FAQ

This page was designed to answer some of the questions most often asked about Certified Nurse Aides and Therapy services and the tools that are used by Nursing and Therapy Services staff to determine eligibility.

How do I know if my child qualifies for CNA services?

CNA services are based on age specific needs of the client. CNAs complete/assist with ADLS (activities of daily living). These include bathing, dressing, toileting, feeding, etc.

Will my insurance cover CNA and therapy services?

CNA services are only covered by Medicaid. Private insurance and/or Medicaid will cover therapy services. The type and number of therapy visits covered depends on the individual insurance plan.

How are CNA hours determined for my child?

A Registered Nurse (RN) comes to your home and completes an assessment using the Pediatric Acuity Tool. This tool is an objective assessment of your child’s needs. The points earned on this tool are then converted to hours. This tool plus other documents are then submitted to HCPF (Medicaid). They review all paperwork and give the final approval of hours.

What is the pediatric acuity tool?

This is an assessment document that is required by the state. It must be completed on all clients who qualify for CNA hours. It is completed by your agency and the parent. It is an objective tool and upon completion the client receives a point total. This point total is then converted to hours using a table supplied by the state.

What is a PAR?

A PAR is a prior authorization request for services that can be a benefit of Medicaid if the client qualifies.

How long is a PAR good for?

A PAR is good for up to 1 year.

If I change agencies do I get a new PAR?

Yes, when you change agencies, the new agency will submit a new PAR request.

If I go to another agency can I get more CNA hours?

No. All agencies are required to use the same Pediatric Acuity tool. It is an objective tool and the answers should be the same resulting in the same point total.

How do I know if my child qualifies for CNA services?

CNA services are based on age specific needs of the client. CNAs complete/assist with ADLS (activities of daily living). These include bathing, dressing, toileting, feeding, etc.

Will my insurance cover CNA and therapy services?

CNA services are only covered by Medicaid. Private insurance and/or Medicaid will cover therapy services. The type and number of therapy visits covered depends on the individual insurance plan.

How are CNA hours determined for my child?

A Registered Nurse (RN) comes to your home and completes an assessment using the Pediatric Acuity Tool. This tool is an objective assessment of your child’s needs. The points earned on this tool are then converted to hours. This tool plus other documents are then submitted to HCPF (Medicaid). They review all paperwork and give the final approval of hours.

What is the pediatric acuity tool?

This is an assessment document that is required by the state. It must be completed on all clients who qualify for CNA hours. It is completed by your agency and the parent. It is an objective tool and upon completion the client receives a point total. This point total is then converted to hours using a table supplied by the state.

What is a PAR?

A PAR is a prior authorization request for services that can be a benefit of Medicaid if the client qualifies.

How long is a PAR good for?

A PAR is good for up to 1 year.

If I change agencies do I get a new PAR?

Yes, when you change agencies, the new agency will submit a new PAR request.

If I go to another agency can I get more CNA hours?

No. All agencies are required to use the same Pediatric Acuity tool. It is an objective tool and the answers should be the same resulting in the same point total.