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CMS.gov defines homebound.
HOMEBOUND
"Normally unable to leave home unassisted. To be homebound means that leaving home takes considerable and taxing effort. A person may leave home for medical treatment or short, infrequent absences for non-medical reasons, such as a trip to the barber or to attend religious service. A need for adult day care doesn't keep you from getting home health care."
Doc order for in-home therapy only happens when doc certifies her "home bound"
If your friend just needs physical therapy, doctor can write a script for some to come to the home.