Learn what the CMS Plan transition to Molina Healthcare means for Florida families and how Atlantic Care Services is supporting continuity of care.
As of October 1, 2026, Molina Healthcare of Florida has taken over administration of Florida’s Children’s Medical Services (CMS) Plan. For families who rely on the CMS Plan to access medical care for children with complex healthcare needs, it’s important to understand what has changed and what remains the same.
The good news is that the CMS Plan transition to Molina Healthcare does not change covered benefits and services during the transition, according to Florida’s Agency for Health Care Administration (AHCA).
Atlantic Care Services is also contracted and in-network with Molina Healthcare, allowing our team to continue supporting families enrolled in the CMS Plan.
What Changed With the CMS Plan on October 1, 2026?
The Children’s Medical Services Plan provides healthcare coverage for eligible children and young adults with special healthcare needs.
Sunshine Health previously administered the CMS Plan, but it transitioned to Molina Healthcare of Florida on October 1, 2026, as part of Florida’s statewide Medicaid managed care program.
The change affects which health plan administers CMS coverage, but it does not mean families must start over with their child’s care.
According to AHCA, existing CMS Plan members were automatically transitioned to Molina Healthcare without needing to submit a new application.
Will CMS Benefits and Services Change Under Molina Healthcare?
One of the biggest concerns families may have about the CMS-Molina transition is whether their child’s existing healthcare services will be affected.
The Florida Agency for Health Care Administration has provided several important assurances to help families understand what to expect:
Covered benefits and services: Existing CMS Plan benefits and covered services remain the same during the transition.
Scheduled appointments: We will honor previously scheduled appointments.
Prescriptions: We will continue to honor existing prescriptions.
Prior authorizations: Molina will honor existing prior authorizations to help maintain continuity of care.
Enrollment: Current CMS Plan members were automatically transitioned to Molina without submitting a new application.
Families should continue following their child’s established care plan and communicate with their healthcare providers about any questions or changes.
Can Families Continue Receiving Care From Atlantic Care Services?
Yes. Atlantic Care Services is contracted and in-network with Molina Healthcare of Florida.
Our team has been actively preparing for the CMS Plan transition and working with Molina and the appropriate state representatives to help minimize disruptions for the children and families we serve.
Atlantic Care Services remains available as an in-network provider for families transitioning to the Molina CMS Plan.
Because each child’s medical needs and coverage arrangements differ, families with questions about specific services, authorizations, or care arrangements should contact our team for assistance.
Our priority is to help families navigate the transition while supporting continuity of care at home.
What Should Families and Caregivers Do After the CMS Molina Transition?
Although CMS Plan members transitioned automatically, families and caregivers can take a few practical steps to stay informed.
For Families
Review any letters, insurance information, or notices received from Molina Healthcare. Keep updated insurance cards and plan information accessible, and contact your healthcare provider with any questions about your child’s care.
For Caregivers
Caregivers working with Atlantic Care Services should continue providing care and follow established procedures unless our team provides specific instructions.
Atlantic Care Services will communicate directly with caregivers if we need updates or additional actions.
For Case Managers
Case managers coordinating care for children transitioning to Molina can contact Atlantic Care Services with questions about our in-network status or ongoing care coordination.
Our team is available to help with questions about the transition and the services we provide.
Frequently Asked Questions About the CMS Plan Transition to Molina Healthcare
Do families need to reapply for the CMS Plan?
No. AHCA confirmed that existing CMS Plan members were automatically transitioned to Molina Healthcare on October 1, 2026. A new application was not required.
Will my child’s existing care authorizations still be valid?
According to AHCA, Molina Healthcare will honor existing prior authorizations during the transition. Families with questions about individual authorizations should contact Molina or their healthcare provider.
Who should families contact with questions about Molina CMS coverage?
Families can contact Molina CMS Plan Member Services at (800) 262-0750 (TTY: 711), Monday through Friday, from 8:00 AM to 7:00 PM local time.
For questions about care provided by Atlantic Care Services, families can also contact our team.
Atlantic Care Services Is Here to Support Your Family
Changes to healthcare coverage can feel overwhelming, especially when your child depends on consistent medical care.
Atlantic Care Services is committed to helping families navigate the CMS Plan transition to Molina Healthcare and supporting continuity of care for children with complex medical needs.
Does Medicaid pay for caregivers in the home? Learn how Florida Medicaid may cover in-home care, private duty nursing, and family caregiver services.
If you or your child needs ongoing support, you may be wondering whether Medicaid will pay for a caregiver to provide care at home. In Florida, Medicaid may cover certain types of in-home care for eligible recipients.
Covered services may include medically necessary home health aide services, personal care services, and skilled nursing care. Florida also has a program that allows certain family members and guardians of medically fragile children to train and be employed to provide approved care at home.
Exactly what Medicaid covers depends on factors such as the recipient’s age, medical needs, physician’s orders, and the type of assistance required. Understanding the different types of Medicaid-covered home care can help families determine which services may fit their situation.
Does Medicaid Cover In-Home Caregivers in Florida?
Yes, Florida Medicaid may cover medically necessary care provided in the home for eligible recipients.
Depending on the individual’s needs and eligibility, Medicaid-covered home care may include:
The word “caregiver” can also mean different things. Some people need assistance with activities of daily living, while others have complex medical conditions that require care from a licensed nurse. Florida Medicaid distinguishes between these levels of care when determining appropriate services.
What Types of In-Home Care Does Florida Medicaid Cover?
Florida Medicaid provides several types of home health services. Understanding the differences matters when deciding whether someone needs personal assistance or skilled medical care.
Home Health Aide and Personal Care Services
Home health aides and personal care providers may assist eligible Medicaid recipients with everyday needs such as bathing, dressing, eating, transferring, toileting, personal hygiene, and other approved activities of daily living.
These services are different from skilled nursing care. A caregiver or aide cannot perform every medical task that a registered nurse (RN) or licensed practical nurse (LPN) is qualified to provide.
Private Duty Nursing
For children and young adults with complex medical needs, Florida Medicaid may cover private duty nursing (PDN), which provides medically necessary skilled nursing services in the home or community for eligible Medicaid recipients under age 21. PDN is intended for patients who need more extensive and continuous skilled care than can be provided through intermittent home health visits.
