Home Health Coverage Guidelines Please note that coverage guidelines and procedures are subject to change. Refer to the monthly Provider Updates for more information. Provider Participation Guidelines Recertification Reimbursement Guidelines Plans of Care Claims Billing Guidelines Home Health Aide Services Skilled Nursing Services Physical, Occupational and Speech Therapy Services Covered Services Home Health Aide Revenue Codes Claim Preparation Instructions UB-04 Form Filing Instructions Home Health– UB-04 Claim Form Error Status Codes ESC Code List (English) Explanation of Benefits (EOB) Codes EOB Codes and Messages List (English) EOB Codes and Messages List (Spanish) Appendix - Third Party Liability Carrier and Coverage Codes Third Party Liability Carrier and Coverage Codes For specific questions you may contact the Customer Service Help Desk at (401) 784-8100 for In-state and long distance callers, or 1-800-964-6211 for In-state toll callers and border communities.