Guest guest Posted September 24, 2010 Report Share Posted September 24, 2010 For anyone not on CDC (consumer directed care). Have you been able to continue receiving PCA services? I know the extension is until 9/30/10 only. Most if not all the agencies are being denied provider approval for one reason or another even if they have a medicaid & med waiver number. This is not happening for respite care. I have been advised that they are either denying services or are reducing the hours to practically nil if you get approved and then they are having each person that is providing the services be re-authorized etc. I know the state has a budget problem but I also know there is pork-barrel spending that could be redirected to children, disabled, elderly, poor sectors. Sorry, my soap box for a rainy friday afternoon. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 24, 2010 Report Share Posted September 24, 2010 What are PCA services? PCA Services etc For anyone not on CDC (consumer directed care). Have you been able to continue receiving PCA services? I know the extension is until 9/30/10 only. Most if not all the agencies are being denied provider approval for one reason or another even if they have a medicaid & med waiver number. This is not happening for respite care. I have been advised that they are either denying services or are reducing the hours to practically nil if you get approved and then they are having each person that is providing the services be re-authorized etc. I know the state has a budget problem but I also know there is pork-barrel spending that could be redirected to children, disabled, elderly, poor sectors. Sorry, my soap box for a rainy friday afternoon. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 25, 2010 Report Share Posted September 25, 2010 Hello everyone. PCA services for people under 21 years old is being transferred from Medicaid waiver to Medicaid state plan. PCA is patient care assistant which includes bathing, personal hygiene. I admitted three patients under 21 to Medicaid PCA, they require paperwork ands MD prescription. Yesenia PCA Services etc For anyone not on CDC (consumer directed care). Have you been able to continue receiving PCA services? I know the extension is until 9/30/10 only. Most if not all the agencies are being denied provider approval for one reason or another even if they have a medicaid & med waiver number. This is not happening for respite care. I have been advised that they are either denying services or are reducing the hours to practically nil if you get approved and then they are having each person that is providing the services be re-authorized etc. I know the state has a budget problem but I also know there is pork-barrel spending that could be redirected to children, disabled, elderly, poor sectors. Sorry, my soap box for a rainy friday afternoon. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 25, 2010 Report Share Posted September 25, 2010 PCA - Personal Care Assistant To: sList From: zandersmom99@...Date: Fri, 24 Sep 2010 15:49:11 -0400Subject: Re: PCA Services etc What are PCA services? PCA Services etc For anyone not on CDC (consumer directed care). Have you been able to continue receiving PCA services? I know the extension is until 9/30/10 only. Most if not all the agencies are being denied provider approval for one reason or another even if they have a medicaid & med waiver number. This is not happening for respite care. I have been advised that they are either denying services or are reducing the hours to practically nil if you get approved and then they are having each person that is providing the services be re-authorized etc. I know the state has a budget problem but I also know there is pork-barrel spending that could be redirected to children, disabled, elderly, poor sectors. Sorry, my soap box for a rainy friday afternoon. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 28, 2010 Report Share Posted September 28, 2010 Hi, My question regarding personal care assistant (PCA) was not only because of the transference to the medicaid state plan but also because of the Kepro company that is now the authorizing agent for PCA coverage. I sent out my paperwork in July/August to an agency. The agency recvd their Medicaid number (which is different than the med waiver number) and still have not heard back from Kepro - ie: is my child approved still? for how many hours? Also, Kepro is holding up approval of the actual providers that care for your child. It doesn't look like another extension will be happening so as of this friday - no one seems to know whether you will or will not have a pca to care for your child. Help! To: sList Sent: Sat, September 25, 2010 5:30:17 PMSubject: Re: PCA Services etc Hello everyone. PCA services for people under 21 years old is being transferred from Medicaid waiver to Medicaid state plan. PCA is patient care assistant which includes bathing, personal hygiene. I admitted three patients under 21 to Medicaid PCA, they require paperwork ands MD prescription. Yesenia PCA Services etc For anyone not on CDC (consumer directed care). Have you been able to continue receiving PCA services? I know the extension is until 9/30/10 only. Most if not all the agencies are being denied provider approval for one reason or another even if they have a medicaid & med waiver number. This is not happening for respite care. I have been advised that they are either denying services or are reducing the hours to practically nil if you get approved and then they are having each person that is providing the services be re-authorized etc. I know the state has a budget problem but I also know there is pork-barrel spending that could be redirected to children, disabled, elderly, poor sectors. Sorry, my soap box for a rainy friday afternoon. