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Last modified
11/19/2021 2:23:05 PM
Creation date
11/19/2021 2:20:26 PM
Metadata
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Template:
Official Documents
Official Document Type
Grant
Approved Date
03/16/2021
Control Number
2021-040Z
Agenda Item Number
8.M.
Entity Name
Sunshine Physical Therapy Clinic
Subject
Indian River County Grant Contract for Sunshine Kids Support Fund
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EXHIBIT A <br />CHILDREN'S SERVICES ADVISORY COMMITTEE <br />2021-22 GRANT APPLICATION <br />Agency Name: <br />Sunshine Rehabilitation Center of Indian River County, Inc dba <br />Sunshine Physical Therapy Clinic <br />Address: <br />1705 17th Avenue, Vero Beach, FL, 32960, US <br />Executive Director: <br />Mary Silva <br />Email: <br />executivedirector@sunshineptc.org <br />Phone: <br />(772) 562-6877 <br />Program Director: <br />Mary Silva <br />Email: <br />executivedirector@sunshineptc.org <br />Phone: <br />(772) 562-6877 <br />Program(s) Name: <br />Sunshine Kids Support Fund — Early Therapy Intervention <br />Focus Area(s): <br />Early Childhood Development <br />PROGRAM DESCRIPTION: <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 />The projected number of unduplicated children to be served is one hundred fifty (150). <br />
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