Guest guest Posted June 17, 2010 Report Share Posted June 17, 2010 I work for Maxim Healthcare and we provide PCA care through Medicaid. We supply our clients or anyone interested with the required forms. You do not need to go to a kepro physician; kepro physicians are the ones who review the request for authorization. If your primary accepts medicaid then he can complete the necessary forms. I hope this is helpful. If you have any questions feel free to contact me at . Sent from my Verizon Wireless BlackBerryDate: Wed, 16 Jun 2010 12:17:52 -0700 (PDT)To: <sList >Subject: Re: PCA care Where do you get the forms? I heard that you have to go to KePro's physician, is that true? I called my child's pediatrician and will get what I can for now. Thanks for your help.From: "iluvmyangelsyaaol" <iluvmyangelsyaaol>To: sList Sent: Tue, June 15, 2010 5:48:08 PMSubject: Re: PCA care HELLO I WORK FOR HOME HEALTH. IM AN RN. THESE CHANGES WILL TAKE EFFECT ON JULY 1ST. IF THE NECESSARY PAPERWORK IS SUBMITTED YOU WILL HAVE NO PROBLEM. PAPERWORK THATS NEEDED INCLUDE CURRENT HISTORY/PHYSICAL, CURRENT PHYSICIAN VISIT AND PRESCRIPTION WITH ALL THE DIAGNOSES AND FREQUENCY OF SERVICES. THESE DOCUMENTS NEED TO BE TURNED IN EVERY 6 MONTHS. IF THE PARENTS WORK, MEDICAID WANTS A WORK SCHEDULE. OF COURSE ALL THIS PAPERWORK ARE MEDICAID APPROVED FORMS. IF THE PARENT DOESNT WORK, MEDICAID WANTS TO KNOW WHY THE PARENT CANT TAKE CARE OF THE CHILD. OF COURSE REMEMBER IM AN RN BUT IM ALSO A MOTHER TO A FIVE YEAR OLD AUTISTIC SON. WE JUST GOT APPROVED FOR THE WAIVER SO WE ARE WAITING. IF THE AGENCIES DO THE WORK, PCA SERVICES WILL BE GIVEN, THIS IS ONLY FOR PCA. SOME PEOPLE WILL REQUEST MORE RESPITE HOURS, BUT RESPITE WILL STAY WITH THE WAIVER. I HOPE THIS HELPS! HAVE A BLESSED DAY PCA care Note: This does not apply - yet - to folks on CDC +. Hi everyone,I don't know how many of you that receive PCA or respite services are aware of the changes as of July 1, 2010 that will transition the under 21 age group from the Medicaid Waiver to Medicaid.The Agency for Health Care Admin (ACHCA) has given the contract to a company by the name of KePRO. They are cutting costs and have determined that unless a child is "medically needy" as in physically, medically impaired, not just having autism or pdd etc to NOT require PCA services. They will have their own physician determine whether a child will receive services. So unless, they cannot walk, or have a G-tube, or tracheostomy etc you will be severely if not entirely cut.How did this catch us off guard? We wrote letter regarding funding cuts and they weren't cut, the restraint bill although diluted was passed so we need to do something aboutthis also.I say write letters again. Perhaps someone with better expertise in letter writing can make up a sample letter?ThanksCheryl Quote Link to comment Share on other sites More sharing options...
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