Depending on the patient’s plan of care, a private duty nurse may provide services such as:
Medication administration
Tracheostomy care
Ventilator and respiratory support
Feeding tube care
Seizure monitoring
Ongoing assessments
Other skilled nursing services ordered as part of the patient’s care plan
Receiving skilled care at home can allow medically complex children to remain in a familiar environment while still receiving the level of nursing support they need.
Can Medicaid Pay a Family Member to Be a Caregiver?
The program does not simply provide a Medicaid payment to a family member for caregiving they are already doing. The child and caregiver must meet specific program requirements, and the caregiver must complete required training and become employed by a participating home health agency.
For FHHA services, the child must:
Be under age 21
Be enrolled in Florida Medicaid
Meet the requirements for private duty nursing services
Have FHHA services included in the plan of care
An eligible family member can then complete the required training and provide authorized care through a participating home health agency.
FHHA services are designed to work in conjunction with private duty nursing. A trained family home health aide can provide authorized care for their medically fragile child based on the child’s plan of care, while the home health agency provides nursing oversight and coordinates FHHA services with any private duty nursing the child receives.
The number of FHHA hours a family caregiver may provide depends on the child’s authorized services and individual plan of care.
Frequently Asked Questions About Medicaid Home Care in Florida
Does income from the Family Home Health Aide Program affect Medicaid eligibility?
Income earned through the FHHA Program may be excluded when determining Medicaid eligibility under Florida guidelines. Families should report the income appropriately and contact the Florida Department of Children and Families (DCF) to ensure it is handled correctly during the Medicaid eligibility determination process.
How do you get Medicaid-covered care at home in Florida?
The process generally starts with confirming Medicaid eligibility and determining the type of care needed. Depending on the service, you may need a physician’s order, a plan of care, medical documentation, an assessment, or prior authorization. A qualified home health provider can help families understand the requirements and coordinate authorized care.
Can a child receive both private duty nursing and Family Home Health Aide services?
Yes, eligible medically fragile children may receive both PDN and FHHA services as part of their care plan. Private duty nurses provide skilled nursing care that requires an RN or LPN, while a trained family home health aide provides approved services during separately authorized hours. FHHA services work alongside PDN and cannot duplicate authorized nursing hours.
Get Help With Florida Medicaid Home Care
Asking, “Does Medicaid pay for caregivers in the home?” Atlantic Care Services helps Florida families access private duty nursing and Family Home Health Aide services for medically complex children. Contact our team to learn more about available services and the next steps for getting care at home.
Learn how to apply for CHAMPVA, what you need to complete your CHAMPVA application, and how eligible families can access covered healthcare services.
If you’re wondering how to apply for CHAMPVA, the Department of Veterans Affairs (VA) currently allows eligible family members to apply online, by mail, or by fax. Before applying, you’ll need to confirm your eligibility, gather information about yourself and your Veteran sponsor, and prepare any supporting documents that apply to your situation.
Once enrolled, CHAMPVA can help eligible families access covered healthcare services. For families with complex medical needs, those services may include medically necessary skilled nursing care provided in the home.
Who Can Apply for CHAMPVA?
CHAMPVA provides healthcare benefits to certain spouses, surviving spouses, and dependent children of qualifying Veterans. Eligibility generally depends on the Veteran’s service-connected disability status or other qualifying circumstances.
Individuals who are eligible for TRICARE generally cannot receive CHAMPVA benefits. The Department of Defense (DoD) administers TRICARE for eligible service members, retirees, and their families, while the VA administers CHAMPVA for eligible family members of certain Veterans.
If you’re unsure whether your family meets the requirements, learning who is eligible for CHAMPVA is a good first step before applying.
How to Apply for CHAMPVA
The CHAMPVA application process involves confirming your eligibility, gathering the required information and documentation, completing your application, and submitting it to the VA.
Confirm Your CHAMPVA Eligibility
Before applying for CHAMPVA, make sure you meet the VA’s eligibility requirements. Your eligibility depends on the qualifying Veteran or service member, sometimes referred to as your sponsor.
The VA makes the final determination regarding CHAMPVA eligibility, so families should verify their eligibility directly with the VA before applying.
Gather Your Information and Documents
Before starting your CHAMPVA application, gather personal information for yourself, anyone you’re applying for, and the Veteran or service member who is your sponsor.
Depending on your circumstances, the VA may also require or recommend supporting documents such as:
Health insurance or Medicare cards
Proof of Medicare ineligibility for certain applicants age 65 or older
Marriage or civil union documentation
Birth certificates for dependent children
Adoption documents
Proof of school enrollment for certain dependent children ages 18 to 23
Applicants with other health insurance or Medicare may also need to provide information through the CHAMPVA Other Health Insurance Certification, VA Form 10-7959c.
Having the appropriate documentation ready can help make the application process easier and reduce the chance of delays caused by missing information.
Complete Your CHAMPVA Application
You can apply for CHAMPVA online through the VA. The VA estimates that the online application takes about 25 minutes to complete.
Families who prefer a paper application can complete VA Form 10-10d, Application for CHAMPVA Benefits.
The application requests information about the Veteran sponsor and each person applying for CHAMPVA. Make sure the information you provide is complete and accurate before submitting your application.
Submit Your Application
You can currently submit CHAMPVA applications online, by mail, or by fax.
When applying online, you can provide required supporting documentation as part of the application process. If applying by mail or fax, follow the current submission instructions provided with VA Form 10-10d.
Because forms, addresses, and submission instructions can change, always use the most current information available directly from the Department of Veterans Affairs when submitting your application.
Wait for the VA to Process Your Application
After submitting your application, you generally don’t need to take additional action unless the VA contacts you requesting more information.
If additional documentation is needed, provide it as soon as possible. If you need to update information on an existing application, such as your health insurance, personal information, or school status, the VA advises updating your existing application rather than submitting a new one.
If your CHAMPVA application is approved, the VA will mail you a welcome letter and CHAMPVA identification card. From there, you can begin using your benefits for eligible healthcare services and supplies.
Remember that being enrolled in CHAMPVA does not automatically mean every healthcare service will be covered. Coverage depends on the service, medical necessity, applicable CHAMPVA requirements, and your individual circumstances.
