Pediatric Home Health

Allegheny County,

Pennsylvania Team

At BAYADA, we are committed to easing the process of determining eligibility and starting services, including navigating insurances and other benefits.

There are four considerations in confirming your child’s eligibility for in-home nursing services:

Referral:
Their doctor must make a referral confirming the necessity for complex clinical care that cannot be safely managed by untrained caregivers alone.

Location:
We must ensure that you reside within a geographic area that BAYADA Pediatrics serves.

Insurance:
We will check your child’s insurance coverage to ensure payer authorization and approvals (Medicaid, private coverage, or programs that fund pediatric private duty nursing).

Assessment:
Our clinical team will conduct an initial assessment to ensure that your child’s medical, developmental, and safety needs are within the scope of services BAYADA Pediatrics provides.

BAYADA smooths the process of getting nursing care for your child.

First step:
connect with your child’s health care provider. Ask your child’s doctor for a referral for pediatric private duty nursing services at home. Contact your local BAYADA office or email [email protected]. A friendly intake coordinator will walk you through next steps, answer questions, and gather information about your child’s needs.

Complete intake and insurance authorization. BAYADA works side-by-side with families to handle insurance approvals and paperwork, aiming to ease worries and speed up start of care.

Once services are approved, a BAYADA nurse manager assesses your child’s needs and home situation to create a nursing care plan and schedule.

A dedicated nurse manager will assemble and onboard a care team, matching experienced pediatric nurses to your child’s unique needs and family preferences.

Service begins—with ongoing support. Nursing shifts are scheduled for reliability and continuity by a dedicated client services manager. Your nurse manager will remain in contact, adjusting care plans and offering ongoing help for your family.

We accept and work with a large group of health insurance companies and other payors including:

Private and commercial insurance plans Many families use their private health insurance or employer-sponsored coverage to pay for pediatric private duty nursing services.

Medicaid and state-funded programs Medicaid is a primary payment source for medically fragile children requiring home nursing.

Managed Care Organizations (MCOs) BAYADA secures authorization through the appropriate MCO and follows the plan’s billing guidelines.

Other public assistance or special funding Some families qualify for additional funding through state and local health programs, special needs grants, or non-profit partnerships.

Self-pay or private pay Some families may elect to pay privately for services if they do not meet insurance or program eligibility.