Re: PCA care

[Guest guest]

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 about this also.

I say write letters again. Perhaps someone with better expertise in letter writing can make up a sample letter?

Thanks

Cheryl

[Guest guest]

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 about this also.

I say write letters again. Perhaps someone with better expertise in letter writing can make up a sample letter?

Thanks

Cheryl

[Guest guest]

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 about this also.

I say write letters again. Perhaps someone with better expertise in letter writing can make up a sample letter?

Thanks

Cheryl

[Guest guest]

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.

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 about

this also.I say write letters again. Perhaps someone with better expertise in letter writing can make up a sample letter?ThanksCheryl

[Guest guest]

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

[Guest guest]

HELLO, THE FORMS ARE FILLED OUT FROM THE PRIMARY PHYSICIAN OR THE ORDERING PHYSICIAN. THE DOCTORS AND NURSES FROM KEPRO REVIEW THE CASES ONCE SUBMITTED BUT THEY DONT FILL OUT THE PAPERWORK. THE FORMS COULD BE GIVEN TO YOU BY YOUR HOME HEALTH AGENCY AND/OR SOCIAL WORKER/COORDINATOR. IN THE AGENCY I WORK FOR, THE PARENTS ARE GIVING ME THE REQUIRED FORMS WITH NO PROBLEM BECAUSE WE PROVIDE THE FORMS FOR THE PARENTS BECAUSE WE ARE THERE PROVIDERS. KEPRO WILL BE SENDING OUT THEIR OWN NURSES TO THE RECIPIENTS HOUSE TO REVIEW NECESSITY. HOPE THIS IS HELPFULL.

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 about this also.

I say write letters again. Perhaps someone with better expertise in letter writing can make up a sample letter?

Thanks

Cheryl

[Guest guest]

STARTING IN JULY KEPRO NURSES WILL BE VISITING HOMES. I RECEIVED THE LETTER LAST WEEK. AND YES THE AGENCY DOES THE ASSESSMENT TO START CARE, BUT SPECIFIC FORMS HAVE TO BE FILLED OUT BY THE PRIMARY DOCTOR IN ORDER FOR RECIPIENT TO RECEIVE PCA SERVICES. IVE BEEN GOING TO DIFFERENT TRAININGS FOR THE PAST COUPLE OF WEEKS. ALSO, STARTING JULY 1ST, THE SANDATA TECHNOLOGY WILL GO INTO PLAY. THERES A LOT OF CHANGES AND MORE TO COME.

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 about this also.

I say write letters again. Perhaps someone with better expertise in letter writing can make up a sample letter?

Thanks

Cheryl

[Guest guest]

STARTING IN JULY KEPRO NURSES WILL BE VISITING HOMES. I RECEIVED THE LETTER LAST WEEK. AND YES THE AGENCY DOES THE ASSESSMENT TO START CARE, BUT SPECIFIC FORMS HAVE TO BE FILLED OUT BY THE PRIMARY DOCTOR IN ORDER FOR RECIPIENT TO RECEIVE PCA SERVICES. IVE BEEN GOING TO DIFFERENT TRAININGS FOR THE PAST COUPLE OF WEEKS. ALSO, STARTING JULY 1ST, THE SANDATA TECHNOLOGY WILL GO INTO PLAY. THERES A LOT OF CHANGES AND MORE TO COME.

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 about this also.

I say write letters again. Perhaps someone with better expertise in letter writing can make up a sample letter?

Thanks

Cheryl

[Guest guest]

STARTING IN JULY KEPRO NURSES WILL BE VISITING HOMES. I RECEIVED THE LETTER LAST WEEK. AND YES THE AGENCY DOES THE ASSESSMENT TO START CARE, BUT SPECIFIC FORMS HAVE TO BE FILLED OUT BY THE PRIMARY DOCTOR IN ORDER FOR RECIPIENT TO RECEIVE PCA SERVICES. IVE BEEN GOING TO DIFFERENT TRAININGS FOR THE PAST COUPLE OF WEEKS. ALSO, STARTING JULY 1ST, THE SANDATA TECHNOLOGY WILL GO INTO PLAY. THERES A LOT OF CHANGES AND MORE TO COME.

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 about this also.

I say write letters again. Perhaps someone with better expertise in letter writing can make up a sample letter?

Thanks

Cheryl

[Guest guest]

HI,

I just wanted to mention that my support coordinator said she doe's not think that this change will affect CDC+ participants at this time. Hope this helps with the stress factor a little.

Thank you,

Laureen

STARTING IN JULY KEPRO NURSES WILL BE VISITING HOMES. I RECEIVED THE LETTER LAST WEEK. AND YES THE AGENCY DOES THE ASSESSMENT TO START CARE, BUT SPECIFIC FORMS HAVE TO BE FILLED OUT BY THE PRIMARY DOCTOR IN ORDER FOR RECIPIENT TO RECEIVE PCA SERVICES. IVE BEEN GOING TO DIFFERENT TRAININGS FOR THE PAST COUPLE OF WEEKS. ALSO, STARTING JULY 1ST, THE SANDATA TECHNOLOGY WILL GO INTO PLAY. THERES A LOT OF CHANGES AND MORE TO COME.

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 about this also.I say write letters again. Perhaps someone with better expertise in letter writing can make up a sample letter?ThanksCheryl

[Guest guest]

YEA THIS CHANGE ONLY APPLIES FOR PATIENTS RECIEVING PCA THROUGH WAIVER.

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 about this also.

I say write letters again. Perhaps someone with better expertise in letter writing can make up a sample letter?

Thanks

Cheryl

[Guest guest]

YEA THIS CHANGE ONLY APPLIES FOR PATIENTS RECIEVING PCA THROUGH WAIVER.

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 about this also.

I say write letters again. Perhaps someone with better expertise in letter writing can make up a sample letter?

Thanks

Cheryl

[Guest guest]

You are correct that this does not yet apply to the cdc part of the waiver and this applys to the under 21 population. However, please keep in mind that when one is affected the other one will be at some time in the future as soon as they get the rest into a huge problematic mess. ( Case in point - the medicaid reform in effect for 5 counties in which they are desperately trying to extend & expand). We fought hard for the waiver and I hope that many of you even if you are not affected will support the many of us that are with your emails etc. Many of you now are benefitting from the creation of the waiver and were not part of the past battles to get it. So please help us keep our pca services and again many thanks to Goldstein, ,

M., and many many others that got it passed to begin with.

Under the medicaid guidelines - the diagnosis of autism is not enough to warrant pca services. The children are not physically impaired nor are they mentally retarded which is covered. So even if you have the diagnosis of autism and your child does not have any safety awareness or is cognitively challenged they don't care.

To: sList Sent: Fri, June 18, 2010 8:34:55 PMSubject: Re: PCA care

YEA THIS CHANGE ONLY APPLIES FOR PATIENTS RECIEVING PCA THROUGH WAIVER.

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 about

this also.I say write letters again. Perhaps someone with better expertise in letter writing can make up a sample letter?ThanksCheryl