I am working for a home health company for long time and I have been a primary nurse for a case for about 3 years now. My patient was told by someone that once he turns 21 years old medicaid will start to cut his nursing hours. Does anyone know what happens to the hours when a person turns 21. I think he needs 24 hours nursing since he got trach, uses vent at night, and he is quadraplegic. Anything nurses can do to help this patient keep his 24 hours of skilled nursing. I will appreciate your answers.