Empowering Families:
Our Family-Centered Approach
Tracheostomy & Ventilator Management
Catheters, Drains & Ostomy Care
Feeding Tubes, Suctioning & Total Parenteral Nutrition (TPN)
Apnea & Oxygen Monitoring
Medication Administration
CPT Vest Therapy
Private Duty Nursing for Medically Complex Children
Your child may qualify for Private Duty Nursing if they:
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Have a tracheostomy and/or require ventilator support.
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Receive continuous nutrition via a G-tube, NG-tube, or intravenous feeding.
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Are dependent on oxygen, alongside other medical requirements.
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Have complex medical conditions such as frequent seizures or cardiac monitoring.
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Require 24-hour care due to multiple or chronic medical conditions.
Skilled Pediatric Nursing at Home
Private Duty Nursing for Medically Complex Children
Your Child May Qualify for Private Duty Nursing If They:
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Have a tracheostomy and/or require ventilator support.
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Receive continuous nutrition via a G-tube, NG-tube, or intravenous feeding.
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Are dependent on oxygen, alongside other medical requirements.
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Have complex medical conditions such as frequent seizures or cardiac monitoring.
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It requires 24-hour care due to multiple or chronic medical conditions. conditions
Feeding Tubes, Suctioning & Total Parenteral Nutrition (TPN)
Apnea & Oxygen Monitoring
Tracheostomy & Ventilator Management
Catheters, Drains & Ostomy Care
CPT Vest Therapy
Medication Administration
Skilled Pediatric Nursing at Home
At Loving Hands Homecare Pediatrics, we understand the importance of continuity and comfort in caring for medically fragile children. Our commitment is to provide the highest quality of care in a familiar and supportive environment, allowing your child to thrive while remaining close to their loved ones. We specialize in pediatric nursing services designed to bring advanced medical care directly to your home, ensuring peace of mind for your family.
Our dedicated team addresses various medically fragile conditions, offering personalized support tailored to each child's needs. These conditions include:
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Spina Bifida
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Neuromuscular Diseases
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Seizure Disorders
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Acute/Chronic Respiratory Disease
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Cystic Fibrosis
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Congenital Heart Defects
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Transplants
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Renal Diseases
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Traumatic Injuries
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Spinal Cord Injuries
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Congenital Abnormalities
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Developmental Delay
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Down’s Syndrome
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Cerebral Palsy
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Hypoxic Brain Injury
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Intellectual Disabilities
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Near Drowning
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Cancer
Unified Care:
Bridging Home and School
Our dedicated team addresses various medically fragile conditions, offering personalized support tailored to each child's needs. These conditions include:
-
Spina Bifida
-
Neuromuscular Diseases
-
Seizure Disorders
-
Acute/Chronic Respiratory Disease
-
Cystic Fibrosis
-
Congenital Heart Defects
-
Transplants
-
Renal Diseases
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Traumatic Injuries
-
Spinal Cord Injuries
-
Congenital Abnormalities
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Developmental Delay
-
Down’s Syndrome
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Cerebral Palsy
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Hypoxic Brain Injury
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Intellectual Disabilities
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Near Drowning
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Cancer
We prioritize medically fragile students' educational success and well-being by providing integrated care from home to school. Our approach involves:
Seamless Care Transition:
Our nurses accompany students to school, ensuring continuous care throughout the day.
Personalized Support:
Tailored nursing services address each student’s unique needs, providing consistent support at home and in the classroom.
Individualized Care Plans:
Our dedicated team follows customized care plans, creating a nurturing environment that supports academic progress and overall health.
This approach ensures that students receive specialized care while thriving in their educational journey.
Transition Planning
We ensure a seamless transition by collaborating with your current healthcare provider or the discharging hospital. This includes managing all necessary medical records, equipment transfers, and securing authorizations.
Inquiry and Consultation
Contact us to arrange an initial consultation where our Admissions team will discuss your child’s specific needs and outline how we can provide support.
Assessment and
Care Plan
Our clinical team will perform a detailed evaluation to understand your child’s healthcare needs, based on which we will craft a customized care plan uniquely tailored for your child.
Initiation of Treatment
Following insurance approval and finalization of the care plan, our skilled team will start providing dedicated nursing services at your home, ensuring your child receives compassionate and professional care.
Transition Planning
We ensure a seamless transition by collaborating with your current healthcare provider or the discharging hospital. This includes managing all necessary medical records, equipment transfers, and securing authorizations.
Inquiry and Consultation
Contact us to arrange an initial consultation where our Admissions team will discuss your child’s specific needs and outline how we can provide support.
Assessment and Care Plan
Our clinical team will perform a detailed evaluation to understand your child’s healthcare needs, based on which we will craft a customized care plan uniquely tailored for your child.
Initiation of Treatment
Following insurance approval and finalization of the care plan, our skilled team will start providing dedicated nursing services at your home, ensuring your child receives compassionate and professional care.
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What are my responsibilities as a paid family caregiver?You’ll be responsible for: • Following your child’s care plan • Providing care as trained • Completing shift documentation • Complying with Electronic Visit Verification (EVV) by clocking in and out through the agency’s system • Attending required check-ins or trainings • Working under the supervision of the agency’s licensed nurse
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What kind of training is required?To become a paid caregiver under the HB391 program, you must complete at least 86 hours of state-approved training, which includes: • 40 hours of theoretical (can be completed online) • 30 hours of hands-on skills training in basic nursing care • 16 hours of clinical training supervised by a licensed registered nurse • Required training on HIV/AIDS (no set hour minimum) You’ll also need to: • Maintain a valid CPR certification • Complete 6 hours of medication administration training (if delegated by an RN) • Complete 12 hours of in-service training every 12 months to stay active in the program
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Who is eligible to participate?To qualify, you must: • Be at least 18 years old • Be a legal family caregiver of an eligible child • Pass a background check • Demonstrate basic reading and writing skills • Complete an approved training program
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Can both parents or multiple family members participate?Yes. More than one family caregiver can participate, but the combined weekly hours cannot exceed 56 hours to ensure proper nurse oversight.
