“Hi-tech Nursing” is medically necessary care for technology dependent individuals living with complex medical needs; exceeding the care provided by skilled nursing visits in frequency, duration, and complexity; outside the scope of practice of a home health aide or personal care attendant; and furnished to an individual in their home as an alternative to a hospital, nursing home or intermediate care facility.
Examples of high tech nursing may include:
- Daily continuous or intermittent mechanical ventilation (via tracheotomy, BiPAP, or CPAP)
- Tracheotomy and/or unstable airway requiring nursing assessment and intervention; a documented illness or disability, which requires ongoing skilled observation, monitoring and judgment to maintain or improve health status of a medically fragile or complex condition.
Examples of care or services not considered “high tech nursing” include:
- custodial care
- respite care
- observational care for emotional and behavioral conditions
- eating disorders or for medical conditions that do not require medically necessary intervention by skilled nursing personnel.
- Use of a medical device alone does not qualify a beneficiary for high tech nursing.