Name of the Procedure:

Specialized Childcare, Waiver; Per 15 Minutes
Common names: Specialized Childcare
Technical/Medical term: T2027

Summary

Specialized Childcare provides skilled care for children with special needs or medical complexities. The service is billed per 15-minute increments and ensures that trained personnel manage the child's healthcare and daily activities.

Purpose

Specialized Childcare supports families by providing professional care for children who have medical or developmental needs. The goal is to ensure the child's health and well-being while offering respite to caregivers and enabling participation in daily activities and social interactions.

Indications

• Children with chronic medical conditions, such as cerebral palsy, epilepsy, or severe asthma.
• Developmental disabilities that require specialized attention.
• Conditions that need continuous monitoring or specialized interventions, such as tube feeding or respiratory support.
• Families needing respite care.

Preparation

• Inform the caregiver or healthcare provider about the child's medical history and specific needs.
• Ensure that all necessary medical records and treatment plans are up-to-date.
• Provide any specialized equipment or medications that the child requires.

Procedure Description

1. Assessment: The child's needs are assessed to create a tailored care plan.
2. Care Implementation: Trained personnel provide medical and daily living support.
3. Monitoring: Ongoing observation and adjustment of care based on the child's condition.

4. Engagement: Activities designed to stimulate the child emotionally, mentally, and physically.

   Tools and equipment may include: medical devices (e.g., oxygen tanks), feeding tubes, medications, and mobility aids.
   No anesthesia or sedation is necessary for this service.

Duration

Varies based on the child's needs and the caregiver's request. Billed in 15-minute increments.

Setting

The care can be provided in various settings, including the child's home, specialized daycare centers, or medical facilities.

Personnel

• Specialized childcare providers
• Nurses and trained caregivers
• Occasionally, physical or occupational therapists, depending on the child's needs

Risks and Complications

• Minimal risks, mostly involving potential allergic reactions to medications or issues with medical equipment.
• Proper training of personnel minimizes the risk of complications.

Benefits

• Personalized care tuned to the child's medical and developmental needs.
• Respite for families and caregivers.
• Improved overall quality of life for the child and family.
• Early intervention and continuous care can optimize developmental outcomes.

Recovery

No recovery time as it is continuous care. Instructions are usually ongoing and involve daily routines and special needs management.

Alternatives

• Family-provided care with or without external support.
• Standard childcare centers, which may not meet specific medical needs.
• Institutional care facilities. Pros and cons:
• Family-provided care: More personalized but can be stressful and demanding.
• Standard childcare centers: Less specialized care, may not be equipped for medical needs.
• Institutional care: Comprehensive medical care but less personalized attention.

Patient Experience

Children might experience comfort and safety with consistent specialized care. They will benefit from activities and professional attention to their physical and mental wellness. Effective pain management and comfort measures ensure an improved quality of life.