Current medicaid hrly rate for lpn pvt duty nursing in queens, ny

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    Does anybody know how much can an LPN get for home care as a participating provider in the New York Medicaid Program in the county of Queens? I have been calling Medicaid offices in all five boroughs of NYC and nobody answers the phone, only answering machines ... have left messages but nobody calls me back ... anybody can solve this "mistery"?
    Thank you!

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  2. 64 Comments...

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    i'm a medicaid provider lpn as well. Im in LI and I don't even know how to get a case, let alone the rates. i work through an agency right now and i'm trying to find out how to get cases. My current pt's mom told me that when she receives her statement it tells her that the agency is being paid $60/hour for the hours that I go there!!! The problem is, i don't know if that's the same rate for an independent contractor, ie. us as medicaid providers. I will keep u posted if I get any info.
    livelikegold likes this.
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    I haven't had any luck finding an answer to the question of how much is the rate for LPNs ... in terms of getting patients, I've seen a few families post adds on under medical/health employment requesting nurses, who are independent medicaid providers, for their children. They were for Manhattan and Brooklyn though, I haven't seen any from Long Island. I would suggest asking your patient's mom if she has an agency that manages the child's care, i.e. all her therapysts, re-certification of the case, etc. (this is not the same agency for which you work, but the agency that provides a case manager for the child). My daughter used to have her case managed by Skip of New York, and when I used to have a hard time finding nurses myself, our case manager would provide me with a list of names and numbers of nurses who were independent providers and I would call them and interview them ... so maybe you can register yourself with agencies like that and make yourself available to parents. You can also place an add on criagslist (but now that I remember I saw one just a few days ago, about an LPN from LI available for homecare, maybe it was you?). It's not really easy to have access to this patients information ... Another thing I thought of is to go to the hospitals directly and try to speak to the social worker in charge of organizing the discharge of these critically ill children and make yourself available. I would bring all my credentials, NPI number, Medicaid number, etc, etc. My daughter was at Schneider Children's Hospital and I remember that they would't discharge her because they couldn't find nurses for her ...
    Good luck!

    Maria E.
    OneFlyNurz likes this.
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    thanks for the previous reply! I did see that ad on craigslist too, that wasn't me tho lol. I have been doing research and I got the idea of going to the hospitals this morning so this is something that I'm going to implement by the end of this week.
    As far as the rates go, I found out that it depends on the type of case, and whatever rate medicaid approves varies. My patient's mom told me that the agency I work for gets reimbursed $60/hr for my services, from which I'm only paid $23. As an independent contractor, I was told, u cut out the middle man ie. the agency, and medicaid reimburses you whatever the agency would be paid for the same services rendered. Therefore, i think it is safe to say that there's a good income to be gained from private duty nursing, however there are drawbacks, eg. being responsible for paying your taxes as opposed to having them autmatically withdrawn from your check, and also the fact that it takes quite a while before reimbursements begin! Good luck to everyone and thanx again for the info.
    livelikegold likes this.
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    It is my understanding that Medicaid has a flat rate for private duty nursing in the five boroughs (one for RNs and one for LPNs) regardless of what type of case it is, then again, I might be wrong ... I'm yet to read the manual on how to do the billing ... I assume they must have codes for us to use, etc ... I just applied for another number they provide for electronic billing which is supposed to expedite the whole process ... the application has to be notarized and what's not ... paper work, paper work, paper work! Please share updates on how it turns out for you, would ya? Thank you. Good luck!
    nycrncares likes this.
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    Hello there, LI nurse! I have contact information that may be of interest to you for some private homecare cases. If you are still looking please e-mail me privately at and write HOMECARE IN LI on the subject line, so I'll know it's you. Bye.
    Maria E.
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    Does any body know of any nursing homes, hosptials or agencies that hire gpn's in the new york city area?
  9. 0
    Hi everyone

    How do I become medicaid provider certified? Where can I get the paper work. I'm from Long Island as well
  10. 0
    How do i get certified as a LPN to do medicaid cases in GA?
  11. 0
    I would like to be a medicaid provider also. I start school in a few weeks but I would like to get as much information as I can so I know what to do when I'm done.
    Thanks in advance

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