NY Medicaid Provider LPN, needs answers

U.S.A. New York

Published

Hello everyone,

I stumbled upon this site while researching info on medicaid provider lpn's. I'm an LPN who recently became a medicaid provider, but I have no idea where to go from here. I have 3 years experience in home care, both adult and high-tech pediatric. I currently work through an agency who robs me blind! I have a pediatric patient who has an RN accompany him to school through the board of ed, and she is an independent contractor. I was told by the pt's mom that the RN was working for the same agency I work for and she became an independent contractor and basically swiped the case from them. Eversince then, the agency refuses to find coverage for the patient if he doesn't go to school, because the daytime hours now belong to the RN, as the independent contractor. I would love to have the evening hours as an independent contractor, but that would have to be approved by the parent, and given te situation with the agency right now, she is afraid to give them up and allow me to bill medicaid directly because she thinks the agency will not provide coverage in the event that I can't make it for any of my shifts.

My real question here is to anyone who does this type of work in NY. How do I go about obtaining a private duty case where I can bill medicaid directly as an independent contractor, and not through an agency??

I have a 2 yr old child who will be going to school in september and I want to be able to drop him off and pick him up, instead of having him ride the bus at such a young age. This was the reason why I became a medicaid provider. I figured I wouldn't have to be at work at 7am, like the usual start of a day shift, and I'd be better able to juggle my career and family responsibilities. I just do nt know how to find a case that i can call my own. Anyone with info, please help.

Thanks in advance.

Hey fellow LPN, I am a NYS Medicaid Provider and my suggestion is that you e-mail the contact person or call them to let them know that you are interested in a private duty Medicaid case, leave your phone number so that when a request for prior approval is given, your name would come up and you can be recommended by them to the family. You can also go on Craigslist or do an internet search. Try to stay away from Service Bureaus that give you cases but charge you 10-15% of your weekly pay. I hope this helped you

Hello ladylpnfromthebronx being a NYS Medicaid provider do you have continuous cases or on and off ? Also how can I email the contact person ? I've been checking Craigslist daily but nothing so far

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