Families should review their benefits and coverage requirements before beginning a new healthcare service.
How Do You Get Private Duty Nursing Through CHAMPVA?
For eligible patients with complex medical needs, CHAMPVA may cover medically necessary skilled nursing care provided in the home. This can include one-on-one private duty nursing for patients who require ongoing medical supervision and support.
Qualifying patients may require care such as:
Ventilator and respiratory support
Tracheostomy care
G-tube feeding and nutritional support
Seizure monitoring
Medication administration and monitoring
Continuous skilled nursing care
Receiving CHAMPVA benefits and obtaining coverage for private duty nursing are separate parts of the process. Skilled nursing care must meet applicable coverage requirements and be supported by appropriate medical documentation.
Atlantic Care Services works with eligible CHAMPVA families to help coordinate in-home skilled nursing care and navigate the documentation needed to support medically necessary services.
Get Help With CHAMPVA In-Home Nursing Services
Atlantic Care Services does not determine CHAMPVA eligibility or approve CHAMPVA applications. The Department of Veterans Affairs makes those decisions.
Once you’re enrolled, however, our team can help you navigate the next steps if you or your loved one needs medically necessary in-home skilled nursing care. We work with families to coordinate care and help ensure the necessary clinical documentation is in place.
Contact us today to learn more about CHAMPVA private duty nursing and how our team can support your family’s in-home care needs.
Learn who is eligible for CHAMPVA and how qualified families may access in-home skilled nursing benefits through Atlantic Care Services.
Who is eligible for CHAMPVA? The program is designed for certain spouses, surviving spouses, and children of veterans who meet specific eligibility requirements established by the Department of Veterans Affairs (VA). Eligibility is based on the veteran’s service-connected disability status or other qualifying circumstances, and applicants must meet all VA requirements before receiving benefits.
For eligible families, CHAMPVA may help cover medically necessary healthcare services, including private duty nursing when supported by physician documentation and medical necessity. Understanding the eligibility requirements is the first step toward accessing these valuable benefits.
The Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) is a healthcare benefits program that provides coverage for eligible dependents of certain veterans. Unlike healthcare provided directly through the VA, CHAMPVA helps cover the cost of medical services received from approved healthcare providers.
CHAMPVA is available to qualifying family members of veterans who meet specific VA eligibility requirements. In many cases, eligible beneficiaries include spouses and children of veterans who have permanent and total service-connected disabilities or who meet other qualifying criteria established by the VA.
Spouses of Eligible Veterans
A spouse may qualify for CHAMPVA if the VA has determined the veteran to have a permanent and total service-connected disability.
Surviving Spouses
Some surviving spouses may remain eligible for CHAMPVA benefits if the veteran died as a result of a service-connected disability or met other qualifying conditions established by the VA.
Children of Eligible Veterans
Dependent children may qualify for CHAMPVA benefits if they meet the program’s eligibility requirements. Coverage generally continues until age 18, or up to age 23 if the child is enrolled full-time in an approved educational institution. Additional eligibility rules may apply in certain situations.
Because eligibility requirements can change based on individual circumstances, families should always verify their status through the Department of Veterans Affairs.
CHAMPVA Eligibility Requirements
While every situation is unique, CHAMPVA eligibility requirements generally include:
Being the spouse, surviving spouse, or dependent child of a qualifying veteran.
Meeting the VA’s eligibility guidelines for CHAMPVA.
Completing the required enrollment process and submitting supporting documentation.
The VA reviews each application individually to determine eligibility. Families should be prepared to provide documents that verify both the veteran’s status and the dependent’s relationship to the veteran.
Who Is Not Eligible for CHAMPVA?
Not everyone connected to a veteran automatically qualifies for CHAMPVA benefits. For example, individuals who are eligible for TRICARE generally cannot receive CHAMPVA benefits because TRICARE is a Department of Defense healthcare program for active duty service members, military retirees, and their eligible family members, while CHAMPVA is a Department of Veterans Affairs healthcare program for eligible spouses and dependent children of certain veterans.
Eligibility may also be affected if required documentation is incomplete or if VA requirements are not met. When questions arise, it’s best to contact the VA or work with a knowledgeable healthcare provider familiar with the CHAMPVA process.
Can Eligible Families Use CHAMPVA for Private Duty Nursing?
For families whose loved one requires ongoing medical care at home, CHAMPVA may help cover medically necessary private duty nursing services when supported by physician orders and clinical documentation.
Coverage decisions are based on medical necessity and individual circumstances. Patients who require services such as ventilator care, tracheostomy care, seizure monitoring, G-tube support, or continuous skilled nursing may qualify if all coverage requirements are met.
How Atlantic Care Services Helps Families
Understanding who qualifies for CHAMPVA is only one part of the process. Our CHAMPVA services are designed to help eligible families navigate physician documentation, coordinate care, and understand the requirements for beginning in-home skilled nursing services.
Our experienced team works closely with physicians, patients, and caregivers to help ensure the necessary documentation is in place so care can begin as smoothly as possible.
Whether you’re just starting to explore CHAMPVA benefits or preparing to begin private duty nursing services, we’re here to help guide you through each step.
Frequently Asked Questions
Does being a veteran make you eligible for CHAMPVA?
No. CHAMPVA is generally intended for eligible spouses, surviving spouses, and dependent children of qualifying veterans rather than the veterans themselves.
Who can get CHAMPVA benefits?
Individuals who may qualify include certain spouses, surviving spouses, and dependent children of veterans who meet the VA’s eligibility requirements.
Can adult children qualify for CHAMPVA?
In some cases. Dependent children are generally covered until age 18, or up to age 23 if they are enrolled full-time in an approved educational institution and continue to meet eligibility requirements.
Is CHAMPVA the same as TRICARE?
No. CHAMPVA and TRICARE are separate healthcare programs administered by different federal agencies. Individuals who are eligible for TRICARE are generally not eligible for CHAMPVA.
Can CHAMPVA cover private duty nursing?
Yes. CHAMPVA may cover medically necessary private duty nursing services when physician orders, clinical documentation, and medical necessity requirements are met.
