Finding Funding: Financial Resources That Really Help

Navigating the financial aspects of pediatric care can be challenging, but there are resources available to help ease the burden. Here’s a guide to finding the financial support you need:

1. Pennsylvania Medicaid Program: Your Financial Safety Net

Paying for in-home nursing care can be daunting, especially if insurance coverage is limited. Fortunately, Pennsylvania’s Medicaid program, known as Medical Assistance, offers a crucial safety net. This program covers pediatric shift nursing care regardless of your income or assets. To ensure continuous coverage, apply for Medicaid as soon as possible, particularly if your current insurance doesn’t cover all necessary care or has limits.

• How to Apply: You can apply online at www.compass.state.pa.us, through your local County Assistance office, or with assistance from hospital social workers.

2. How to Choose an Agency: HealthChoices

Medicaid shift nursing services are managed through the HealthChoices program, which involves health plans or managed care organizations (MCOs). Once your child is enrolled in Medicaid, you’ll need to choose an MCO that operates in your area. Each MCO has a network of agencies and will help coordinate in-home nursing services.

• What to Do: Your MCO representative will be your main contact for all healthcare needs, including appointments, medical equipment, and specialty care.

3. Hitting a Roadblock?

If you encounter difficulties with securing pediatric shift nursing services or navigating Medicaid, seek assistance from the Pennsylvania Health Law Project. This nonprofit provides free legal advice and support.

• Contact: Call the helpline at 1-800-274-3258 for help.

4. Other Financial Resources

Several additional resources can assist with funding and support:

• Department of Education’s Early Intervention Program: Contact the CONNECT Helpline at 1-800-692-7288 for support related to early intervention services.
• School District: Once your child reaches school age, your local school district may offer additional support and resources.
• Nonprofit Foundations: Organizations such as the Muscular Dystrophy Association, United Cerebral Palsy, and The Arc of Pennsylvania provide financial assistance and support for specific conditions.

5. Quick Tip: Check Your Mail

When applying for Medicaid and using Medicaid-funded services, be vigilant about mail from the Department of Human Services. These communications may require action to maintain your child’s coverage and often feature the department’s logo.

By leveraging these resources and staying organized, you can better manage the financial aspects of your child’s care and focus on their well-being.