WILSHIRE HEALTH & COMMUNITY SERVICES, INC.
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Frequently Asked Questions

 

Who is eligible?
A patient can receive service through their insurance, Medicare, or Medi-Cal coverage when they meet the following criteria:

  • The service must be prescribed by the patient’s physician.
  • The patient must be in need of skilled nursing care or rehabilitative therapy care.
  • The patient must be home bound (difficult to leave home and is a taxing effort)

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Is home health covered by insurances?
Medicare covers home health services 100% with no copayments given admission criteria is satisfied (see Services section of our website). BCHHA has service contracts with other payers such as Blue Cross of California. Our intake nurse will be able to verify acceptance of other than Medicare payers at the time of referral.

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What are your service areas?
We serve four counties in the Central Valley in California: Fresno County, Madera County, Kings County and Tulare County. We do not serve some rural areas in these counties. Please check with our Customer Entry Nurse at (559) 248-0131 for specific locations in these counties.

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How can I make a referral?
Anyone may phone in a referral using the BestCare Home Health Agency FAST FAX Referral form (See “Referral Resources) as a guide or may print the form, complete, and fax it to (559) 226-2038. If faxing, please ensure that you call our office to alert us to the fax in the event that transmission problems have occurred. If no previous contract agreements were established, a written MOU with payment authorization signature will be requested.

A patient or family member may either call our Customer Entry Nurse for eligibility information followed by our request to your physician for approval to make an evaluation visit or you may contact your physician directly so he/she may proceed with the referral to us if deemed appropriate.

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Do you have bilingual staff?
BCHHA sees our foremost primary obligation to hire clinicians based upon meeting our high standards of clinical competency; in the event, that at any time we do not have a particular bilingual case manager, two options are available:

  • Use of our simultaneous interpreter phone service with a capacity of over 150 languages
  • Use of an interpreter such as a family member or other caregiver present during the home health visit.

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