Home infusion therapy involves the intravenous or subcutaneous administration of drugs or biologicals to an individual at home. The components needed to perform home infusion include the drug (for example, antivirals, immune globulin), equipment (for example, a pump), and supplies (for example, tubing and catheters). Likewise, nursing services are necessary to train and educate the patient and caregivers on the safe administration of infusion drugs in the home. Visiting nurses often play a large role in home infusion. Nurses typically train the patient or caregiver to self-administer the drug, educate on side effects and goals of therapy, and visit periodically to assess the infusion site and provide dressing changes. The home infusion process typically requires coordination among multiple entities, including patients, physicians, hospital discharge planners, health plans, home infusion pharmacies, and, if applicable, home health agencies.
Directory of Home Infusion Therapy Suppliers
This searchable list/directory of home infusion therapy suppliers in a specific locality will be updated bi-weekly.
Section 5012 of the 21st Century Cures Act
On December 13, 2016, the 21st Century Cures Act (the Cures Act) was enacted into law. Section 5012 of this new law amended sections 1861(s)(2) and 1861(iii) of the Act, and established a new Medicare home infusion therapy benefit. The Medicare home infusion therapy benefit is for coverage of home infusion therapy-associated professional services for certain drugs and biologicals administered intravenously, or subcutaneously through a pump that is an item of DME, effective January 1, 2021. Section 1861(iii)(2) of the Act defines home infusion therapy to include the following items and services: the professional services (including nursing services), furnished in accordance with the plan, training and education (not otherwise included in the payment for the DME), remote monitoring, and other monitoring services for the provision of home infusion therapy furnished by a qualified home infusion therapy supplier in the patient’s home.
Home Infusion Therapy Services Monitoring
The HIT monitoring report (PDF) for January 2022 summarizes utilization for the HIT service visits, characteristics of HIT users, and characteristics of DME/HIT supplier organizations for Quarter 1 2019 to Quarter 1 2021.
Home Infusion Therapy Payment Policy Questions
For questions about home infusion therapy payment policy, please view the Home Infusion Therapy Services Benefit Beginning 2021, Frequently Asked Questions (PDF) document or send your inquiry via email to: [email protected].
Home infusion and alternate site infusion represents a vast arena of pharmaceutical services provided in the outpatient setting, typically in the patient’s home or an infusion suite. The majority of these medications involve administration through a needle or catheter, otherwise known as infusion, while others are administered via alternate routes of administration such as intramuscular, epidural, and self-injectable means. Infusion medications are prescribed for both acute and chronic illnesses that cannot be effectively treated with oral medications alone.
Most home and alternate site infusion providers are considered closed door pharmacies that are licensed in one or multiple states. Providers are classified as single-site organizations, multiple-site organizations, or health system-affiliated organizations. Pharmacies are accredited by one of many accrediting organizations (AOs) including The Joint Commission, ACHC, URAC, and more.
Diseases commonly requiring home and specialty infusion therapy include infections, gastrointestinal diseases and disorders, dehydration, congestive heart failure, multiple sclerosis, rheumatoid arthritis, hemophilia, immune deficiencies, neurological disorders, and more. A recent NHIA study found that in 2019 home infusion and alternate site providers cared for more than 3 million patients in the United States, representing a 300% increase since the last industry study in 2008.
Since the 1980s, this industry has seen tremendous growth despite challenges with a comprehensive benefit from Medicare. Administration of medications in the home or infusion suite has been shown to be a safe and cost-effective method of treating most patients with minimal intrusion on their everyday lives. In recent years, there has been a grassroots effort to work with lawmakers to improve patient access to home and specialty infusion pharmacy services in these sites of care. Commercial payors have recently instilled site of care policies moving high-cost infusions to the home setting and as a result are seeing tremendous savings.
Home infusion has been proven to be a safe and effective alternative to inpatient care for a variety of therapies and disease states, both acute and chronic. For many patients, receiving treatment at home or in an infusion suite is preferable to inpatient care. This industry is continuing to grow now and into the future as more therapies are approved and quality outcomes are seen for home infusion patients.
Often, home health care nurses will come to your home to give you the medicine. Sometimes, a family member, a friend, or you yourself can give the IV medicine.
The nurse will check to make sure the IV is working well and there are no signs of infection. Then the nurse will give the medicine or other fluid. It will be given in one of the following ways:
- A fast bolus, which means the medicine is given quickly, all at once.
- A slow infusion, which means the medicine is given slowly over a long period.
After you receive your medicine, the nurse will wait to see if you have any bad reactions. If you are fine, the nurse will leave your home.
Used needles need to be disposed of in a needle (sharps) container. Used IV tubing, bags, gloves, and other disposable supplies can go in a plastic bag and be put in the trash.
Option 1: Book Directly On Calendar
Select any service if unsure. We automatically confirm your request. We will pair you with a nurse that’s available in your area. Your nurse will reach out for introduction and consultation. Reserve all medical questions for your nurse when paired. Please include any important medical history in notes section. Please be prepared to sign consent for IV therapy. If you apply on calendar you do not have to submit a request form. We will not charge your billing method until completion of therapy. A Same Day Service Fee ($35) is applied with every IV & IM therapy that is requested for same day.
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We offer a variety of in-home vaccines for disease prevention and travel requirements.
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We offer annual flu shots for individuals and groups
Book Now The I.V. Doc difference: we make house calls.
When you’re sick, distressed, dehydrated, or just exhausted…the last thing you want is to travel to a medical office, endure long waits and expose yourself to infections.
We come to you. Through Telehealth, a licensed physician or medical provider will consult with you prior to your treatment. Then, one of our network’s highly trained medical professionals (from registered nurses to physicians) will hook you up to an I.V. specially formulated to relieve the condition you’re suffering from, or deliver the wellness treatment you desire.
The I.V. Doc’s service is prompt (rush available), affordable and most of all lets you relax and recuperate in the comfort of your home, private office or hotel room.