Learn More About CHAMPVA Eligibility
Determining CHAMPVA eligibility can feel overwhelming, especially when you’re also coordinating care for a loved one with complex medical needs. Atlantic Care Services helps families throughout the Greater Houston area understand the documentation process and coordinate medically necessary in-home skilled nursing services for eligible CHAMPVA beneficiaries.
Contact us today to learn more about CHAMPVA-covered private duty nursing and how our team can help you navigate the next steps.
Learn about CHAMPVA insurance, who qualifies, what CHAMPVA insurance covers, and how eligible families in the Houston area can access these services.
Navigating healthcare coverage for a child with complex medical needs can feel overwhelming. For eligible dependents of qualifying veterans, CHAMPVA insurance may help provide access to important healthcare services, including skilled nursing care delivered in the home.
Understanding what CHAMPVA insurance is, who qualifies, and what services may be covered can help families make more informed decisions about their loved one’s care.
For many families, CHAMPVA serves as an important resource that may help cover medically necessary healthcare services and reduce out-of-pocket medical costs.
Who Qualifies for CHAMPVA Insurance?
The Department of Veterans Affairs determines eligibility for CHAMPVA.
In general, CHAMPVA may be available to spouses and children of veterans who meet certain criteria, including:
Permanent and total service-connected disability
Death resulting from a service-connected condition
Certain survivor eligibility classifications, depending on VA determination
Because eligibility requirements can vary, families should confirm their eligibility directly with CHAMPVA before beginning services or care planning.
Understanding eligibility is often the first step for families managing ongoing or complex medical needs at home.
What Does CHAMPVA Insurance Cover?
One of the most common questions families ask is: What does CHAMPVA insurance cover?
Coverage varies based on medical necessity and clinical documentation, but CHAMPVA may help cover a wide range of healthcare services, including:
Coverage decisions are based on physician involvement, documentation, and demonstrated clinical need.
Can CHAMPVA Cover Private Duty Nursing?
In some cases, yes. CHAMPVA may help cover private duty nursing when a patient requires ongoing, one-on-one skilled nursing care in the home due to complex medical needs.
Private duty nursing is often used for children who require continuous monitoring and advanced clinical support outside of a hospital setting.
Conditions and care needs that may qualify include:
Tracheostomy care and airway management
Ventilator support and respiratory monitoring
G-tube feeding and nutritional support
Seizure monitoring and neurological care
Continuous skilled nursing observation
Coverage is always based on physician orders and documentation of medical necessity.
Why Families Choose In-Home Skilled Nursing Care
For many families, in-home skilled nursing care provides a safer and more supportive alternative to extended hospital stays or facility-based care.
Benefits may include:
One-on-one skilled nursing support tailored to the child’s needs
Greater comfort in a familiar home environment
Consistent caregivers and continuity of care
Reduced disruption to daily family routines
Ongoing caregiver education and clinical support
Home-based care allows children with complex medical needs to remain with their families while still receiving professional medical oversight.
Accessing CHAMPVA Services in Houston and the Gulf Coast
Atlantic Care Services specializes in pediatric private duty nursing for children with complex medical needs and supports families navigating CHAMPVA-related in-home care coordination.
In addition to providing skilled nursing services, we work closely with families, physicians, and care coordinators to help navigate CHAMPVA requirements and coordinate care at home. This process may include:
Confirming CHAMPVA eligibility
Obtaining physician orders and clinical documentation
Developing a plan of care
Coordinating skilled nursing services in the home
Service availability may vary based on individual clinical needs and care requirements.
FAQ About CHAMPVA Insurance
How do families get CHAMPVA benefits started?
CHAMPVA coverage begins only after eligibility is approved through the Department of Veterans Affairs. Families typically need to complete enrollment paperwork and receive confirmation before any claims or services can be processed. After approval, CHAMPVA functions as a secondary payer for covered healthcare services.
Do families need prior authorization for private duty nursing under CHAMPVA?
In most cases, yes. Private duty nursing typically requires physician orders, clinical documentation, and confirmation of medical necessity. The approval process may also involve coordination between the prescribing provider and the care agency to ensure documentation aligns with CHAMPVA requirements.
Does CHAMPVA cover 100% of in-home nursing costs?
Not always. CHAMPVA may cover eligible services, but reimbursement depends on plan rules, allowable charges, and coordination with other insurance if applicable. Some families may still have partial out-of-pocket costs depending on the service structure and billing setup.
What makes a child eligible for private duty nursing coverage?
Coverage is generally tied to medical complexity and the need for continuous skilled nursing care. Common qualifying conditions include ventilator dependence, tracheostomy care, feeding tube support, seizure disorders, or other conditions requiring ongoing clinical monitoring at home.
Can CHAMPVA be used alongside other insurance?
Yes. CHAMPVA often functions as a secondary payer when other health insurance is present. Coordination of benefits is required so claims are processed in the correct order, and reimbursement is maximized appropriately.
What documentation is most important for approval of services?
Physician orders and a detailed Plan of Care are typically essential. Supporting clinical records that demonstrate ongoing skilled nursing needs are also important. The more specific and consistent the documentation, the smoother the approval and authorization process tends to be.
How long does it take to begin services after CHAMPVA approval?
Timelines vary depending on eligibility confirmation, documentation completion, and nurse availability. Once all approvals are in place, services can begin relatively quickly, but delays often come from documentation gaps rather than the insurance program itself.
Does Atlantic Care Services help with CHAMPVA paperwork?
Yes. Atlantic Care Services supports families by coordinating with physicians, assisting with required documentation, and helping ensure clinical information aligns with CHAMPVA requirements for pediatric private duty nursing services.
Learn More About CHAMPVA Insurance
Understanding CHAMPVA insurance can help families better navigate healthcare options for children with complex medical needs.
If your family is exploring skilled in-home nursing or private duty nursing through CHAMPVA in Houston or the Gulf Coast region, Atlantic Care Services can help guide the process and provide clinical support tailored to your child’s needs.
Contact us today to learn more about CHAMPVA insurance and how in-home nursing care may support your family.
