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Corporate History

Corporate History. A local health provider and community partner for over 20 years. WellCare Health Services started in 1989, providing non-skilled services to our patients in New Hanover county.

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Corporate History

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  1. Corporate History A local health provider and community partner for over 20 years. • WellCare Health Services started in 1989, providing non-skilled services to our patients in New Hanover county. • In 2000, G. Wayne Long purchased the certificate of need for Home Health from NHRMC and became WellCare Home Health, providing skilled services. Industry leader and nationally recognized for quality of care. • #8 Home Care agency in North Carolina according to CMS data. • Leader in Southeastern North Carolina as the one of the top 4 providers, by volume, in our 12 county service area.

  2. Relevant Corporate Statistics: • Any given day we serve over 1000 patients • 500 employees • 120,000 visits per year • 24 hours/day clinical coverage • 7 days/week licensed admission staff • Specialized credentials & programs

  3. Locations & Areas Served • 7 office locations in a 12 county coverage area: • New Hanover : Ashton & 17th Street locations • Bladen : Whiteville location • Brunswick : Supply location • Columbus : Elizabethtown location • Pender : Burgaw location • Onslow : Jacksonville location • Wayne : Goldsboro location • Service coverage also provided in Duplin, Sampson, Jones, Cumberland and Robeson

  4. Home Care Services • Personal Care Services • CAP (Community Alternative Program) • CAP/C (Children) • CAP/DA (Disabled Adults) • CAP/MRDD (Mental Retardation/Developmental Disabilities) • EPSDT (Early, Periodic, Screening, Diagnosis & Treatment) for children • PDN (Private Duty Nursing) • Private Pay • Geriatric Care Management • Stay at Home Services • Voice Care

  5. PCS Qualifications • Program is administered by Medicaid • Up to 60 hours/month • Maximum 3.5 hours /day • Must have blue Medicaid card • Service must be provided in client’s home • Ordered by primary care physician • Some pregnant women with Medicaid may qualify • Client must qualify by having at least 2 deficits out of the 6 different ADLs (Activities of Daily Living) listed below: • Bathing • Dressing • Ambulation • Eating • Toileting • Incontinence Care

  6. CAP & MRDD Qualifications • Programs funded by Medicaid • Case management and care plan approval by the local county CAP or LME office • Provide PCS, Home and Community support and Respite • Service must be provided in client’s home • Ordered by primary care physician

  7. Private Duty Nursing Qualifications • Medicaid, Private Insurance, Private Pay • Can be up to 24 hours/day • LPN or RN will provide the care • Services ordered by MD or if private pay, then services requested by family

  8. Home Health Services • Nursing • Psychiatric • Pediatrics • Certified Wound Specialists • Cardiac (Heart Nurse) • Incontinence Care (Diaper service for adults/children) • Infusion Therapy (including chemotherapy) • Physical Therapy • Occupational Therapy • Speech Therapy • Social Work • Nurse Aide

  9. Payor Sources • Medicare • Medicaid • Private Insurance • Co-pays • Long Term Care Insurance • Private Pay

  10. Fee Schedule • Home Health (Medicare, Private Insurance, Workers Comp) • PCS/Plus(Medicaid) • CAP/C/D/MRDD(Medicaid) • EPSDT (Medicaid) • VA (Veterans Administration) • Private Duty Nursing (Private Pay) • LPN $40/hr • RN $45/hr • Aide $18/hr, Weekend $20/hr, Holiday $27/hr • Pill Tray Fills (Private Pay) • $45/pill fill • Voice Care (Private Pay) • Install $25 • Monthly $35

  11. How do I get the service? • Call your doctor and ask for a referral for Home Health or • Call our Intake Dept at 362-9405 or 1-888-815-5310 and we will take care of it for you. • You don’t just have to be coming home from the hospital to have a need.

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