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Medically Intensive Services (DDD)

What the program covers: The Medically Intensive Home Care Program (MIHCP) provides in-home private duty nursing services and medical equipment to children who have medically intensive needs. The Division of Developmental Disabilities and the Medical Assistance Administration jointly administer the program.

Who is eligible: Children may be eligible for this program if:
  • The child is enrolled in the Medicaid program;
  • Home care would be less costly than Medicaid payment in the hospital;
  • Private insurance benefits are exhausted or unavailable for hospital care;
  • Home care services are `medically necessary' as defined by WAC 388-551-3000; and
  • The home care plan is safe for the child.
To be medically eligible for the MIHCP, the child must be age 17 or younger and have complex medical needs (e.g., ventilator dependent, tracheotomy care) that require continuous skilled care, which can be provided safely within the home. Contact your nearest DDD office for an intake appointment.

Income and Resource Limits: The child must be in Medicaid Fee for Service program, without private health insurance.

Program Requirements: The DDD case manager will submit a referral packet, which includes the following information:
  • The child's medical history, diagnosis, current prescribed treatment plan, and code status, as developed by his or her physician;
  • A current nursing care plan, which may include copies of current daily nursing notes describing nursing care activities;
  • An emergency medical plan that includes notification of electric, gas and telephone companies as well as the local fire department;
  • Verification that Medicaid is paying or would pay for the child's hospitalization;
  • A psycho-social history/summary; and
  • A written request from the family for home care.
Other Requirements: None.

How to apply/get services:
DSHS Division of Developmental Disabilities
http://www.dshs.wa.gov/ddd/eligible.shtml

Find a local office:
DSHS Division of Developmental Disabilities
Statewide Contacts: http://www.dshs.wa.gov/ddd/contacts.shtml

 

Modified: July 25, 2006
For more ways to get in touch with the Department of Social and Health Services go to the DSHS Contact Information Web page. Technical Site Comments: DSHS Webmaster