Frequently Asked Questions About Staff Assist Dialysis

Keeping you informed is important. Don’t see the answer to your question? Contact Us and we will respond within one business day or earlier.

What is Vibrant Staff Assist Dialysis?

Vibrant Home Health Care Staff Assist Hemodialysis program is unique as we perceived our program to be TRANSITIONAL in nature. Our goal is to bridge the gap of temporary recovery to be independent and be able to continue dialysis treatment at the in-center facility. While everyone would not qualify for staff assisted home hemodialysis, by far this is one of the most effective, easy and successful and cost-effective hemodialysis treatment. Unlike in-center treatment or peritoneal dialysis treatment, Staff-Assisted Home Hemodialysis offers you the need to receive your dialysis treatment by a licensed nurse with dialysis experience in the safety and privacy of your own home, Skilled Nursing Facility or any place of residence including Assisted Living Facility. The major advantage are the following:

  • you don’t need a dialysis care partner and you will NOT have to perform the dialysis yourself;
  • a hemodialysis experienced licensed nurse will come to your place of residence and administer the treatments for you, ensuring that the procedure is done properly and according to your Nephrologists’ order;
  • the treatment is similar to the one given at the in-center dialysis facility and typically similar dialysis machines are being used.
  • It is known that re-hospitalization due to dialysis related issues drastically decreased with Staff Assist Dialysis.
  • Compliance to dialysis treatment greatly improved on non-compliant patients

Patients who choose staff-assisted home dialysis generally experience better patient outcomes, a less stressful dialysis experience, and a better quality of life. If you’re looking for a dialysis option that will give you true freedom, confidence of safety and speedy recovery time, then staff-assisted home hemodialysis is a great option.

What insurance covers Staff Assist Dialysis?

We accept United Healthcare, CIGNA, AETNA, Humana and Amerigroup Star Plus. On a case to case basis, we work with Medicare Managed Care insurance – UHC Care Improvement Plus, Humana Gold, Amerigroup MMP and Medicaid Managed Care insurance – Cigna Healthspring and Superior Star Plus. We try and work with all insurance providers. Contact us for more information.

Does Medicare cover Staff Assist Dialysis?

NO, Medicare does NOT cover staff assist dialysis treatments at this time.

When is Staff Assist Dialysis appropriate?
  • Staff Assist Dialysis treatment option is most appropriate when a patient is:
  • NOT able to be treated at the in-center facility due to ANY reason
  • On tracheostomy or ventilator
  • Bedbound and can’t be treated at the center
  • Unable to sit for a long period of time due to pain, wound issues or other reason
  • Displayed severe anxiety at the in-center facility
  • Immunocompromised due to current or recent chemotherapy
  • Reason as deemed appropriate by the insurance provider
Who is eligible for Staff Assist Dialysis? (Condition of Coverage)
  • Patient is stable on dialysis and not at increased risk as a result of having the procedure performed outside a dialysis center venue; and
  • Patient has well-functioning vascular access; and
  • Patient has medical contraindications to leaving home for hemodialysis; and
  • Patient or non-professional caregiver is not capable of performing home hemodialysis;

Staff assisted home hemodialysis protocols generally match those provided in the hemodialysis
center (i.e., at least 3 times per week, 3-4 hour treatments). The exact dialysis therapy employed
is determined on an individual basis by the attending Nephrologist.

Do I need to be “Homebound”?

In most cases “medical necessity” is required to do the treatment at home, nursing home (Skilled Nursing Facility) or Assisted Living Facility. Homebound status is redefined in this area.

How would I get Staff Assist Dialysis started?

Consult your Nephrologist or hospital Case Manager if the patient is still in the hospital. Then:

  • Call our office at 972-772-2565 to receive a free consult regarding your insurance eligibility.
  • Once your insurance is verified as eligible to begin services, we perform a home evaluation.
  • If the home is appropriate, a water sample is done and dialysis machine will be installed .
  • Once the equipment is installed your nurse will begin your home hemodialysis. You will have a nurse with dialysis experience to administer your hemodialysis.

Frequently Asked Questions About Home Health

Keeping you informed is important. Don’t see the answer to your question? Contact Us and we will respond within one business day or earlier.

What is Home Health Care?

Home health care is a very personalized form of delivery in health care. A treatment plan is developed for each individual patient. By working in the patient’s own home environment, the healthcare provider can gain valuable insights to improve treatment and help the patient live a healthier, more independent life at home.

Doctors are recognizing that a less intrusive environment such as the home is more cost-effective, convenient, and sets the stage for better outcomes. Home health care offers a broad range of professional services which include Skilled Nursing, Physical Therapy, Occupational Therapy, Speech Therapy, Social Workers, and Home Health Aides. Patient and family education are an important part of home health care. The involvement of the patient and family members in the treatment plan often improves the effectiveness of the plan.

When is Home Health Care appropriate?

Home health care is appropriate when someone has been hospitalized and continues to need care after discharge to home. Home health care serves as a bridge between the hospital and complete return to normal functioning and self-care.

Home health care is appropriate when someone has had a significant change in a medical condition that, even though it did not require hospitalization, would benefit from an ongoing assessment and treatment by a nurse or therapist.

Today, patients are discharged from the hospital “quicker and sicker” and home health care allows them to continue receiving assistance, treatments, and therapy. Home health care is a safe and less costly alternative to going to a rehab facility or nursing home.

Who is eligible for Home Health?
  • The service must be ordered by a physician.
  • The patient must be homebound.
  • The services must be reasonable and necessary for the treatment of the illness or injury.
  • The patient needs to have seen the physician 90 days before or 30 days after the start of home health care services.
What does “Homebound” mean?
  • Normal inability to leave home without a considerable taxing effort

    Some examples:

    • Needs the help of another person to leave home
    • Needs assistive devices to leave home
    • Needs special transport
    • Leaving home creates symptoms (e.g. shortness of breath, pain, anxiety, confusion, fatigue)
  • Patients with psychiatric conditions which would put them at risk to leave the home unattended.
  • Homebound status is not affected by absences from the home due to medical services that cannot be provided in the home.
  • Homebound status is not affected by brief and infrequent absences from the home for non-medical reasons.

    Some examples:

    • Adult day programs
    • Outpatient medical care
    • Religious services
    • Dialysis
    • Barber/Beauty Parlor
Does Medicare cover Home Health Care?
Yes, Medicare covers skilled nursing, physical therapy, speech-language therapy, occupational therapy, medical social services, and home health aide services in the home if the patient meets certain criteria. The care must be provided on a part-time intermittent basis, be reasonable and necessary to treat the illness or injury. The patient must be under the care of a physician. The patient must be homebound. Currently there is no co-pay for Medicare Home Health and Medicare Home Health is exempt from a deductible.
How would I get Home Health started?
Consult your physician regarding a request for a home health evaluation, then choose a home health agency. It would be wise to compare and check the outcomes of several home health agencies before you sign up. You can do that at