Nancy, the language Medicare uses is quite confusing, but even if the doc were to write an order for home care it would be minimal.
This is from a pamphlet re: HHC
"Home health nurses provide direct
care and teach you and your caregivers about your care. They also
manage, observe, and evaluate your care. Examples of skilled nursing
care include: giving IV drugs, shots, or tube feedings; changing
dressings; and teaching about prescription drugs or diabetes care. Any service that could be done safely by a non-medical person (or by
yourself) without the supervision of a nurse, isn’t skilled nursing care.
I would check with other hospice agencies in the area. It wouldn't hurt to interview a couple of different ones to determine what level of care they can provide. They are usually more than willing to talk to anyone about their services. The current hospice doesn't sound like hospice at all.