We maintain a network of physicians, dentists, specialists, and professional therapists. However, we encourage families to stay with their chosen medical providers, as needed. In fact, our service network has only grown as new families have chosen our program and brought with them new medical providers that have been able to serve others in our […]
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Home visits are strongly encouraged. In the ICF program, a loved one can visit home for an unlimited number of 3-day visits, as well as one 10-day visit per year, which can be split into two 5-day visits, or a 4 day/6 day split…with another 3-day tagged n to the end of one of those.
When hospitalization is needed, our nursing staff will assist an individual in the admission and discharge process, including providing all of the necessary information necessary at the time of admission, as well as collecting all relevant information at discharge. However, we do not provide assistance to the individual during the stay because the individual is
We maintain on-going communication with key family members identified for every individual we serve. The services we provide to your loved one are driven by the identified key family members. We see or role as providing the care that you decide your loved one needs, and making suggestions along the way, when out input is
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As often as necessary to achieve the anticipated therapeutic outcome. We don’t impose a limit; the course of such treatment should be part of the treatment plan determined by the licensed professional at the onset of treatment, and may be extended at any time during the course of the treatment. We have the same hopes
Generally, we will drive as far as we can without disrupting the schedule for transportation for the vehicle is needed to get the rest of the individuals we are serving to and from day programs and group homes…with enough time to get there be seen by the professional and return in time to get the
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Definitely, however that professional must be able to provide services at a unit (hourly) cost that is within our reimbursement rate for that service. For example, if the maximum we are reimbursed for a specific professional service is $75 per hour, we will not contract with a professional insists on charging us more than that.
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We do maintain a list of professional providers of all services required in both the HCS and ICF programs. If you do not have someone specific from whom you wish for you loved on to receive a particular professional services (e.g., physical therapy), we are happy to take your loved one to any on our
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We are not legally authorized to encourage you to choose one Managed Care Organization over another for the management and authorization of medical services. However, we are happy to relay to you our experience with any particular MCO with regard to medication formularies in relation to your loved ones current medication prescriptions.
A Managed Care Organization is a branch of a major insurance company that is contracted with the state of Texas to manage Medicaid services. Right now, MCO’s only manage physician services, prescription medications, and some specialized equipment, otherwise referred to as acute services. In the future, MCO’s will manage all Medicaid services, including the services
