The HCY Program provides service coordination and authorization for medically necessary in-home services for MO HealthNet recipients with special health care needs from birth to age 21.
Service coordination includes assessment through home visits and links to services and resources that enable individuals to remain safely in their homes with their families. Authorized services may include personal care, nursing care, and skilled-nursing visits.
Eligibility
The participant must:
Be a Missouri resident be birth to age 21Need medically necessary services
Be enrolled in MO HealthNet.
Service Coordination
Special Health Care Needs (SHCN) Public Health Nurse Service Coordinators monitor services through assessments, regular home visits, medical records and care plan review.
Service Coordination includes:
Evaluation and assessment of needs
Identifying and accessing service providers
Service plan development and implementation
Coordination of services through resource identification and referral
Family support
Assisting in establishing a medical home
Transition planning
Prior Authorization of medically necessary services, including:
Private duty nursing
Advanced personal care
Personal care aide
Skilled nursing visits
Authorized Registered Nurse visits