St. Mary’s Home Care

A Special Needs Certified Home Health Agency

Caring for Children and Young Adults with Medical Complexity

Home is the very best place for patients to heal and thrive. When

specialized care is needed, St. Mary’s Home Care, a special needs

Certified Home Health Agency (CHHA), is a trusted resource for children

and young adults with disabilities and medically complex conditions. St.

Mary’s Home Care provides short-term skilled care for patients from

newborn to 44 years of age. Our goal is to provide extraordinary care

and support services in the home to help patients regain independence

and achieve a better quality of life.

Compassionate Care

We understand the important role family plays in a patient’s recovery.

At St. Mary’s Home Care, we use a family-centered, team approach to

care. Our compassionate team of clinicians works closely with discharge

planners before the patient arrives home to ensure a smooth transition.

We continue to coordinate care with the patient’s physician, family, and

other health professionals during the course of treatment. Additionally,

we are there to assist patients and families overcome any fears or

concerns about caring for a loved one at home.

We care for patients with a wide spectrum of health conditions including:

Specialized Services

Nursing

Physical Therapy

Occupational Therapy

Speech Therapy

Medical Social Services

Home Health Aide

Equipment & Supplies

(by arrangement)

Nutrition

Service Area

Bronx

Brooklyn

Manhattan

Queens

Staten Island

Nassau

Suffolk

Rockland

Westchester

5 Dakota Drive, Suite 200 New Hyde Park, NY 11042 www.stmaryskids.org

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Hydrocephalus

Diabetes

Asthma

Medically Complex Conditions

Cerebral Palsy

HIV/Aids

Seizures

Failure to Thrive

Pioneers in Care

St. Mary’s Healthcare System for Children helped redefine the way

our nation cares for children and young adults with medically complex

conditions and disability. We pioneered the first long-term home care

program for children in New York over 30 years ago, and today still remain

the largest and most comprehensive provider of services to children with

special healthcare needs and complex medical conditions.

St. Mary’s Home Care, our special needs Certified Home Health Agency,

was developed to meet the evolving and growing needs of children,

young adults, and their families.

For more information, please contact 800-270-2478.

Pediatric Day Healthcare Program

Therapeutic After School, Weekend and Summer Camp Program

St. Mary’s Healthcare System for Children, a national leader in pediatric

post-acute care, offers dynamic after-school, weekend, and summer

camp programs for children ages 6-18 years and young adults from 18-25

years of age who have medical, physical, and developmental disabilities.

Located on the park-like grounds of St. Mary’s flagship facility in Bayside,

NY, St. Mary’s Pediatric Day Healthcare Program (PDHC) provides

therapeutic, rehabilitative, and recreational activities to help children

and young adults with special healthcare needs reach their full potential.

Children receive state-of-the-art rehabilitative and medical care while

participating in a variety of supervised indoor and outdoor play, sports,

arts & crafts, field trips, and other fun therapeutic recreation and social

activities. The program also includes onsite homework assistance, a hot

meal, and round-trip transportation.

The Young Adult program includes a focus on vocational skills. St. Mary’s

counselors work with participants to promote their skills, confidence, and

independence in a nurturing and fun environment. Family members are

also educated on the critical roles they play in the child’s success.

Eligibility

The program is open to children 6-18 years of age and young adults from

18-25 years of age who have a medical diagnosis and a physical and/or

developmental delay. The child must be eligible for Medicaid or Managed

Medicaid and require medical services or therapy.

For more information or to request a phone interview to verify a child’s

eligibility, please contact St. Mary’s PDHC Program at 718-281-8961.

Program Highlights

Nursing care

Rehabilitative services

Daily hot meals

Nutritional counseling

Healthy cooking groups

Indoor/outdoor sports and play

Field trips

Transportation to/from program

Academic support and homework

assistance

Community integration

Independence with ADL skills

Socialization & confidence building

29-01 216th Street Bayside, NY 11360 www.stmaryskids.org

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Care at Home

Specialists at Caring for Children with Medical Fragility at Home

St. Mary’s Care at Home Program allows children with medical fragility

and complex conditions to be cared for at home, keeping the family

together and the child involved in family life. The program is designed for

children from birth to 18 years of age. Services include but are not limited

to comprehensive case management, home health aides, nursing care,

and the evaluation and coordination of a child’s therapeutic, medical,

educational and psychosocial needs. Home adaptation and vehicle

modification are also available to improve movement and/or safety for the

child at home and to improve access from home to the community.