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Does the income I earn affect my child’s Medicaid eligibility?Yes. Income earned through this program could impact your family’s Medicaid eligibility. See AHCA’s official Medicaid Eligibility Flyer - https://ahca.myflorida.com/content/download/25476/file/Medicaid_Eligibility_Home_Health_Flyer_11262024.pdf
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How long does it take to start working as a paid caregiver?The full process—including eligibility screening, training, and onboarding—can take 2 to 4 weeks, depending on how quickly requirements like background checks and training are completed.
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What does the HB391 program offer to families?The HB391 program provides a pathway for eligible family members to receive paid training and be hired through a participating home health agency to care for their medically fragile child at home. It supports family-led care while ensuring clinical supervision, structured training, and ongoing agency support.
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Why do I have to complete training that doesn’t apply to my child’s condition?The training program is standardized and was developed to cover a wide range of medical conditions and care tasks commonly seen in medically fragile children. Even if certain topics may not apply to your child’s current care plan, they help ensure caregivers are broadly prepared, knowledgeable, and able to adapt if care needs change.
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Can I get paid to care for my own child?Yes. If you meet all program requirements and complete the training, you can be employed by a participating home health agency and get paid to provide care to your child.
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Is my child eligible for the program?Your child must: • Be approved for Private Duty Nursing (PDN) through Medicaid • Be Medicaid eligible (excludes those on KidCare or Healthy Kids plans with premiums or copays)
Home Health Aide for Medically Fragile Children (HHAFMC)
Your child. Your care. Our support.
Loving Hands Pediatrics is a participating agency in Florida’s HB391 Program for medically fragile children.
Through the Home Health Aide for Medically Fragile Children (HHAFMC) Program, also known as HB391, eligible parents and family members may become paid caregivers for their child by completing required training and working with our agency.
The program offers a structured path that includes compensated training, employment through a licensed pediatric home health agency, and ongoing clinical support. No prior healthcare experience is required—our team will guide you every step of the way.
Looking to become a paid caregiver for your child? We’re here to help you get started.
86 Hours of Paid Caregiver Training
Required, program-specific training is provided and compensated through our agency.
Employment Through Loving Hands Pediatrics
Eligible caregivers are hired by our agency and supported as part of our pediatric care team.
Up to 40 Hours of Paid Caregiving per Week
Caregivers may be compensated for up to 40 hours per week, in accordance with Florida's HB391 guidelines.
Covered Costs for CPR & Background Screening
We cover the cost of CPR certification and background checks during the onboarding process.
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What are my responsibilities as a paid family caregiver?You’ll be responsible for: • Following your child’s care plan • Providing care as trained • Completing shift documentation • Complying with Electronic Visit Verification (EVV) by clocking in and out through the agency’s system • Attending required check-ins or trainings • Working under the supervision of the agency’s licensed nurse
-
What kind of training is required?To become a paid caregiver under the HB391 program, you must complete at least 86 hours of state-approved training, which includes: • 40 hours of theoretical (can be completed online) • 30 hours of hands-on skills training in basic nursing care • 16 hours of clinical training supervised by a licensed registered nurse • Required training on HIV/AIDS (no set hour minimum) You’ll also need to: • Maintain a valid CPR certification • Complete 6 hours of medication administration training (if delegated by an RN) • Complete 12 hours of in-service training every 12 months to stay active in the program
-
Who is eligible to participate?To qualify, you must: • Be at least 18 years old • Be a legal family caregiver of an eligible child • Pass a background check • Demonstrate basic reading and writing skills • Complete an approved training program
-
Can both parents or multiple family members participate?Yes. More than one family caregiver can participate, but the combined weekly hours cannot exceed 56 hours to ensure proper nurse oversight.
-
Does the income I earn affect my child’s Medicaid eligibility?Yes. Income earned through this program could impact your family’s Medicaid eligibility. See AHCA’s official Medicaid Eligibility Flyer - https://ahca.myflorida.com/content/download/25476/file/Medicaid_Eligibility_Home_Health_Flyer_11262024.pdf
-
How long does it take to start working as a paid caregiver?The full process—including eligibility screening, training, and onboarding—can take 2 to 4 weeks, depending on how quickly requirements like background checks and training are completed.
-
What does the HB391 program offer to families?The HB391 program provides a pathway for eligible family members to receive paid training and be hired through a participating home health agency to care for their medically fragile child at home. It supports family-led care while ensuring clinical supervision, structured training, and ongoing agency support.
-
Why do I have to complete training that doesn’t apply to my child’s condition?The training program is standardized and was developed to cover a wide range of medical conditions and care tasks commonly seen in medically fragile children. Even if certain topics may not apply to your child’s current care plan, they help ensure caregivers are broadly prepared, knowledgeable, and able to adapt if care needs change.
-
Can I get paid to care for my own child?Yes. If you meet all program requirements and complete the training, you can be employed by a participating home health agency and get paid to provide care to your child.
-
Is my child eligible for the program?Your child must: • Be approved for Private Duty Nursing (PDN) through Medicaid • Be Medicaid eligible (excludes those on KidCare or Healthy Kids plans with premiums or copays)
