(415) 927.2273

By the Bay Health

Skilled Home Health Care


To qualify for Skilled Home Health Care, a patient must meet these three criteria:

  • Be homebound (that means they are unable to drive and leaving home requires assistance from others),
  • Have a diagnosis and/or treatment plan that requires medically necessary skilled nursing or rehabilitation,
  • Be under the care of a physician, within the first 90 days, who can order home health services.


To refer a patient, call Rosemary Fox, Director of Home Health Services:
(888) 431.0858


  • Skilled assessment and teaching
  • Home IV therapy
  • Medication management
  • Enterostomal therapy
  • Wound care
  • Pain management
  • Nutrition counseling
  • Disease management
  • Needs assessment
  • Counseling
  • Resources assistance
  • Physical, occupational and speech therapy
  • Personal care assistance from home health aides


  • Marin County
  • San Francisco County
  • San Mateo County
  • Sonoma County.


Once admitted, a patient’s Skilled Home Health Care may be covered by:

  • Medicare
  • Medi-Cal
  • Workers Compensation
  • Veterans Administration
  • Private Insurance
  • Self-Pay

We can help you determine patient coverage. Once on service, we will bill the patient’s insurance source directly. They will receive a bill only when a portion is not paid by insurance (such as for deductibles and co-insurance). Home health care costs qualify as medical expenses and are tax-deductible, within certain limits, from federal income tax.


Call our Finance Department, (415) 927.2273, for direction and support for physician billing for By the Bay Health patients.