Home Care Services for Texas Families

Care in the comfort of your home

What We Offer to

San Antonio & Austin Families

Our Homecare Nursing Services provide nursing care in the privacy and comfort of your home on an hourly, or per-visit basis dependent upon the needs of the child. We work closely with clients, families, and physicians to work toward improving the quality of life and to restore and maintain each child’s maximum level of health and function.

Texas Private-Duty Nursing

Our Texas Private Duty Nursing (PDN) services are specialized services ordered by a physician for children ages 0-20 with medically complex conditions or chronic illnesses.  PDN services are provided by a pediatric RN or LVN in the child’s home or community setting and may include but not be limited to the administration of medications,  treatments, enteral feedings, and tracheostomy or ventilator care.

 

Potential qualifiers for Private Duty Nursing:

  • Ventilator Dependence
  • Tracheostomy
  • Feeding Tubes
  • G-Tubes
  • Cerebral Palsy (CP)
  • Traumatic Brain Injury (TBI)
  • Short Bowel Syndrome (SBS)
  • Congenital Heart Defect (CHD)
  • Congenital/Genetic disorders
  • TPN (IV nutrition)
Learn MoreBecome a San Antonio Home Care Nurse

Texas Skilled Nursing Visits

Our Texas Skilled Nursing Visit (SNV) services are home visits provided by an RN or LVN on a short-term basis for children ages 0-20 with an acute illness.  SNV’s are scheduled at your convenience and typically last 30 – 60 minutes during which time the nurse may perform assessments, treatments, and provide education.

Potential qualifiers for Skilled Nursing Visits:

  • Premature Infant-Weight checks
  • Mediport-flushes/lab draws
  • PICC line-dressing changes/lab draws
  • Teaching – Disease process
Learn MoreBecome a San Antonio Home Care Nurse

School Nursing

Our Texas Private-Duty Nurses are equipped with the skills to accompany your child to school if it is required by a physician. School nursing services can be added to your child’s plan of care and the nurse assigned can help your child with physical tasks, such as:

  • Accompanying the child on the school-provided transportation
  • Providing medical care during the school day such as:
    • Medication administration
    • Tracheostomy and ventilator care
    • Additional care ordered by a physician
  • Assisting a child with classroom activities
  • Serve as the child’s care advocate
Learn MoreBecome a San Antonio Home Care Nurse

Hospital-to-Home Transition

For a medically complex child or adult, the transition from hospital to home can be a difficult one. Our mission is to make this process smoother and less overwhelming by assisting with everything from coordinating the discharge process with the hospital case manager, to settling in after the first time you take your baby home. No matter your situation, having the right help in place can make a world of difference to you and your family.

Learn MoreBecome a San Antonio Home Care Nurse

Accepted Insurances Include

*All other commercial insurances are accepted with secondary Medicaid insurance.

Private Insurance

Private insurance plans with Anthem BCBS, CIGNA, United Healthcare, AETNA, and other major insurances may cover our services. ACP will work with you to acquire the proper authorization from your insurance company. Our goal is to make the intake process as smooth as possible for you.

Private Pay

Private pay is an option that is fully funded by the patient/family. Nursing care and personal care services are available for in-home or out-of-home support. Private pay can be an option for families in need of additional hours of care not covered by Medicaid or other payers.

Meet the San Antonio Team

Belinda Segura

Administrator & Director of Nursing

Rebecca Rojas

Nursing Authorization/Services Coordinator

Lorenna Cardenas

Alternate Director of Nursing/Case Manager

Genevieve Alvarado

Nursing Services Coordinator

Reach Out to the San Antonio Team

210.692.0222

3201 Cherry Ridge Suite D-400, San Antonio, TX 78230

Parent Testimonials

MelissaChristopher’s mom

Trinita has been my son Christopher’s nurse since he started with the company. She treats him as if he is hers. I love having her to work with him daily and I never worry if I have to leave. She is now a part of our family.

Happy MomLeslie' Mom

The San Antonio team has gone above my expectations. I know my baby is well taken care of.

Gwen HodginPatient's mom

ACP is the BEST homecare company to work with. I have been with them for years and wouldn’t change anything.They care so much about the kids, the individuals, their families and their staff.

ChristineTatiana’s mom

Abigail has been with us for a couple of years almost two years and her star qualities always shine through in the care she provides for our daughter, Tatiana. Abigail always comes to work with extreme professionalism and a warm smile, not to mention her exemplary nursing skills. She is very compassionate, conscientious, and a knowledgeable nurse caregiver. We are grateful each and everyday to ACP for sending us such a kind nurse who is truly a perfect fit for our family and circumstances. Abigail is truly a Godsend!

JosephRegistered Nurse

I love how ACP puts the patients first. The flexible hours allow us time to make sure our patients are a right fit, without compromising care. My goal is to always ensure my patients receive quality care and working with ACP has helped me deliver that. Orientation was the best and such a smooth transition. I’m really glad I work for this company!

COVID-19 Updates

ACP is fighting by your side against the spread of this threat.

Stay up-to-date on the latest news through our communications page.