Support medically fragile children receiving Medicaid PDN services
This program is intended to:
Expand access to care for medically fragile children
Help stabilize families facing nursing shortages
Reduce unnecessary hospitalizations
Reduce institutionalization
Improve continuity of care in the home
Supplement authorized PDN services
Child Eligibility Requirements
To participate the child must:
Be under age 21
Be medically fragile
Be eligible for Medicaid
Be receiving Medicaid PDN services
This program specifically targets high-acuity pediatric Medicaid recipients, children requiring substantial home-based nursing support.
Family Caregiver Eligibility
Eligible caregivers include:
Family members
Legal guardians
Caretaker relatives
Participants must:
Be at least 18 years old
Read and write at a basic level
Pass a Level 2 background screening
Complete required training and competency validations
Be employed by a licensed participating home health agency
Training Requirements Overview
AHCA has finalized the Medicaid Family Home Health Aide for Medically Fragile Children program minimum training requirements. They were filed on 5/11/26 and made effective on 5/31/26. They were originally created through HB 391 in 2023, expanded and strengthened through SB 1156 in 2025, and then implemented through Rule 59A-8.0099, F.A.C.
The finalized rule requires:
40 hours of basic home health aide training
20 hours of pediatric medically fragile skills training
16 hours of clinical competency validation
Emphasis on:
Pediatric safety
Competency validation
RN oversight
Standardized statewide requirements
Caregivers must also complete a one-time HIV education within 30 days of employment and CPR certification.
The 20 Hours of Pediatric Medically Fragile Skills Training
Training must be:
In person
Tailored to the child’s individualized plan of care
Conducted by qualified pediatric RN
The 16 Hours of Clinical Competency Validation
Requirements:
Hands on validation
Conducted with an actual patient
Direct supervision by qualified pediatric RN
In-person demonstration of all required skills
Caregivers must achieve 100% proficiency before independently providing services. Ongoing competency validation must occur within 90 days of training completion and renewed annually.
Any change in physician orders may require new delegation, additional competency review, and updated validation documentation.
Medication Administration Requirements
In addition to the standard 6 hours of medication administration training is required under Rule 59A-8.0097, caregivers must complete 4 additional hours of specialized pediatric medication administration training.
Training includes administration involving:
Enteral feeding tubes
Crushed medications
Rectal medications
Subcutaneous injections
Intradermal injections
Intramuscular injections
Inhaled medications administered through a tracheostomy
Medicaid Eligibility Development
The Florida Agency for Health Care Administration (AHCA) has shared an important update regarding the AMFC (Family Home Health Aide/FHHA) Income Disregard.
Families who are currently participating in, or enrolling in, the AMFC program are encouraged to complete the linked Income Disregard Form and email it to hqw.access.esshq@myflfamilies.com. Doing so may help protect their Medicaid eligibility.
We’re sharing this information to help ensure our families are aware of this opportunity. Atlantic Care Services is not involved in the Medicaid or SSI eligibility process and cannot provide guidance on securing benefits.
Please refer to the linked Income Disregard Form and AHCA website below for complete instructions, additional information, and submission details.
What is CHAMPVA? Learn how CHAMPVA benefits may help veteran families access pediatric private duty nursing and skilled in-home care services.
When a child has complex medical needs, families often face difficult questions about healthcare coverage, skilled nursing care, and long-term support at home. For eligible dependents of veterans, CHAMPVA may help provide access to medically necessary healthcare services, including pediatric private duty nursing.
Understanding how CHAMPVA works can help families feel more confident navigating care decisions and accessing the support their child needs at home.
Unlike VA healthcare, which serves veterans directly, CHAMPVA is designed for qualifying spouses and children of veterans who meet specific eligibility requirements established by the Department of Veterans Affairs.
Depending on medical necessity and clinical documentation, CHAMPVA benefits may help cover a range of healthcare services, including:
Physician visits
Medications
Medical equipment
Therapy services
Skilled in-home nursing care
Pediatric private duty nursing services
For families caring for children with complex medical needs, these services can provide important clinical support while allowing children to remain safely at home.
Who Qualifies for CHAMPVA?
Eligibility for CHAMPVA is determined by the Department of Veterans Affairs. In many cases, children may qualify if they are dependents of a veteran who is:
Permanently and totally disabled due to a service-connected condition
Deceased from a service-connected disability
Deceased while rated permanently and totally disabled
Missing in action or a prisoner of war in certain circumstances
Families must be actively enrolled in CHAMPVA before services can begin. Because eligibility requirements can vary, many families work with experienced providers who can help explain the process and required documentation.
Does CHAMPVA Cover Private Duty Nursing?
CHAMPVA may help cover medically necessary private duty nursing services for pediatric patients with complex medical conditions
Private duty nursing provides one-on-one skilled care in the home for children who require ongoing clinical monitoring or advanced medical support. Unlike intermittent home health visits, private duty nurses often provide extended care tailored to the child’s daily medical needs and routines.
This may include children who need:
Tracheostomy (trach) care
Ventilator support
G-tube feedings
Seizure monitoring
Medication administration
Respiratory treatments
Continuous skilled nursing observation
Coverage is based on physician documentation, medical necessity, and ongoing clinical support.
What Types of Pediatric Nursing Services May Be Covered?
Depending on the child’s condition and physician orders, CHAMPVA services may include a variety of skilled nursing interventions provided in the home.
Pediatric private duty nurses may assist with:
Respiratory Support
Children requiring ventilator care, oxygen therapy, suctioning, or tracheostomy management often need continuous skilled nursing oversight.
Feeding Tube Management
Private duty nurses can monitor and administer G-tube feedings while helping safely manage nutrition and hydration needs.
Medication Administration
Skilled nurses help ensure medications are administered properly and monitor for side effects or complications.
Ongoing Monitoring
Children with seizure disorders or other complex conditions may require continuous observation and rapid response to changes in condition.
For many families, private duty nursing offers a safer and more personalized alternative to extended hospital stays or facility-based care.
Benefits of pediatric private duty nursing may include:
One-on-One Skilled Care
Children receive individualized attention from trained nurses familiar with their medical needs and routines.
Consistency and Continuity
Families benefit from ongoing relationships with caregivers who understand the child’s condition and care plan.
Comfort of Home
Receiving care at home allows children to remain in familiar surroundings with their families while continuing daily routines as much as possible.
Family Support and Education
Private duty nurses often work closely with caregivers, helping families feel more confident in managing their child’s care needs between nursing shifts.
