Caring.com
Caring.com

The Free Senior Living Advisors

(800) 558-0653

How Does Medicare Address Cultural Competence in Home Health Care?

Date Updated: December 17, 2024

Written by:

Sarah-Jane Williams

Sarah has produced thousands of articles in diverse niches over her decade-long career as a full-time freelance writer. This includes substantial content in the fields of senior care and health care. She has experience writing about wide-ranging topics, such as types of care, care costs, funding options, state Medicaid programs and senior resources.

Reviewed by:

Catherine Braxton

As a subject matter expert, Cathy Braxton understands the intricacies of dementia care,
communication and caregiving. With 27 years of experience in the field, working a range of
positions from Activity Professional, Service Coordinator, Memory Care Director, keynote
speaker, presenter and educator, published author as well as the creator of improv4caregivers
in which improv rules are used to guide meaningful connections, Cathy is an asset to any
organization.

Medicare addresses cultural competence in home health care through its provider certification procedures. Only home health agencies that meet certain standards obtain Medicare certification. Additionally, legislation prevents discrimination, and guidelines encourage cultural sensitivity and awareness from any publicly funded health care provider, including hospitals, clinics and home health companies.  

Relevant Laws and Guidelines

Title VI of the Civil Rights Act of 1964 prevents government-funded health care providers from discriminating against patients because of their race or nationality. Legislative provisions extend to Medicare-certified home health care agencies. Section 1557 of the Affordable Care Act of 2010 contains similar protections from discrimination. Laws also oblige agencies to provide culturally appropriate services.

Additionally, agencies must follow the National Standards for Culturally and Linguistically Appropriate Services in Health and Health Care. These standards include:

  • Providing respectful and equitable quality care that accounts for cultural diversity related to health beliefs
  • Recruiting people from differing cultural backgrounds
  • Training staff in cultural practices and policies
  • Offering free language assistance to those with limited English proficiency

How Home Health Care Agencies Can Promote Cultural Competence

While bound by legal and regulatory measures, home health care agencies can take various steps to ensure culturally appropriate care, which can enhance patient satisfaction and foster respect. Home health care providers may:

  • Operate ongoing staff training covering respect for cultural differences, understanding health beliefs that can impact care and effective communication techniques
  • Include cultural preferences with customized care plans
  • Discuss culturally appropriate interventions with family members
  • Schedule visits from a medical professional with a similar cultural background as the patient, where staffing permits
  • Collaborate with community health care workers
  • Provide written information in a patient’s first language

For example, agencies may plan visits outside of prayer times for people who follow particular religious practices. They may arrange caregivers of the same gender as patients or schedule visits alongside a chaperone. Many seemingly small actions, such as removing shoes before entering a home, can also demonstrate cultural awareness and respect.

Caring.com

Caring.com is a leading online destination for caregivers seeking information and support as they care for aging parents, spouses, and other loved ones. We offer thousands of original articles, helpful tools, advice from more than 50 leading experts, a community of caregivers, and a comprehensive directory of caregiving services.

 

The material on this site is for informational purposes only and is not a substitute for legal, financial, professional, or medical advice or diagnosis or treatment. By using our website, you agree to the Terms of Use and Privacy Policy

Caring.com

Caring.com is a leading online destination for caregivers seeking information and support as they care for aging parents, spouses, and other loved ones. We offer thousands of original articles, helpful tools, advice from more than 50 leading experts, a community of caregivers, and a comprehensive directory of caregiving services.

 

The material on this site is for informational purposes only and is not a substitute for legal, financial, professional, or medical advice or diagnosis or treatment. By using our website, you agree to the Terms of Use and Privacy Policy

Our Services

  • Senior Living Directory

  • Senior Care Directory

  • Resources

  • Sitemap

  • Terms of Use

  • Privacy Policy

  • Do Not Sell My Personal Information


© 2025 Caring, LLC. All rights reserved.