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When I call Medicare today about this question this is what they told me
HH Medicare Eligibility
Home Health care can be covered under either Medicare Part A or Part B.
Under Part B, a patient is eligible for home health care if they are homebound and
need skilled care. There is no prior hospital stay requirement for Part B coverage of
home health care. There is also no deductible or coinsurance for Part B-covered home
health care.
While home health care is normally covered by Part B, Part A provides coverage in
certain circumstances after a patient is in a hospital or SNF. Specifically, if a patient
spends at least three consecutive days as a hospital inpatient or has a Medicare-covered
SNF stay, Part A covers the first 100 days of home health care. The patient still must
meet other home health care eligibility requirements, such as being homebound and
needing skilled care. The patient also must receive home health services within 14 days
of the hospital or SNF discharge to be covered under Part A. Any additional days past
100 are covered by Part B. Regardless of whether the care is covered by Part A or Part B,
Medicare pays the full cost.