How the CHAMPVA Process Works
While every family’s situation is unique, the process generally includes several important steps:
Confirm CHAMPVA Eligibility
The patient must be actively enrolled in CHAMPVA.
Obtain Physician Documentation
A physician provides a Plan of Care and clinical documentation supporting the need for skilled nursing services.
Coordinate Nursing Services
Once documentation is completed, nursing schedules and in-home services can begin.
Maintain Ongoing Clinical Documentation
Nursing notes and physician oversight help demonstrate continued medical necessity for ongoing care.
Because the process can feel overwhelming, many families benefit from working with a provider experienced in CHAMPVA services and pediatric private duty nursing.
How Atlantic Care Services Supports Veteran Families
Atlantic Care Services helps veteran families access pediatric private duty nursing and skilled in-home care services through CHAMPVA.
Our team works closely with physicians and caregivers to coordinate care, support documentation requirements, and provide compassionate nursing services tailored to each child’s medical needs.
We proudly support families throughout Houston and the surrounding Gulf Coast region with reliable, high-quality in-home pediatric nursing care.
FAQ: CHAMPVA Services
Does CHAMPVA cover private duty nursing?
CHAMPVA may cover medically necessary private duty nursing services for eligible pediatric patients when supported by physician documentation and clinical need.
What types of pediatric conditions may require private duty nursing?
Children requiring ventilator support, tracheostomy care, G-tube feedings, seizure monitoring, or continuous skilled nursing observation may qualify for private duty nursing services.
Is CHAMPVA the same as VA healthcare?
No. VA healthcare serves veterans directly, while CHAMPVA provides healthcare coverage for eligible dependents of qualifying veterans.
Does CHAMPVA cover in-home nursing care?
In some cases, yes. CHAMPVA may help cover medically necessary skilled nursing services delivered in the home.
Does Atlantic Care Services help families through the CHAMPVA process?
Yes. Atlantic Care Services helps families understand eligibility requirements, coordinate documentation, and navigate the CHAMPVA process for pediatric private duty nursing services.
Learn More About CHAMPVA Services
Navigating healthcare coverage for a child with complex medical needs can feel overwhelming, but families do not have to manage the process alone.
Atlantic Care Services helps veteran families understand CHAMPVA services and access compassionate pediatric private duty nursing care at home.
Contact us today to learn more about CHAMPVA services and skilled in-home nursing support.
What does a home health aide do? Learn about daily responsibilities, essential skills, and how home health aides support patients with personalized, in-home care.
When families begin exploring in-home care, one of the most common questions is: What does a home health aide do? Understanding this role can help you make confident decisions about the type of care your loved one needs.
Home health aides play a vital role in supporting patients who need help with their daily living activities and routines while staying in the comfort of their own homes. Whether helping seniors maintain independence or supporting individuals with ongoing medical needs, these caregivers provide both practical help and meaningful companionship.
What Is a Home Health Aide?
Before diving into responsibilities, it’s helpful to understand what a home health aide is. A home health aide is a trained caregiver who provides non-medical assistance with daily activities in a patient’s home. These services, often referred to as personal care services, are delivered by trained home health aides (HHAs) and Certified Nursing Assistants (CNAs).
Unlike nurses, home health aides do not perform advanced medical procedures. Instead, they focus on personal care, safety, and quality of life. They often work alongside nurses or under a care plan developed by healthcare professionals to ensure patients receive well-rounded support.
What Tasks Does a Home Health Aide Do?
While responsibilities can vary based on each patient’s needs, most aides provide a combination of personal care, household support, and companionship.
Personal Care Assistance
One of the main duties of a home health aide is to assist patients with daily living activities, including:
Bathing, grooming, and hygiene
Dressing and mobility assistance
Toileting and incontinence care
Assistance with transferring (bed to chair, etc.)
These tasks are essential for maintaining dignity, comfort, and safety.
Household Support
Home health aides also help maintain a clean and functional living environment. This may include:
Light housekeeping and laundry
Meal preparation and basic nutrition support
Grocery shopping and errands
Organizing medications (without administering)
These services ensure the home remains a safe and supportive space for the patient.
Companionship and Emotional Support
The role of a home health aide goes beyond physical care. Home health aides provide human connection, which is equally important. Many patients, especially seniors, experience isolation. Home health aides help by:
Engaging in conversation
Providing companionship
Supporting emotional well-being
This aspect of care can significantly improve quality of life and mental health.
How Home Health Aides Support Families
Home health aides don’t just support patients; they also support families. Caring for a loved one can be challenging, both physically and emotionally, and having a trusted caregiver can make a meaningful difference.
With a home health aide:
Family members can take breaks and avoid burnout
Care responsibilities are shared and more manageable
Loved ones receive consistent, attentive support
This partnership empowers families to dedicate more time to creating cherished memories together, freeing them from the complexities of managing every detail of care.
What’s The Difference Between Home Health Aides and Skilled Nursing Care?
Home health aides focus on non-medical support, while private duty nurses handle clinical tasks such as:
Medication administration
Wound care
Managing medical equipment
Monitoring complex health conditions
In many cases, patients benefit from both services working together. This creates a comprehensive care plan that addresses both medical and daily living needs.
Who Can Benefit from a Home Health Aide?
Home health aide services are ideal for people who need help with daily activities but do not require full-time medical care. This includes:
Seniors who want to stay at home
Individuals recovering from illness or surgery
People of any age with chronic conditions or limited mobility
Families caring for loved ones at home
By providing consistent support, home health aides help patients maintain independence while staying in a familiar, comfortable environment.
Why Home Health Care Matters
Choosing in-home care is about more than convenience. It’s about creating a supportive environment so patients feel safe, respected, and connected.
Home health aides make this possible by bridging the gap between independence and assistance. Their work allows patients to remain in their homes while receiving the help they need to live comfortably and confidently.
Ready to Get Support at Home?
If you’re exploring in-home care options, Atlantic Care Services is here to help. Our team provides reliable, compassionate home health aides who support both patients and families with personalized care.
Contact us today to learn how our home health aide services can help your loved one stay safe, comfortable, and supported at home.
