Payor Sources
Infinium works with a variety of funding sources to ensure that your homecare needs are covered. Options include:
Medicaid
Nursing services may be covered for those individuals who meet the financial and/or medical requirements under NC Medicaid. To receive private duty nursing services in North Carolina, an individual’s attending physician must determine if the individual requires care that can be provided only by a licensed nurse and care that is needed continuously. The amount of private duty nursing services an individual can receive is restricted to that which is medically necessary and has received prior approval from the Division of Medical Assistance’s Private Duty Nursing Team. The Private Duty Nursing Team is responsible for determining whether Medicaid recipients meet the coverage criteria for services and for approving the number of hours of skilled nursing care recipients can receive. In North Carolina, children receive private duty nursing under the state Medicaid plan and nursing respite services under Medicaid’s Community Alternatives Program for Children (CAP/C) waiver. Both programs are tailored to medically fragile children and their families. Adults may also receive private duty nursing services but care is limited to those recipients with complex medical needs whose diagnosis includes neuromuscular diseases, tracheomalacia, and/or respiratory failure.
Commercial Insurance Managed Care Third Party Payors
Infinium works with many state and national commercial payor sources to assist you in receiving nursing services.
Workers' Compensation
Workers' Compensation insurance may provide in-home nursing services to those individuals who have been injured on the job.
Private Pay
This alternative allows for the client and/or family to self-pay for services not otherwise covered by insurance, third party payer source or Medicaid.