call (215) 490-9994.
Why Philadelphia Families Choose A-Team for Home Health Care
Three things make A-Team different from every other Medicare-certified agency in Philadelphia.
Named RN clinical leadership. Most agencies do not publish the name of the nurse running their clinical program. Our Director of Nursing is Melinda Piechoski, RN, Pennsylvania License RN641214, with more than 40 years of bedside and home-health nursing experience. Every Medicare plan of care at A-Team is reviewed by Melinda or by an RN she supervises. Her bio appears on this page below.
A four-credential trust stack. ACHC accreditation is the gold standard above the Pennsylvania Department of Health licensing requirement. Medicare certification is the federal qualification that lets us bill the Part A home health benefit. PA Department of Health licensing covers both our skilled and non-medical service lines. The Inc. 5000 listing reflects sustained growth in the home care category. Holding all four at once is uncommon for a Philadelphia-local agency.
The Family Caregiver Program and a multilingual care team. A-Team pays family members to provide non-medical personal care through Community HealthChoices participant-directed services, with bi-weekly payroll every other Friday and a $2,000 Quality Care Program payment for new caregivers who meet enrollment milestones. Our caregivers speak English, Spanish, Russian, and Ukrainian. We do not advertise more languages than we actually staff for. If your family’s first language is one of those four, we can match a caregiver who shares it.
Entity Reference for Home Health Care
Key clinical entities, authoritative resources, and topic details for families researching home health care in Pennsylvania.
Key Entities
Home health nursing
Skilled, intermittent clinical care delivered in the patient’s home under a physician-signed plan of care. Wikidata Q5889061.
Home care
Non-medical personal-care services such as bathing, dressing, and meal preparation. Wikidata Q1642542.
Activities of daily living
The clinical taxonomy for the six core self-care tasks: bathing, dressing, toileting, transferring, continence, and eating. Wikidata Q423243.
Aging in place
The CDC-defined outcome of remaining in one’s home and community as one ages, with appropriate support. Wikidata Q4692582.
Medicare Part A
The federal hospital insurance benefit that pays for Medicare-certified home health services with no deductible and no copay for eligible patients.
Direct Care Worker (DCW)
The Pennsylvania state credential required for non-medical personal-care aides. A-Team trains every aide as a DCW.
Community HealthChoices
Pennsylvania’s managed long-term services and supports Medicaid program for adults age 21 and older.
Topic Info
What’s covered (Medicare)
Skilled nursing, physical therapy, occupational therapy, speech-language pathology, medical social work, home health aide services as part of plan of care, certain durable medical equipment under Part B.
What’s not covered (Medicare)
24-hour care at home, meal delivery, homemaker services, custodial personal care when it is the only care needed.
How often
Part-time or intermittent visits. Typical pattern is 2 to 3 RN visits the first week, decreasing as the patient stabilizes, plus therapy visits 2 to 3 times per week and aide visits as needed.
How long
60-day episode of care, recertified by the ordering physician if the patient still meets eligibility.
Who pays for what
Medicare Part A pays 100% of home health visits for eligible patients. Community HealthChoices pays for non-medical personal care for Medicaid beneficiaries. Long-term care insurance and private pay cover non-medical care outside of Medicaid.
Clinically Reviewed By
Melinda Piechoski, RN
Director of Nursing, A-Team Home Care · Pennsylvania Licensed Registered Nurse · License RN641214 · 40+ years bedside and home-health nursing experience
“What I look for in a home health plan of care is whether it actually fits the person at home, not the chart at the hospital. The hospital tells us what surgery was done. The home tells us whether the stairs work, whether someone is there at 2 a.m. when the pain medication wears off, whether the refrigerator has food in it. I write our plans of care around those answers.”
Last clinically reviewed: May 12, 2026
Frequently Asked Questions
These are the questions our intake nurses answer most often.
What is home health care?
Home health care is skilled, physician-ordered clinical care delivered in a patient’s home by licensed healthcare professionals. It typically includes registered nurse visits, physical therapy, occupational therapy, speech therapy, medical social work, and home health aide services. It is paid for primarily by Medicare Part A.
What’s the difference between home health care and home care?
Home health care is skilled, clinical, Medicare-certified care ordered by a physician. Home care is non-medical assistance with activities of daily living such as bathing, dressing, and meals. Home health requires a doctor’s order. Home care does not. A-Team provides both under one roof.
Does Medicare pay 100% for home health care?
Yes, for eligible patients. Medicare Part A covers 100% of nursing, therapy, medical social work, and home health aide services when they are part of a physician-signed plan of care. There is no deductible and no copay. Durable medical equipment is covered at 80% under Part B.
How long does Medicare home health care last?
Medicare home health is delivered in 60-day episodes. At the end of each episode, the ordering physician reviews the patient and decides whether to recertify for another 60 days. There is no fixed maximum — as long as the patient continues to meet Medicare’s eligibility requirements, the benefit can continue.
Do I have to be homebound to qualify?
Yes. Homebound status is a Medicare requirement. It does not mean the patient can never leave the house. It means leaving home is a considerable and taxing effort. Patients can still attend medical appointments, religious services, and family events. The homebound rule is about the ordinary effort of getting out, not absolute confinement.
Does A-Team accept Medicaid and Community HealthChoices?
Yes. A-Team is in network with all three Community HealthChoices managed care organizations in southeastern Pennsylvania: Keystone First CHC, UPMC Community HealthChoices, and PA Health & Wellness. We also accept the OPTIONS program through the Philadelphia Corporation for Aging, VA Aid & Attendance, VetAssist, and long-term care insurance.
Can the same agency provide skilled and non-medical care?
Most agencies in Philadelphia provide one or the other. A-Team provides both under one roof. The patient gets a single intake, a single care plan, and where possible the same aide before and after the Medicare episode ends. This is the most common reason families pick A-Team over a Medicare-only or private-duty-only competitor.
How quickly can A-Team start care after a hospital discharge?
When the hospital case manager faxes the discharge order with the physician’s signed plan of care, A-Team’s intake nurse confirms eligibility the same day and schedules the start-of-care RN visit within 48 hours of discharge. For non-medical personal care, we can typically start within 3 to 5 business days once Community HealthChoices authorization is received.
Have a question we did not answer?
Call
(215) 490-9994 and ask for the intake nurse. Or use the contact form below — a member of our team will reply the same business day.
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