1. Limited part-time or intermittent skilled nursing care and home health aide services, as well as other health-related services given to the patient in his or her home. Examples of palliative and therapeutic care are assistance with medications, wound care, intravenous (IV) therapy, help with basic needs (e.g., bathing, dressing, mobility), physical and rehabilitation therapy, nursing, counseling, and social services. Usually this care is given to elderly, disabled, sick, or convalescent patients who do not need care in a facility. These services are provided by home health agencies (HHAs), hospitals, and other community organizations. Medicare pays for home care only if the type of care needed is skilled and required on an intermittent basis and is intended to help people recover or improve from an illness, not to provide unskilled services over a long period of time. There is no beneficiary cost sharing for home health care services. Also known as home care . 2. In Medicare fraud, certification or recertification by a provider of the need for home health care services, knowing that all of the requirements relating to being homebound and medical necessity have not been met.