Resources for Parents

Blog

Catch up on the latest news and find out what’s happening at ACP.

Learn More

Financial Resources

Learn about the insurance approval process and Medicaid program applications.

Learn More

Helpful Links

Explore a list of useful sites we’ve found that our families need.

Learn More

Awards

Celebrate with ACP as we honor our caregivers of the month, patient graduations, and more.

Learn More

Frequently Asked Questions

I’ve started a new job and got private insurance for my child. Do I need to inform ACP?

If your child is now covered by private insurance or your employer changed insurance plans, you MUST notify ACP immediately. We will need a copy of the front and back of your insurance card. State Medicaid guidelines require ACP to use Medicaid as the payer of last resort, which means we are required to exhaust any home care benefits from the private insurance before billing Medicaid.

I split custody of my child on the weekends. What do I need to do?

We will need to know the schedule and location of both parents. We will need to notify Medicaid of the split addresses and perform a home safety check in both houses.

I believe my child deserves more hours than what was approved by Medicaid or another insurance. How can I appeal the decision?

Once your child is approved by Medicaid for the first time or if their prior authorization was renewed, you will receive a letter from the State, detailing the hours approved. The appeal (reconsideration) process is as follows:

  1. The patient’s primary caregiver receives a letter from the Medicaid office stating the approved hours. The primary caregiver has 30 days from the date of the letter to request a reconsideration. 
  2. Begin to collect additional documentation to support the request:
    • Primary caregiver letter stating why it is medically necessary for her/his child to have additional hours — must have a number of hours requested
    • Letters of Medical Necessity from doctors to support the request 
    • Any additional discharge summaries, hospital notes, etc. that would support the request
  3. Mail all letters and documentation to the address on the letter within 30 days of the date on the letter.
  4. Medicaid has 30 days to approve or deny the request.
  5. If Medicaid denies the request for reconsideration, the primary caregiver can request a hearing.

My child lost Medicaid eligibility. What should I do?

If your child loses Medicaid eligibility, the home nursing for your child must stop immediately and cannot be restarted until you have it reinstated. Please be sure to open all mail from the Social Security Office and DFCS. In many cases, the loss of Medicaid can be attributed to not reading or receiving the correspondence and following the directions in a timely manner. ACP checks Medicaid eligibility regularly, however, if you know your Medicaid has been rendered inactive, it is your responsibility to notify ACP ASAP.

When it comes to hospitalizations, ER visits, and doctors’ appointments, what do I need to inform ACP about?

If the patient has a scheduled surgery or doctor’s appointment, please notify your Scheduler as soon as you have it planned. This is important so we can ensure that your caregivers are scheduled accordingly. Any unscheduled hospitalizations or ER visits must be communicated to ACP. We are required to submit certain paperwork to Medicaid when hospitalizations or ER visits occur as well as perform post-hospitalization visits.

My child will be going to school soon. Can ACP help me with school nursing care?

During the school enrollment process, inform your district that you have a medically complex child that requires one-on-one nursing. At that time, they will schedule an Individualized Education Program (IEP). 

The purpose of the IEP is to determine any specialized services your child requires. A member of the ACP team will attend the IEP for additional support and to answer any questions regarding nursing. Be sure to have a letter of medical necessity from one of your child’s doctors stating it is medically necessary for your child to have one-on-one nursing while attending school.

I am a foster mom/dad. Is there any additional information I need to provide to ACP?

We will need the DFCS case manager’s name, phone number, and email address. They will be the ones signing all documents on behalf of the patient.

Can ACP choose to terminate its services with the patient at any time?

Yes. ACP will discharge any patient who does not comply with company, state, and/or federal regulations. ACP takes compliance seriously and will not serve non-compliant clients. ACP will give a 30-day written notice to the client before discharge is completed. When safety or compliance are in jeopardy, ACP will not tolerate broken rules. Below are some of the most common reasons for non-compliant issues:

  • Client doesn’t allow Clinical Supervisors to perform monthly supervisory visits or post-hospitalization visits (both are time-sensitive and mandatory by the state).
  • Confirmed illegal activities in the home.
  •  Anytime the home is verified as an unsafe environment for our caregivers.
  • Abuse of the patient. In most cases, DFCS will be involved to resolve the situation.
  • Client does not follow the standard of care or Medicaid Letter of Understanding.
  • ACP can no longer staff the case due to unforeseen circumstances.
  • Client disrespects, mistreats, or discriminates against ACP’s caregivers.
  • Client constantly fails to open the door to ACP’s caregivers.
  • Client constantly fails to communicate changes to ACP such as patient’s hospitalizations, ER visits, MD appointments, vacations, etc.
  • Client fails to obtain proper medication or supplies that are not ACP’s responsibility but vital for the patient’s care and health.
  • Client fails to communicate the truth to ACP.
  • Client constantly requests ACP’s caregivers to perform tasks that are not part of their duties.

Become an
ACP Caregiver

Enable Families to Be Families

Learn More

Become an
ACP Family

Experience Our Incredible Level of Care

Learn More