There are five levels of the Care at Home Program. The first two (Levels I

and II) fall under the Department of Social Services (DSS); the remainder

are overseen by the New York State Office for People with Developmen-

tal Disabilities (OPWDD).

S P E C I A L I S T S A T C A R I N G F O R

M E D I C A L L Y F R A G I L E C H I L D R E N

A T H O M E

Care at Home Services

Services include but are not limited to:

Comprehensive Case Management

Home Health Aides

Private Duty Nursing

Evaluation & Coordination of

Therapeutic, Medical, Educational

and Psychosocial Needs

Home Adaptation & Vehicle

Modification

Family Support Services

Environmental Modifications

In-Home Services

Transportation

Counseling

Respite

Benefits

Entitlements

Service Area

NYC - 5 boroughs

Nassau

Suffolk

Westchester

Eligibility

Criteria

DSS Level I or II*

OPWDD Level III, IV, or VI**

Financial

Ineligible for Medicaid due to high income

Straight Medicaid

Managed Medicaid

Ineligible for Medicaid due to high income

Medical Child has a medical diagnosis that requires skilled nursing care

Child has a true medical diagnosis, for example, Respiratory

Developmental Delays

Not required Must have a documented developmental delay and an IQ less than 60. If IQ > 60, then a functional adaptation scale must be obtained.

For more information on St. Mary’s Care at Home Program, please call

718-281-8600.

*CAH II is specific to children with high tech needs such as TPN, BIPAP, CPAP, and vents. **Must have both a true medical condition and developmental delay at time of application.

5 Dakota Drive, Suite 200 New Hyde Park, NY 11042 www.stmaryskids.org

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Medicaid Service Coordination

Caring for Children and Adults with Developmental Disabilities

St. Mary’s provides case management services to children and young

adults with developmental disabilities, many of whom have complex

medical conditions, through Medicaid Service Coordination (MSC), a

program administered through the Office for People with Developmental

Disabilities.

MSC is provided by qualified service coordinators and uses a person-

centered planning process in developing, implementing, and maintaining

an Individualized Service Plan. The Medicaid Service Coordinator

assists eligible individuals and their families in gaining access to services

and supports appropriate to their needs.

MSC promotes the concepts of choice, individualized services and

supports, and consumer satisfaction. Medicaid Service Coordinators

are experts on community services, resources, and programs. MSC is

provided to people with developmental disabilities, including intellectual

disabilities, autism spectrum disorders, cerebral palsy, epilepsy, and

other neurological impairments.

Focus

The focus of MSC is to assist individuals in achieving their unique goals

such as having a home, a job, a circle of friends, enjoyable leisure,

activities, and obtaining various services and supports.

Eligibility

In order to be eligible to receive MSC, a person must:

Have a documented diagnosis of developmental disabilities

Be enrolled in Medicaid

Have a need for ongoing and comprehensive service coordination

Live outside of a Medicaid-funded setting that provides service

coordination

For more information on St. Mary’s Medicaid Service Coordination

Program, please call 718-281-8600.

Services

The Medicaid Service Coordinator will

assist with finding appropriate services

such as:

Day Services/Day Habilitation

Residential Services

Supported Employment

Family Support Services

Parent Advocacy and Training

Environmental Modifications

In-Home Services

Transportation

Counseling

Respite

Benefits

Entitlements

5 Dakota Drive, Suite 200 New Hyde Park, NY 11042 www.stmaryskids.org

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St. Mary’s Hospital for Children

A Total-Healing Environment for Children with Complex Needs

St. Mary’s Hospital for Children is New York City’s only pediatric post-

acute facility, caring for children with special healthcare needs and

medically complex conditions. Children and their families come to St.

Mary’s to receive exceptional care, learn to manage their condition,

and achieve a better quality of life.

Located on nearly nine acres of park-like grounds, St. Mary’s campus

is a home away from home for our young patients. The Children’s

Pavilion includes four patient neighborhoods that house generously-

sized patient rooms, Great Rooms for play and dining, floor to ceiling

views of Little Neck Bay, and a personal entertainment and education

console at each bed. From the colorful windows in the main lobby to

leading edge respiratory and rehabilitation technology, every detail

plays an integral role in a child’s healing.

St. Mary’s broad array of programs and services are designed to

provide the most goal-oriented medical care that addresses all aspects

of the healing process, while encouraging growth and independence.

