The TA Program serves individuals ages 0 through 21 years who are chronically ill or medically fragile and dependent upon a ventilator or medical device to compensate for the loss of vital bodily function and who require substantial and ongoing daily care by a nurse comparable to the level of care provided in a hospital setting, or other qualified caregiver under the supervision of a nurse, to avert death or further disability; or an individual who is hospitalized or at imminent risk of hospitalization, whose illness or disability, in the absence of home care services, would require admission to a hospital.
The individual must be determined eligible for Medicaid.
In addition to the medical technology dependency criteria, the individual must meet the nursing acuity needs criteria that identifies the level of skilled and unskilled care that is necessary to support the individual with his/her care needs so that he/she may remain in his/her own home.
The nursing acuity takes a holistic look at the individual’s medical needs. The nursing acuity addresses 20 care elements of importance and assigns a point value representing the time it takes to deliver the nursing care tasks identified in each care element. These elements are identified as specific care needs relative to the medical diagnosis and/or medical technology for which the individual is dependent upon to compensate for loss of a vital body function
The individual is determined TA Program eligible if he/she meets all three of the following eligibility components:
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