At Atlantic Care Services, the scheduling team plays a critical role in ensuring every patient receives consistent, high-quality care. Behind the scenes, this team works daily to match families with skilled nurses, maintain continuity of care, and keep schedules running smoothly.
We spoke with Danica Simon, Corporate Scheduling Manager, who has been with Atlantic Care Services since 2021, to get a closer look at how scheduling works and why it matters so much to the families we serve.
A Commitment to the Right Match
Q: When you come to work, what daily mission do you instill in your team?
Our mission is to make sure that every patient is matched with the right caregiver. Continuity of care is essential. When we get that right, everything improves. The patient is more comfortable, the family feels supported, and the caregiver can do their job effectively.
The Most Rewarding Part of the Job
Q: What is your favorite part of the job?
The best moment is calling a parent and telling them their child is fully staffed. It takes a lot of coordination behind the scenes—phone calls, organizing details, and working as a team—but when it all comes together, it is worth it.
Families are incredibly grateful, and for a moment, they see how much effort went into making that happen. That reaction makes everything we do meaningful.
What Families Should Know About Scheduling
Q: What is something you want everyone to know?
Scheduling is a team effort, and it is a big responsibility. While the caregiver is the one providing care in the home, a large part of making that care possible happens behind the scenes.
We work to find the right nurse, the right schedule, and the right environment for each patient. It is not always easy, but when everything aligns, it creates a better experience for everyone involved.
Building the Scheduling Department
Q: How long have you been with Atlantic Care Services, and what drew you to the role?
I have been with Atlantic Care Services for almost five years. Before this, I worked as a scheduling coordinator outside of healthcare, which gave me experience managing family schedules.
I joined because of the company’s mission and the opportunity to help build something meaningful. At the time, scheduling was not a fully developed department, and I wanted to help shape and grow it into what it is today. Being part of that process has been incredibly rewarding.
Why Scheduling Is So Important
Q: How important is the scheduling team to overall patient care?
Scheduling is a key part of the organization. Every department plays a role, but scheduling is what connects caregivers with patients.
When we do our job well, it allows both the patient and the caregiver to succeed. That connection is what makes everything else possible.
How Scheduling Works Across Florida
Q: Is there anything else families should know about scheduling?
Trinity Hamilton, Scheduling Supervisor, also shared insight into how scheduling works across different regions.
Each office throughout Florida has its own dedicated scheduling team. If a family moves to a new area, their schedule does not automatically transfer, since each region operates independently.
Schedulers are typically responsible for 25 to 30 patients at a time, coordinating care by working closely with recruiters and case managers. Keeping scheduling within each region helps maintain clear communication and supports better continuity of care for families.
Learn how to become a private duty nurse, including the education, licensing, skills, and experience needed to build a career providing one-on-one care in a home-based setting.
Home-based medical care is a growing field offering rewarding opportunities for nurses who want to combine clinical skills with meaningful patient connections. If you’re interested in working one-on-one with patients in their homes, learning how to become a private duty nurse is an excellent career direction.
Private duty nursing is a specialized type of in-home skilled nursing care that supports both pediatric and adult patients with complex medical needs. Atlantic Care Services specializes in private duty nursing and personal care services, providing nurses with opportunities to make a real impact in patients’ lives while growing professionally.
What Is a Private Duty Nurse?
A private duty nurse is a Registered Nurse (RN) or Licensed Practical Nurse (LPN) who delivers one-on-one care in a patient’s home. These nurses often care for individuals who require skilled supervision, complex equipment management (such as ventilators, tracheostomies, or gastrostomy tubes), and consistent clinical monitoring. The goal is to provide a stable, comfortable environment where patients can thrive outside of institutional settings.
Private duty nurses work with patients of all ages, including children with specialized pediatric needs and adults with chronic conditions. This model of care combines clinical expertise with compassion and long-term relationship building.
What Does a Private Duty Nurse Do Each Day?
A private duty nurse provides skilled, one-on-one nursing care for patients who need ongoing medical support in their home environment. Unlike care provided in a hospital setting, private duty nursing allows nurses to develop long-term relationships with patients and families while providing personalized care based on each individual’s medical needs.
A typical day for a private duty nurse may include:
Reviewing the patient’s care plan and current medical needs.
Monitoring vital signs and changes in the patient’s condition.
Administering medications and treatments.
Providing respiratory support, including ventilator management when needed.
Caring for tracheostomies, feeding tubes, and other medical equipment.
Supporting mobility, comfort, and daily routines.
Communicating with families, physicians, and other members of the healthcare team.
Documenting care provided and changes in the patient’s condition.
Every patient is different, which means private duty nurses must be prepared to adapt their care approach based on the patient’s condition, goals, and needs. For many nurses, the opportunity to provide meaningful, individualized care is one of the most rewarding parts of private duty nursing.
Skills Every Private Duty Nurse Should Have
Private duty nursing requires strong clinical knowledge along with compassion, patience, and the ability to work independently. Because nurses often provide care in a patient’s home, they must be comfortable making decisions, communicating with families, and adapting to different environments.
Important skills for private duty nurses include:
Clinical assessment skills: Private duty nurses must recognize changes in a patient’s condition and respond appropriately.
Communication: Clear communication with patients, families, physicians, and care teams is essential for coordinated care.
Critical thinking: Nurses must use their clinical judgment to manage complex medical needs and address unexpected situations.
Organization and documentation: Accurate records help support continuity of care and ensure the patient’s care plan is followed.
Compassion and patience: Building trust with patients and families is an important part of providing effective home-based care.
Adaptability: Every home environment and patient situation is unique, requiring nurses to adjust their approach while maintaining high-quality care.
These skills help private duty nurses provide safe, reliable care while supporting patients and their families throughout their healthcare journey.
Steps to Become a Private Duty Nurse
Here are the key steps to enter this rewarding field and build a successful career:
1. Earn Your Nursing Degree
The first step is to complete a formal nursing program.
LPNs complete a practical nursing program and obtain licensure.
RNs graduate from an accredited nursing program (ADN or BSN) and pass the NCLEX-RN exam.
2. Obtain Nursing License
After completing your degree, you must obtain a license in the state where you plan to work. Licensure demonstrates that you meet the clinical competency and safety standards required for nursing practice.
