Individualized Support
As part of Home and Community Based Waivers, we offer nurse delegation services in an effort to ensure continuity of care. We employ a Register Nurse that is tasked with assigning nursing tasks, and/or taking responsibility of individuals receiving delegated services. These tasks include conducting
assessments when necessary, and consultation with any unlicensed personnel to ensure their ability to complete the delegated task. Accessible also offers this service to other agencies and individuals when
requested.
Home Health Nursing
Medicaid’s State Plan Home Health Nursing can be used to meet intermittent skilled nursing needs. Intermittent means that each visit is four hours or less in duration. If the nursing need exceeds the four-hour limitation of home health nursing, Medicaid’s State Plan Private Duty Nursing may be authorized if medical necessity is established. If the person’s nursing needs cannot be met through State Plan Home Health and/or Private Duty Nursing, and the person is enrolled in the Individual Options Waiver, then waiver nursing could be authorized to meet the nursing needs if medically necessary.
