Select a Program at Montefiore Medical Center CLINICAL SERVICES • Allergy and Immunology • Centers of Excellence • Chemical Dependency Program • Clinical Diabetes Center • Cough Center • Critical Care Medicine • Dentistry • Dermatology • Emergency Medicine • Endocrinology • Family and Social Medicine • Gastroenterology • Geriatrics • Headache Center • Hematology • Hyperbaric Medicine • In It Together Fund • Infectious Diseases • Kidney Transplant Program • Montefiore Home Care • Montefiore Institute for Reproductive Medicine • Montefiore Medical Group • Montefiore Medical Specialists • Montefiore-Einstein Liver Center • Nephrology • Neurology • Neuromuscular Disease • Nuclear Medicine • Pathology • Psychiatry and Behavioral Sciences • Pulmonary Medicine • Radiology • Rehabilitation Medicine • Rheumatology • Sleep-Wake Disorders Center • Substance Abuse Treatment Program • Urgent Care Services • Urology MONTEFIORE-EINSTEIN HEART CENTER • Cardiac Rehabilitation and Recovery • Cardiology • Cardiothoracic Surgery • Contact the Heart Center • Heart Center Video Gallery • Innovations & Insights MONTEFIORE-EINSTEIN CENTER FOR CANCER CARE • Breast Cancer • Clinical Trials • Colorectal Cancer • Gastrointestinal Oncology • Gynecologic Oncology • Head & Neck Cancer Program • Lung Cancer • Prevention and Support • Radiation Oncology • Robotic Prostate Surgery • Sarcoma and Connective Tissue Oncology Center • Surgical Departments at Montefiore • Surgical Oncology • Translational Research • Urological Oncology CHILDREN'S HOSPITAL AT MONTEFIORE WOMEN'S HEALTH AT MONTEFIORE • Childbirth • Family Planning & Birth Control • Fibroid Center • Genetic Counseling • Group Prenatal Care • High-Risk Pregnancy • Infertility - Reproductive Medicine • Menopause & Aging • Obstetrics & Gynecology • Preconceptual Counseling & Testing • Reproductive Genetics & Prenatal Genetic Testing • Urogynecology SURGICAL DEPARTMENTS AT MONTEFIORE • Breast Surgery • Montefiore Institute for Minimally Invasive Surgery • Neurological Surgery • Ophthalmology and Visual Sciences • Oral and Maxillofacial Surgery • Orthopaedic Surgery • Otorhinolaryngology - Head and Neck Surgery • Plastic & Reconstructive Surgery • Surgery • Transplant Center • Urologic Surgery • Vascular Disease Management • Weight Reduction (Bariatric) Surgery CLINICAL DEPARTMENTS AT MONTEFIORE PROFESSIONALS • Department of Anesthesiology • Department of Cardiothoracic Surgery • Department of Dentistry • Department of Emergency Medicine • Department of Family and Social Medicine • Department of Medicine • Department of Neurology • Department of Neurosurgery • Department of Nuclear Medicine • Department of Obstetrics & Gynecology and Women's Health • Department of Oncology • Department of Ophthalmology • Department of Orthopaedic Surgery • Department of Otorhinolaryngology (ENT) • Department of Pathology • Department of Pharmacy • Department of Psychiatry and Behavioral Sciences • Department of Radiation Oncology • Department of Radiology • Department of Rehabilitation Medicine • Department of Surgery • Department of Urology

FAQs: For Physicians

Who should I refer for home care services?
Any patient who is in need of skilled services such as nursing, physical therapy, occupational therapy or speech therapy can be referred for home care services. These needs may arise at the time of transition from the hospital or nursing home, during an exacerbation of a chronic condition or in association with a new diagnosis or illness.

What are some typical referrals and the services that Montefiore Home Care provides?

• Poorly controlled chronic illness (heart failure, diabetes, HTN)
• Nurse for disease management including vital signs monitoring, medication education and adjustment, monitoring of compliance with diet and treatments.
• New mothers with high risk pregnancy
• Administering and teaching Lovenox injections, monitoring blood pressure and education about other high-risk related complications.
• Frequent falls, gait instability
• Physical therapist for gait assessment and training.
• Occupational therapist for home safety assessment
• Orthopedic conditions (post-fracture repair, joint replacement)
• Physical and Occupational therapy for evaluation and management
• New ostomy or feeding tube
• Nurse for patient/caregiver instruction in dressing changes, ostomy care and administration of tube feedings.
• Need for home infusion therapy
• Nurse for home infusion of antibiotics, TPN and/or pain medication
• Neurologic impairment (stroke, MS, Parkinson's, TBI, SCI)
• Physical and occupational therapy for evaluation and treatment
• Speech evaluation and therapy for swallowing difficulties, expressive and receptive language re-education, and cognitive training

What other services are available for patients who are receiving services at Montefiore Home Care?
Once a skilled service is in place, other services that can be provided in the home are:

• Social work services
• Occupational therapy
• Coordination of home health aide services
• In-home laboratory services

What makes Montefiore Home Care different from other home health agencies?

• Telehealth program for patients with CHF and diabetes
• Home infusion therapy
• Care of new mothers and infants
• Pediatrics
• HIV/AIDs programs in acute and long term home care programs
• Long term home health care program

Who pays for Home Care Services?

• Medicare
• Medicaid
• CMO
• Private insurance
• Private pay
• Financial aid

How do I make a referral to Montefiore Home Care?

• Moses Liaisons: 718-920-4343
• Weiler/Einstein Liaisons: 718-904-2828
• Carecast referrals (inpatient):
• Go to Place Orders
• Click on Consults
• Select Home Care Consult and complete the fields
• Carecast referrals (outpatient):
• Go to Ambulatory tab
• Click on Order Home Care Consult for Outpatient
• Follow steps for Home Care Consult and complete fields
• Place orders
• Outpatient referrals:
• Fax a community referral form to 718-367-0111
  Click here to download form.
• Call the central intake unit at 718-405-4800

 

Montefiore Home Care
One Fordham Plaza, Suite 1100
Bronx, NY 10458

To make a referral for the Montefiore Home Care Program, please call:
Central Intake: (718) 405-4800
Fax: (718) 367-0111

Programs and Services

Short Term Care

Long Term Care

FAQs: For Patients

FAQs: For Physicians