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 28, 2010 Report Share Posted September 28, 2010 Hi Cheryl, Unfortunately, you are charting new territory with both the Kepro stuff and the PCA-from-Medwaiver-to-Medicaid, and for this reason there's not going to be a lot of guidance based on what worked in the past. Have you spoken to the Advocacy Center in Tallahassee? Good Luck To: sList Sent: Tue, September 28, 2010 5:59:01 AMSubject: Re: PCA Services etc Hi, My question regarding personal care assistant (PCA) was not only because of the transference to the medicaid state plan but also because of the Kepro company that is now the authorizing agent for PCA coverage. I sent out my paperwork in July/August to an agency. The agency recvd their Medicaid number (which is different than the med waiver number) and still have not heard back from Kepro - ie: is my child approved still? for how many hours? Also, Kepro is holding up approval of the actual providers that care for your child. It doesn't look like another extension will be happening so as of this friday - no one seems to know whether you will or will not have a pca to care for your child. Help! To: sList Sent: Sat, September 25, 2010 5:30:17 PMSubject: Re: PCA Services etc Hello everyone. PCA services for people under 21 years old is being transferred from Medicaid waiver to Medicaid state plan. PCA is patient care assistant which includes bathing, personal hygiene. I admitted three patients under 21 to Medicaid PCA, they require paperwork ands MD prescription. Yesenia PCA Services etc For anyone not on CDC (consumer directed care). Have you been able to continue receiving PCA services? I know the extension is until 9/30/10 only. Most if not all the agencies are being denied provider approval for one reason or another even if they have a medicaid & med waiver number. This is not happening for respite care. I have been advised that they are either denying services or are reducing the hours to practically nil if you get approved and then they are having each person that is providing the services be re-authorized etc. I know the state has a budget problem but I also know there is pork-barrel spending that could be redirected to children, disabled, elderly, poor sectors. Sorry, my soap box for a rainy friday afternoon. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 28, 2010 Report Share Posted September 28, 2010 Well, the update today was that until everyone with the Kepro problems has been reviewed/authorized etc due to their own delays/problems that there will be another extention. Yeah, at least I can breathe again for now. Another battle uphill. I probably won't be attending tonight's event @ BCC if the weather is as bad as expected. The flooding, traffic & wouldn't be a good match. To: sList Sent: Tue, September 28, 2010 10:33:23 AMSubject: Re: PCA Services etc Hi Cheryl, Unfortunately, you are charting new territory with both the Kepro stuff and the PCA-from-Medwaiver-to-Medicaid, and for this reason there's not going to be a lot of guidance based on what worked in the past. Have you spoken to the Advocacy Center in Tallahassee? Good Luck To: sList Sent: Tue, September 28, 2010 5:59:01 AMSubject: Re: PCA Services etc Hi, My question regarding personal care assistant (PCA) was not only because of the transference to the medicaid state plan but also because of the Kepro company that is now the authorizing agent for PCA coverage. I sent out my paperwork in July/August to an agency. The agency recvd their Medicaid number (which is different than the med waiver number) and still have not heard back from Kepro - ie: is my child approved still? for how many hours? Also, Kepro is holding up approval of the actual providers that care for your child. It doesn't look like another extension will be happening so as of this friday - no one seems to know whether you will or will not have a pca to care for your child. Help! To: sList Sent: Sat, September 25, 2010 5:30:17 PMSubject: Re: PCA Services etc Hello everyone. PCA services for people under 21 years old is being transferred from Medicaid waiver to Medicaid state plan. PCA is patient care assistant which includes bathing, personal hygiene. I admitted three patients under 21 to Medicaid PCA, they require paperwork ands MD prescription. Yesenia PCA Services etc For anyone not on CDC (consumer directed care). Have you been able to continue receiving PCA services? I know the extension is until 9/30/10 only. Most if not all the agencies are being denied provider approval for one reason or another even if they have a medicaid & med waiver number. This is not happening for respite care. I have been advised that they are either denying services or are reducing the hours to practically nil if you get approved and then they are having each person that is providing the services be re-authorized etc. I know the state has a budget problem but I also know there is pork-barrel spending that could be redirected to children, disabled, elderly, poor sectors. Sorry, my soap box for a rainy friday afternoon. Quote Link to comment Share on other sites More sharing options...
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