Support Governor's Supp Budget rate increase Medically Intensive Children's & Private Duty Nursing

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Jim Lubin

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Jan 30, 2016, 5:49:54 PM1/30/16
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Medically Intensive Children's Program (MICP) & Private Duty Nursing (PDN) Rate Increases Needed


Both of these programs are designed to keep medically fragile children and adults together with their families in a most cost effective way.  The current reimbursement rates for both programs are so low that home health agencies are unable to offer competitive wages to attract and keep RNs and. LPNs. Families across Washington are experiencing unnecessarily long hospital stays and  readmissions simply because they do not

have access to sufficient nursing in the home.


Governor's Supplemental Budget

 

Medically Intensive Care Program $3.1 million GF-S; $3.2 million GF-F

Increases the reimbursement rate by $10 per hour for registered  nurses  and  licensed  practical  nurses working in a home setting for children who require 4 to 16 hours of medically intensive care. Access to this  type  of  skilled  nursing  care  supports  prompt  hospital  discharge   and  lessens  need  for  hospital readmissions. (Excerpt page 11)

 

Private duty  nursing $883,000 GF-S; $884,000 GF-F

Increases the reimbursement rate by $10 per hour for private duty nurses working  in a home setting for adults who require 4 to 16 hours of skilled nursing care. Access to this type of skilled nursing care supports prompt hospital discharge and lessens need for hospital readmissions.  (Excerpt page 11)

 

 

PLEASE 11VOTE" YES!

 

YES to Families

YES to Saving State Dollars

YES to These Rate Increases

By including them in your budget!

Thank you

 

Cost Comparison- Home vs Hospital  - Includes $10 increase

 

In-Home Nursing 4-16 hrs

Hospital  (Bed rate)

SAVINGS

Per Day:

$181.28- $725.12

$5,000- $10,000

$4,818.72- $9,274.88

Per Month:

$5,438.40 - $21,753.60

$155,000- $310,000

$149561.60 - $288,246.40

Per Year:

$65,260.80-$261,043.20

$1,825,000-$3,650,000

$1,759,739.20-$3,330,016.60

Program Descriptions

Medically Intensive Children's Program: A Title XIX program which provides skilled nursing services to children 17 years and younger. These children have complex medical needs which cannot  be managed within the scope of intermittent home health services.  WAC 182-551-3000

Private Duty Nursing Program:  A program of last resort which provides in-home skilled nursing to clients 18 years and older who have complex medical needs requiring skilled nursing care on a continuous and daily basis. This is an alternative  to institutional care. WAC 388-106-1000

Approximately 350 patients are served by these 2 programs in Washington State.

The number may be small but the impact on these families is tremendous  and the cost savings is immense.

 


If you would like more information about these programs please call 1-800-637-9998.

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