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Children's Services Advisory Committee <br />2020-21 Grant Application <br />Agency Name: <br />Address: <br />Executive Director: <br />Email: <br />Phone: <br />Fax: <br />Program Director: <br />Email: <br />Phone: <br />Program(s) Name: <br />Focus Area(s): <br />Program Description: <br />EXHIBIT A <br />Sunshine Rehabilitation Center of Indian River County, Inc dba <br />Sunshine Physical Therapy Clinic <br />1705 17th Avenue, Vero Beach, FL, 32960, US <br />Lynne House <br />sunshinept@bellsouth.net <br />(772) 562-6877 <br />(772) 562-3153 <br />Lynne House <br />sunshinept@bellshouth.net <br />(772) 562-6877 <br />Sunshine Kids Support Fund — Early Therapy Intervention <br />Early Childhood Development <br />Many children lack access to providers due to Medicaid Managed Care, which in some cases restricts <br />access to providers in addition to restricting the number of visits allowed and the reimbursement per <br />visit. Additionally, the Medicaid Managed Care plans themselves place limitations on therapy services <br />by providers, affecting the ability of providers to treat these children at the frequency and intensity <br />required to help them reach their goals. Private insurance plans may cover services, but high <br />deductibles or co -payments place significant financial burdens on parents or guardians, and limit <br />participation in the needed therapy. Early intervention in therapy for those children with delayed <br />milestones has been proven to be effective in the development and integration of skills necessary for <br />normal development. <br />The need for Support Fund coverage is increasing, due to limitations in Medicaid Managed Care <br />(MMC) coverage for services. Three of the MMC plans in this district reimburse on a case rate basis, <br />arbitrarily determined by the plan. In many cases, this limits the number of covered visits to less than <br />1 per week, which is not frequent enough to achieve the therapeutic benefit determined by the <br />Physician and evaluating therapist necessary to reach critical developmental milestones. <br />The Sunshine Kids Support Fund has been created to offset the cost of providing these services, <br />covering staff salaries and Clinic overhead, allowing these children to access care needed to reach <br />developmental milestones. <br />