Our family-centered philosophy ensures that parents and caregivers

are partners in their child’s care. Multi-disciplinary teams of pediatric

specialists in medicine, nursing, rehabilitation, behavioral health, social

work, and child development work with parents and caregivers to

coordinate each child’s individualized care plan to ensure the best

outcomes.

In addition to receiving medical care and rehabilitation therapies,

children attend school, participate in onsite and off-campus recreational

activities, and are encouraged to socialize, play, and just be kids.

St. Mary’s provides a variety of educational and support services for

parents and caregivers, with the ultimate goal of helping to transition

the child home.

St. Mary’s Hospital for Children is the flagship of St. Mary’s Healthcare

System for Children, providing a continuum of post-acute programs

and services for children throughout the metro NY area.

For more information, please contact St. Mary’s admission department

at 718-281-8773.

Programs & Services

Comprehensive Pediatric/Adolescent

Medical Care

Rehabilitation: PT, OT, Speech

Specialized Skilled Nursing

Neuro-Rehabilitation & Traumatic

Brain Injury Program

Respiratory Therapy & Vent Care

Nutrition/Feeding Therapy

Patient & Family Services

Psychology

Neuropsychology

Social Work

Aquatic Therapy

Patient Navigation

Art & Music Therapy

Therapeutic Recreation

Pastoral Care

Palliative Care

Respite Care

Complementary Care

Wound Care

Early Education: Preschool & CPSE

PS 23: Onsite Public School

Parent/Family Training Programs

29-01 216th Street Bayside, NY 11360 www.stmaryskids.org

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Center for Pediatric Feeding Disorders

It has been reported that 25% of all children have some form of feeding

disorder. This number increases in children with developmental delays.

Feeding disorders occur when a child has difficulty consuming nutrition

by mouth to promote physical and cognitive growth.

The Cindy and Tod Johnson Center for Pediatric Feeding Disorders at

St. Mary’s Hospital for Children in Bayside, NY, offers an interdisciplinary

evaluation service and the only intensive day patient program in New

York State to help diagnose and treat feeding disorders.

The program uses a team approach, which includes the disciplines of

medicine, nutrition, behavioral psychology, and speech language

pathology to identify the factors contributing to each child’s feeding

difficulties and develop a plan to address their needs.

The team focuses on the whole child, addressing clinical and behavioral

aspects of the child’s feeding disorder. Designed with a family-centered

behavioral approach, our intensive program identifies strategies to assist

children who present with eating difficulties such as:

Services

Comprehensive Evaluations

Intensive Day Treatment Program

Medical Management

Individual Treatment Plans

Therapeutic Meals

Nutritional Supplementation

VitalStim Therapy

Measurable Outcomes

Our intensive program focuses on helping families achieve measurable

results. Over 90% of the patients admitted to St. Mary’s Feeding Program

meet all of their admission goals.

Decreased dependence on nutritional supplements and tube feeding

Weight gain and maintenance

Increased in volume of food types and textures consumed

Oral-motor competency

Improved mealtime behaviors

For more information on The Cindy and Tod Johnson Center for Pediatric

Feeding Disorders, please contact us.

Phone: 718-281-8541

Fax: 718-281-8505

Web: stmaryskids.org/feeding

29-01 216th Street Bayside, NY 11360 www.stmaryskids.org

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Mealtime tantrums

Food refusal

Nutritional deficiencies

Failure to thrive

Dependence on liquids

Poor chewing

Poor suck and swallow

Extreme weight loss

Early Education & Preschool Programs

St. Mary’s Hospital for Children

NYS Approved Evaluation Site, Preschool & SEIT Services

St. Mary’s Early Education programs serve preschool children with

special needs and medically complex conditions. Our programs address

the academic, social, emotional, and therapeutic needs of our children,

helping them to gain independence and confidence.

St. Mary’s is a New York State approved provider of Evaluations,

Preschool, and Special Education Itinerant Teacher (SEIT) Services.

We offer a preschool for children with medical fragility on our Bayside

campus, as well as evaluation and SEIT services at home and in the

community. It is our goal to serve the specific needs of every child and

his/her family.

Preschool Classrooms

St. Mary’s Preschool in the Queens Borough President Helen Marshall

Early Education Center is the only preschool in NYC dedicated to caring

for children with the highest levels of medical complexity. It is located on

the grounds of St. Mary’s Hospital for Children in Bayside, NY. Our staff

specialize in the unique needs of children who are medically fragile and

their families.

Evaluation Team

St. