[newflgrad]

Just curious to see if anyone knows if you are taking care of twins, if you get paid for both patients or only one? I am told that Fla. Medicaid only pays for one child and half for the other to have round the clock nurseing? I am with an agency that is paying the nurses that go there only the rate of pay for one and they claim that even though they each have thier own medicaid number...and they both need round the clock nurseing, not one worse or healthier than the other. They are same disease and everything. I am told that Medicaid is not paying for each child, that since they are twins that Medicaid is paying one full payment to the agency and half a payment to the agency? I am just wondering if they are not paying the nurses fairly that are on the cases since they are takeing care of Two patients? Any similar circumstances for you guys or comments? Thanks in advance

[Ms. RN'02]

Hi I'm in FL also. For twins, Medicaid reimburses for one and a half. At the pediatric home health agency I worked for here as a case manager, the field nurses were paid in the same manner. You may want to check into this situation a little deeper, i.e. the agency's policy regarding pay rates for twins. They may have a policy that states that the nurse only gets paid for one. But they aren't telling the truth regarding what Medicaid reimburses them. HTH!

[DutchgirlRN]

In Tennessee you only get paid for one. If there are triplets you get paid for two.

[newflgrad]

It's just a little fustrateing. I love my job and I enjoy what I do, so in that respect I am very thankful for my job that God has given me. But at the same manner, I don't want to be ignorant to the fact that I am being short changed either. For instance, I know for a fact that one nurse gets paid $20.00 an hour for takeing care of these twins. And when she asked for a raise they told her that's all they get paid by Medicaid (which I told her that is a lie because they have to be pocketing somewhere). But if you have 2 patients that your license is on the line for and you are delivering ALL patient care shouldn't you get paid for both of them? Does anyone know how to find out the Medicaid reimbursement rates for home health on twins for the State of Fla? Thanks for any advice.