Specialized Medical Care
 
This service provides long-term nursing support for medically-fragile and technology-dependent beneficiaries. The required level of care must provide medical support for beneficiaries needing ongoing, daily care that would otherwise require the beneficiary to be in a hospital. The intensive medical needs of the beneficiary must be met to ensure that the person can live outside of a hospital or intermediate care facility for persons with mental retardation. 

For the purpose of this waiver, a provider of Specialized Medical Care must be an RN or an LPN under the supervision of an RN, or another designated entity.

Providers of this service must be trained with the medical skills necessary to care for and meet the medical needs of beneficiaries within the scope of the State’s Nurse Practice Act.  The service may be provided in all customary and usual community locations including where the beneficiary resides and socializes.