For Physicians
Skilled in-home pediatric nursing across Georgia for medically complex children under 21, funded through GAPP. Physician-directed plans of care, competency-verified staffing, continuous RN oversight and documentation back to your practice.
Why refer
You are handing over continuous observation of a fragile child in an uncontrolled environment. The value is only real if the nursing is competent and the information comes back to you. Both are the point.
Ventilator-dependent and trach-dependent children can go home when there is competent skilled nursing waiting for them. We staff the case, verify competency on the actual device and circuit, and build the emergency plan with the family before discharge rather than after it.
Private duty nursing is measured in shifts, not minutes. A nurse who knows a child’s baseline catches deterioration early — the subtle change in work of breathing hours before a number moves. Early escalation is how avoidable readmissions and ED visits get avoided.
Your practice gets a named care coordinator and an RN supervisor who owns the case. Not a call centre, not a different voice each time. Orders, authorisations and clinical questions go through people who know the patient.
Care is documented against your orders, and the relevant picture comes back to you on an agreed cadence — plus immediately when something changes. You keep clinical control of a patient you can no longer see weekly.
Our clinical model
Your orders drive the plan. Our RN supervisor owns its execution. Nothing happens outside the plan, and anything that changes the clinical picture comes back to you.
A registered nurse assesses the child in the home before care begins — clinical status, airway, equipment, caregiver capability and the physical environment the plan has to survive in. Findings that change the clinical picture come back to you.
The plan of care is built from your orders and returned for your signature. Nothing is delivered outside it. Changes are requested and documented, never improvised at the bedside.
Nurses hold an active Georgia RN or LPN licence with current BLS, are background-screened and exclusion-list checked, and are competency-verified on pediatric assessment and on your patient’s specific device and circuit before their first shift.
An RN supervisor owns each case: reviews the plan, visits the home, checks competencies and reviews shift documentation. We staff for continuity, so a small consistent team holds the baseline rather than a rotating roster.
Every plan carries explicit parameters and an escalation pathway agreed up front: what the nurse manages, what triggers a call to you, and what goes straight to 911. A clinician is reachable at any hour, and they can make a decision.
Every shift is documented against your orders. You receive reporting on an agreed cadence, at authorisation and recertification points, and immediately on any significant change. Records are handled under HIPAA.
Conditions we serve
Children under 21 with a skilled nursing need documented by their physician. In practice, most referrals we accept fall into these categories.
What we need
Five things. If you are missing some of them, send the referral anyway — we would rather start the eligibility review and collect the gaps ourselves than have a fragile child wait on a fax.
Hospital discharges are prioritised. If this is a discharge, say so on the referral or on the phone and we will move at that pace.
The referral process
The administrative burden of a GAPP referral should not land on your practice. It lands on us.
Send it however is fastest for your practice — the referral form, a phone call or a fax. If a chart is incomplete we start the eligibility review anyway and chase the rest ourselves rather than returning it to you.
An RN assesses the child in the home and we complete the GAPP authorisation with Georgia Medicaid. Eligibility and authorised hours are determined by Medicaid on documented medical necessity. Funding typically lands within 30 days.
We staff the case with competency-verified nurses, deliver against your signed plan of care and report back on the agreed cadence — and immediately on any significant change.
Refer a patient
Send the referral and we take it from there: the home assessment, the GAPP authorisation, the staffing and the documentation back to you. We serve Fulton, Cobb, Gwinnett, DeKalb, Clayton, Cherokee and counties across Georgia.
info@homecareroots.com · Fax +1 (404) 973-0737
Call and speak to a clinician about the case before you commit anything to paper. If we are not the right fit for your patient, we will say so.
