Get the free Application for Prescribed Pediatric Extended Care License - dhss delaware

APPLICATION FOR PRESCRIBED PEDIATRIC EXTENDED CARE LICENSE FACILITY NAME Print FACILITY ADDRESS ADDRESS 1 CITY STATE ZIP CODE ADMINISTRATOR DIRECTOR OF NURSING R*N* License Date Exp* MEDICAL DIRECTOR M. D. License Exp* Date PHONE NUMBERS FACILITY PHONE NUMBER FACILITY TYPE FACILITY FAX NUMBER PRIVATE NOT FOR PROFIT CURRENT ENROLLMENT PUBLIC PROPRIETARY CAPACITY OTHER PLEASE CHECK ALL THAT APPLY ACCREDITED YES NO IF YES NAME OF ACCREDITING ORGANIZATION AND ACCREDITATION EXPIRATION DATE...

How to fill out application for prescribed pediatric

How to fill out Application for Prescribed Pediatric Extended Care License

1. Obtain the Application for Prescribed Pediatric Extended Care License from the appropriate regulatory authority's website or office.
2. Read the instructions carefully before beginning to ensure you understand the requirements.
3. Complete the application form with accurate information, including the name of the facility, address, and contact details.
4. Provide details about the services you plan to offer under the license.
5. Include information about staff qualifications and experience, ensuring they meet the specified requirements.
6. Attach any necessary supporting documents, such as proof of liability insurance and background checks for staff.
7. Review your application to ensure all information is correct and complete.
8. Submit the application along with any required fees to the regulatory authority.
9. Await confirmation and any follow-up requests for additional information or inspections.

Who needs Application for Prescribed Pediatric Extended Care License?

1. Healthcare facilities intending to provide specialized pediatric care for children with special health care needs.
2. Organizations aiming to operate a Prescribed Pediatric Extended Care facility.
3. Providers looking to offer extended care services tailored to pediatric patients.

People Also Ask about

What is a pediatric extended care center?

Empowering Children Through Specialized Pediatric Extended Care. A safe and nurturing care environment for children with medical complexities and technology dependencies. Our comprehensive team provides clinical interventions, physical, occupational and speech therapies all under one roof.

Does autism qualify for PPEC in Florida?

Children who qualify for PPEC services may be on a ventilator or have Autism as well as Asthma. Ultimately, if they have a medical need that requires specialty care, services, and/or durable medical equipment, they qualify.

What is a pediatric extended care center?

Empowering Children Through Specialized Pediatric Extended Care. A safe and nurturing care environment for children with medical complexities and technology dependencies. Our comprehensive team provides clinical interventions, physical, occupational and speech therapies all under one roof.

What is prescribed pediatric extended care in Florida?

Prescribed Pediatric Extended Care (PPEC) centers allow Medicaid eligible children from birth through age 20 with medically-complex conditions to receive continual medical care in a non-residential setting.

What are PPEC services?

PPEC services provide a structured environment where medically fragile children receive skilled nursing care and therapies. Unlike traditional daycare, PPEC centers are staffed with healthcare professionals trained to handle various medical conditions.

What qualifies a child for PPEC?

Here's the first thing you should know: if your child needs skilled nursing care throughout the day, they likely qualify for medical daycare. These centers, also known as Prescribed Pediatric Extended Care (PPEC), serve children from birth through age 21 who need ongoing medical attention.

What states have PPEC?

There are currently 15 states where PPEC centers are available: Delaware, Florida, Georgia, Iowa, Kentucky, Louisiana, Maryland Maryland, Mississippi, Nebraska, North Carolina, Ohio, Pennsylvania, Texas, Vermont, and Wisconsin.

How do you qualify for PPEC in Florida?

To qualify for PPEC services in Florida, your child must meet several criteria: Age Requirements. Your child must be under 21 years old. Medical Condition Criteria. Your child must have a medically complex condition that requires skilled nursing care or therapy on a regular basis. Medicaid Eligibility. Physician Referral.

For pdfFiller’s FAQs

What is Application for Prescribed Pediatric Extended Care License?

The Application for Prescribed Pediatric Extended Care License is a formal request submitted to the relevant regulatory authority to obtain a license for facilities that provide specialized care to children with medical needs.

Who is required to file Application for Prescribed Pediatric Extended Care License?

Facilities intending to operate as Prescribed Pediatric Extended Care Centers (PPECCs) and provide services to children requiring extended medical care are required to file this application.

How to fill out Application for Prescribed Pediatric Extended Care License?

To fill out the application, one must provide detailed information about the facility, including ownership, staff qualifications, types of services offered, and safety protocols, along with any required documentation as specified by the regulatory authority.

What is the purpose of Application for Prescribed Pediatric Extended Care License?

The purpose of the application is to ensure that facilities meet specific standards of care and safety for children with medical needs before being authorized to operate.

What information must be reported on Application for Prescribed Pediatric Extended Care License?

The application must report information including facility location, ownership details, staff qualifications, types of medical services to be provided, operational policies, and adherence to health and safety regulations.