Medicaid reimbursement has allowed our division to buy safety equipment, update clinic fixtures and medical supplies, and buy lifesaving medication, for our students. These items have allowed us to acquire an increased confidence that our students'safety needs are being met on our campuses.  Our skilled staff meets our students' daily needs for Activities for Daily living, and we are very keen to any changes of medical symptoms our students may present.  With accurate and daily documentation, we charge for our nursing services, and paraprofessional assistance.

The subdivision of ordering medical providers carriers new challenges. Our area is experiencing a down-sizing of care, due to a merger of two medical systems, to Ballad Health Care. Specialists are relocating, and small community hospitals are closing. Many of our special needs children are required to travel 60 to 400 miles, for specialized care.  Our local Level 1 trauma center is being downgraded to a Level III in 2 weeks. (This translates in to fewer specialists available.) Acquiring signatures of original documents will be laborious, for our staff and medical providers

Like most divisions, our frailest children have many barriers to receiving the health care they need. They may encounter dismissals and reassignments from insurance providers, and this matter can be confusing for parents and guardians. Transportation is a large barrier for our impoverished citizens, and many do not have cellular phone access to quickly request assistance.  

Our motto is, "Every Child, Every Opportunity". We will continue to provide for our students, but a large reduction in reimbursement funds, will have a ripple effect for all our students.