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Frequently Asked Questions

What is a PPEC?

PPEC stands for Prescribed Pediatric Extended Care- We are a pediatric extended care center that services children in our center for up to 12 hours a day.

Who qualifies for services?

Any child with a condition or diagnosis that requires skilled nursing care.  Common diagnosis of patients admitted may include: seizure disorders requiring medications, cerebral palsy, genetic disorders, cardiac (heart) disease, respiratory disease, spina bifida, etc.  Or your child could have technological issues that require nursing care such as: trachs, g-tubes, ventilator, cpap, apnea monitor, catheters, wound care, IV/port care, etc.


If your child qualifies for private duty in home nursing care they will qualify for our services as well.  We can be an alternative to nursing care in the home or share nursing care hours with your current private duty nursing. 

How do I get my child enrolled for a PPEC?

Children enrolled must have doctor’s orders called a Plan of Care.  This gives us permission to care for your child.  We can contact your doctor for you to get the needed information.  We will ask you to sign a release of information to enable us to get the information from your child’s doctors.

Which insurance do you take?

We accept Medicaid (primary or secondary) as well as the Managed Care Programs

How long does the admission process take?

Typically, it takes approximately 2 weeks to get the orders from the doctor and get the approval from the insurance company.  We can get a urgent admission which could take approximately 48 hours.

What will you do for my child?

Your child will be assigned a skilled pediatric nurse and a nurse assistant.  The nurse will perform any procedures ordered by you childs’s doctor.  Each child is assessed on arrival and throughout the day with vital signs, weight checks etc.  We will coordinate with the doctors and report any abnormal findings allowing your child to get the medical care they need as soon as possible to help prevent further complications or hospitalizations.

Do you provide transportation?

Yes, we have handicap accessible vans and busses and can pick your child up from home and transport home in the evening.  You may also drop and pick your child up from the center.

What is a typical day like?

When your child arrives in the morning we can provide breakfast if needed and the skilled nurse will begin his/her assessment of the child.  Each child is assigned a room with other patients (up to 5) with a skilled nurse and a nurse assistant.


Children are placed in rooms based on their development level rather than age.  Patients will be given procedures and medications as ordered by the physician.  


We will provide socialization with the other children and provide fun and games that allow your child to work on motor skills while having fun. We will contact you and your doctor of any abnormal findings to make to obtain new orders as needed.

What other services do you provide?

Along with the skilled nursing care, transportation and nursing assistants we also provide Speech Therapy, Occupational Therapy and Physical Therapy.  Other services may include: Respiratory Therapy, Music Therapy, Social Services and Dietician.  This allows your child to get all the services they require in one place.  This allows our parents to be able to return to work or school and not have to make several trips for all the services.

What if my child becomes ill?

On admission we will go over consent forms which include a list of illnesses for which your child cannot come to the center.  This prevents the spread of infection to all the children at the center.  If your child becomes ill while at the center, we will contact you and the doctor and the child will be moved in to our isolation room.  You may have to come pick your child up at that time to take them to the doctor if necessary.

What else do I need to know?

Our main goal is to provide a safe fun environment for your child to grow and flourish with children that have similar complications while receiving the nursing care they require.

If your child is of school age and has an IEP and “homebound” letter the school system can come to our center and provide all the services they were receiving.

Any other questions?  Feel free to call one of our locations and our Directors will assist you further.

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