3. Gain Clinical Experience
Experience in clinical settings like hospitals, long-term care facilities, or pediatric care units strengthens your skills and prepares you for the wide range of needs private duty nurses encounter.
Clinical experience helps you feel confident managing:
Complex medical equipment
Medication administration
Patient assessment and care planning
Emergency situations
4. Develop Specialized Skills
Private duty nursing often requires advanced competencies beyond basic nursing skills. Nurses may pursue additional training or certifications in areas such as:
Pediatric care and family-centered care
Ventilator support
Tracheostomy and feeding tube management
Wound care and chronic condition monitoring
At Atlantic Care Services, nurses work with patients with varying needs, making ongoing education a core part of professional development.
5. Apply for Private Duty Nursing Jobs
Once you have your licensure and clinical experience, you can begin applying for private duty nursing jobs. Look for opportunities that match your interests:
Pediatric home care
Adult long-term care at home
Complex equipment management
Specialized nursing support
Working through a home health provider like Atlantic Care Services connects you with families who need dedicated, one-on-one nursing care.
6. Continue Professional Development
A private duty nurse career thrives on continuous learning. Many nurses pursue:
Continuing education courses
Clinical mentorship and specialty certifications
Leadership or education roles
Shadowing opportunities with expert clinicians
Atlantic Care Services supports nurses in ongoing training and professional growth, helping them expand their impact while developing advanced clinical and caregiving skills.
How Long Does It Take to Become a Private Duty Nurse?
The timeline to become a private duty nurse depends on the nursing path you choose. LPN programs may take about one year to complete, while becoming an RN typically requires two to four years of education depending on whether you pursue an associate or bachelor’s degree.
After earning a nursing license, gaining clinical experience and developing specialized skills can help prepare nurses for private duty nursing roles.
Where Do Private Duty Nurses Work?
Private duty nurses primarily provide care in a patient’s home, but they may also support patients in other settings where ongoing skilled nursing care is needed.
Private duty nurses may work with:
Children with complex medical needs
Adults with chronic conditions
Patients transitioning home after hospitalization
Individuals requiring respiratory support or specialized equipment
Unlike traditional hospital nursing, private duty nursing allows nurses to focus on one patient at a time while providing care tailored to that individual’s needs.
Why Choose a Career in Private Duty Nursing?
Private duty nursing offers nurses the opportunity to make a direct impact on the lives of patients who need ongoing medical support. Instead of caring for multiple patients during a hospital shift, private duty nurses often focus on one patient at a time, allowing them to provide more personalized attention and build meaningful relationships.
Benefits of a career in private duty nursing may include:
One-on-one patient care: Nurses can focus their attention on a single patient’s needs and provide highly personalized support.
Meaningful patient relationships: Working closely with patients and families allows nurses to see progress over time and become an important part of the care team.
Opportunities to use advanced skills: Private duty nurses may care for patients with complex needs, including ventilators, tracheostomies, feeding tubes, and other specialized medical equipment.
Flexible scheduling options: Many private duty nursing positions offer a variety of scheduling options to help nurses find a schedule that works for their lifestyle.
A rewarding care environment: Providing care in a patient’s home allows nurses to support comfort, independence, and quality of life.
For nurses who enjoy building connections with patients while using their clinical expertise, private duty nursing can be a fulfilling career path.
Why Build Your Nursing Career with Atlantic Care Services?
At Atlantic Care Services, private duty nurses play an important role in helping patients receive safe, compassionate care at home. Our team supports nurses who want to make a difference through personalized, one-on-one patient care.
Nurses at Atlantic Care Services have the opportunity to:
Provide meaningful care for patients with complex medical needs.
Work alongside families and healthcare providers as part of a collaborative care team.
Use advanced clinical skills in a home-based setting.
Build lasting relationships with patients and caregivers.
Receive support from a team dedicated to quality care.
Private duty nursing requires skill, dedication, and compassion. At Atlantic Care Services, we value the nurses who help patients remain comfortable, supported, and cared for in the place they call home.
Frequently Asked Questions
Is private duty nursing a good career?
Private duty nursing can be a rewarding career choice for nurses who enjoy providing personalized care and developing long-term relationships with patients. It allows nurses to use their clinical skills while making a direct impact on a patient’s quality of life.
What types of patients do private duty nurses care for?
Private duty nurses may care for patients with a wide range of medical needs, including children and adults who require ongoing skilled nursing support. Some patients may need care related to ventilators, tracheostomies, feeding tubes, neurological conditions, respiratory conditions, or other complex medical needs.
Can new nurses become private duty nurses?
Many nurses begin private duty nursing after gaining experience as a licensed practical nurse (LPN) or registered nurse (RN). The experience required may vary depending on the patient’s needs and the employer’s requirements. Strong clinical skills, willingness to learn, and proper training are important for success in this field.
What is the difference between private duty nursing and home health nursing?
Private duty nursing typically involves ongoing, one-on-one skilled nursing care for patients with complex or chronic medical needs. Home health nursing is often focused on shorter-term care, such as recovery after an illness, surgery, or hospitalization.
Do private duty nurses work independently?
Private duty nurses often provide care independently in a patient’s home while following an established care plan. They remain connected with their employer, physicians, and the patient’s healthcare team for ongoing communication and support.
Is private duty nursing in demand?
As the need for home-based care continues to grow, private duty nurses play an important role in helping patients receive skilled medical support outside of hospitals and facilities. Nurses with experience caring for medically complex patients are especially valuable in this field.
Do private duty nurses need special certifications?
Private duty nurses must meet the licensing requirements for their nursing role, but additional certifications or specialized training may be beneficial depending on the patient’s needs. Training in areas such as ventilator care, tracheostomy management, pediatric nursing, or other complex care skills can help nurses provide higher levels of support.
Can an LPN be a private duty nurse?
Yes. Licensed Practical Nurses (LPNs) can work as private duty nurses, depending on state requirements, employer qualifications, and the patient’s specific care needs. LPNs often provide skilled nursing support under the direction of a registered nurse or physician-directed care plan.
Ready to Take the Next Step?
If you’re ready to build a meaningful career in home-based care, Atlantic Care Services provides nurses with opportunities to deliver compassionate, one-on-one care while continuing to grow professionally.
