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Needs Children SPECIAL MEDICAID BENEFITS FOR CHILDREN AND YOUTH I. MR/DD WAIVER WAITING LIST The MR/DD Waiver Program provides services in the home, instead of institutional care, to persons who are mentally retarded or have other developmental disabilities. Each person admitted to the Waiver Program occupies a "slot." Slots are filled on a first-come, first-served basis. Services provided under the MR/DD Waiver are different from those provided to Medicaid recipients who do not have a Waiver slot. Some of the services that are only available through the Waiver are: Respite Services; Substitute Family Care Services; Supervised Independent Living and Habilitation/Supported Employment. There is currently a Waiting List for waiver slots. TO ADD YOUR NAME TO THE WAITING LIST FOR MR/DD WAIVER SERVICES, CALL THIS TOLL-FREE NUMBER: 1-800-660-0488. II. CASE MANAGEMENT BENEFITS FOR CHILDREN AND YOUTH ON THE MR/DD WAIVER WAITING LIST If you are a Medicaid recipient under the age of 21 and have been on the MR/DD Waiver Waiting list at any time since October 20, 1997, you may be eligible to receive case management NOW. YOU NO LONGER NEED TO WAIT FOR THIS SERVICE. A case manager works with you to develop a comprehensive list of all needed services (such as medical care, therapies, personal care services, equipment, social services, and educational services), then assists you in obtaining them. TO ADD YOUR NAME TO THE WAITING LIST FOR MR/DD WAIVER SERVICES, CALL THIS TOLL-FREE NUMBER: 1-800-660-0488. III. BENEFITS AVAILABLE TO ALL CHILDREN AND YOUTH UNDER THE AGE OF 21 THE FOLLOWING SERVICES ARE AVAILABLE NOW. YOU DO NOT NEED TO WAIT FOR A WAIVER SLOT TO OBTAIN THEM. EPSDT/KIDMED EXAMS AND CHECKUPS Medicaid recipients under the age of 21 are eligible for checkups ("EPSDT screens"). These checkups include a health history, physical exam, immunizations, vision and hearing checks, and dental services. They are available both on a regular basis, and whenever additional health treatment or services are needed. TO OBTAIN AN EPSDT SCREEN OR DENTAL SERVICES CALL KIDMED (TOLL FREE) AT 1-877-455-9955 (OR TTY 1-877-544-9544). EPSDT screens may help to find problems which need other health treatment or additional services. Children under 21 are entitled to receive all necessary health care, diagnostic services, and treatment and other measures covered by Medicaid to correct or improve physical or mental conditions. This includes a wide range of services not normally covered by Medicaid for recipients over the age of 21. Some of these additional services are very similar to services provided under the MR/DD Waiver Program. There is no waiting list for these Medicaid services. PERSONAL CARE SERVICES Personal care services are provided by attendants to persons who are unable to care for themselves. These services assist in bathing, dressing, feeding, and other non-medical activities of daily living. PCS services do not include medical tasks such as medication administration, tracheostomy care, feeding tubes or catheters. The Medicaid Home Health program or Extended Home Health program covers those medical services. PCS services must be ordered by a physician. Once ordered by a physician, the PCS service provider must request approval for the service from Medicaid. TO OBTAIN ASSISTANCE IN APPLYING FOR THIS SERVICE AND LOCATING A PCS SERVICE PROVIDER CALL KIDMED (TOLL FREE) AT 1-877-455-9955 (OR TTY 1-877-544-9544. EXTENDED HOME HEALTH SERVICES Children and youth may be eligible to receive Skilled Nursing Services, Aide Visits, and Physical Therapy Services in the home. These can exceed the normal hours of service and types of service available for adults. These services are provided by a Home Health Agency and must be provided in the home. This service must also be ordered by a physician. Once ordered by a physician, the home health agency must request approval for the service from Medicaid. TO OBTAIN ASSISTANCE IN APPLYING FOR THIS SERVICE AND LOCATING A HOME HEALTH SERVICE PROVIDER CALL KIDMED (TOLL FREE) AT 1-877-455-9955 (OR TTY 1-877-544-9544). PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY AND AUDIOLOGY SERVICES