010.04(B) FREQUENT AND COMPLEX MEDICAL CARE.

A child must need frequent and complex skilled medical interventions that require the use of medical equipment to prevent life-threatening situations. Tasks which are provided only when necessary and are not continuously required do not meet the criteria for frequent and complex medical care. SiteCare is not considered skilled medical task for the purpose of these requirements. The child’s health status must require both of the following: (i) Provision of skilled medical assessment and interventions multiple times every 24-hour period; and (ii) At least one of the following complex skilled medical interventions: (a) Tracheostomy care requiring regular bronchial tree suctioning; (b) Tracheostomy care with a dependency on a ventilator, for which the average use must be equal to or greater than 10 hours per day; (c) Intravenous (IV) therapy involving central lines, including peripherally inserted central catheters (PICCs), for daily fluids or parenteral nutrition, for which the average use must be equal to or greater than ten hours per day; or (d) Oxygen use that includes only skilled tasks requiring daily continuous oxygen, daily continuous assessments with titrations according to oxygen saturation levels, and daily bronchial tree suctioning.