The mother of the child I care for got a letter from the nursing agency. The letter said that no staff were allowed to take patients to places like parks, movie theaters,libraries,malls etc. The agency said that these types of activities are not covered by medicaid. Medicaid only reimburses services that do not duplicate another provider's service and are medically necessary for the treatment of a specific documented medical disorder, disease or impairment. Therefore, the agency says that the only type of transportation that will be considered for review will be for medically necessary appointments only.
So I quess this means no nurse will be provided to go to school with this child who has a trach? Mom said they also told her that she can only get a nurse when she is at work.
I had thought that the whole purpose of us going into the home was to provide respite for the family so they could take care of their personal business while the nurse took care of their child.
Is this just a Florida medicaid rule or all of the states? Thanks for any insight.