If a child or youth wants Rehabilitation Services such as Physical, Occupational, or Speech Therapy, or Audiology Services outside of or in addition to those being provided in the school, these services can be provided by Medicaid at Rehabilitation Centers or hospitals on an outpatient basis or, for physical therapy, in the home under the Home Health program. These services must also be ordered by a physician. Once ordered by a physician, the service provider must request approval for the service from Medicaid. TO OBTAIN ASSISTANCE IN APPLYING FOR THESE SERVICES AND LOCATING A SERVICE PROVIDER CALL KIDMED (TOLL FREE) AT 1-877-455-9955 (OR TTY 1-877-544-9544). SERVICES IN SCHOOLS OR EARLY INTERVENTION CENTERS Children and youth can also obtain Physical, Occupational, and Speech Therapy, Audiology Services, and Psychological Evaluations and Treatment through early intervention centers (for ages 0-2) or through their schools (For ages 3-21). Medicaid covers these services if the services are a part of the IFSP or IEP. These services may also be provided in the home. FOR INFORMATION ON RECEIVING THESE THERAPIES CONTACT YOUR EARLY INTERVENTION CENTER OR SCHOOL OR CALL KIDMED (TOLL FREE) AT 1-877-455-9955 (OR TTY 1-877-544-9544). MEDICAL EQUIPMENT AND SUPPLIES Children and youth can obtain any medically necessary medical supplies, equipment and appliances needed to correct, improve, or assist in dealing with physical or mental conditions. Medical Equipment and Supplies must be ordered by a physician. Once ordered by a physician, the supplier of the equipment or supplies must request approval for them from Medicaid. FOR ASSISTANCE IN APPLYING FOR MEDICAL EQUIPMENT AND SUPPLIES AND LOCATING MEDICAL EQUIPMENT PROVIDERS CALL KIDMED (TOLL FREE) AT 1-877-455-9955 (OR TTY 1-877-544-9544. MENTAL HEALTH REHABILITATION SERVICES. Children or youth with mental illness may receive Mental Health Rehabilitation Services. These services include: clinical and medical management; individual and parent/family intervention; supportive and group counseling; individual and group psychosocial skills training; behavior intervention plan development and service integration. MENTAL HEALTH REHABILITATION SERVICES MUST BE APPROVED BY THE LOCAL OFFICE OF MENTAL HEALTH. FOR ASSISTANCE IN APPLYING FOR MENTAL HEALTH REHABILITATION SERVICES CALL KIDMED (TOLL FREE) AT 1-877-455-9955 (OR TTY 1-877-544-9544). TRANSPORTATION Transportation to and from medical appointments, if needed, is provided by Medicaid. These medical appointments do not have to be with Medicaid providers for the transportation to be covered. Arrangements for non-emergency transportation must be made at least 48 hours before the scheduled appointment. TO ARRANGE MEDICAID TRANSPORTATION CALL KIDMED (TOLL FREE) AT 1-877-455-9955 (OR TTY 1-877-544-9544. OTHER MEDICAID COVERED SERVICES • Ambulatory Care Services, Rural Health Clinics, and Federally Qualified Health Centers • Ambulatory Surgery Services • Certified Family and Pediatric Nurse Practitioner Services • Chiropractic Services • Developmental and Behavioral Clinic Services • Diagnostic Services-laboratory and X-ray • Early Intervention Services • Emergency Ambulance Services • Family Planning Services • Hospital Services-inpatient and outpatient • Nursing Facility Services • Nurse Midwifery Services • Podiatry Services • Prenatal Care Services • Prescription and Pharmacy Services • Health Services • Sexually Transmitted Disease Screening • Substance Abuse Services MEDICAID RECIPIENTS UNDER THE AGE OF 21 ARE ENTITLED TO RECEIVE THE ABOVE SERVICES AND ANY OTHER NECESSARY HEALTH CARE, DIAGNOSTIC SERVICE, TREATMENT AND OTHER MEASURES COVERED BY MEDICAID TO CORRECT OR IMPROVE A PHYSICAL OR MENTAL CONDITION. This may include services not specifically listed above. These services must be ordered by a physician and sent to Medicaid by the provider of the service for approval. If you need a service that is not listed above call KIDMED (TOLL FREE) at 1-877-455-9955 (or TTY 1-877-544-9544). If you do not RECEIVE the help YOU need, ask for the referral assistance coordinator . Privacy Policy I Site Map I Graphic Site I Back to Top © ACS, Inc, 2004. All rights reserved. |