Daphne Davis at Pinnacle Senior Placements raises the question: How do you assess mom and dad for the next step? There’s a step of care, home health, brought in if mom or dad have had a stroke or surgery, a temporary service. This can be a confusing topic. In-home care and home health are two different things. In-home care does not require a prescription or an order from a doctor, while home health does. Home health does not do custodial care. Home heath comes after a hospital stay and falls under a medical umbrella and medicare pays for it.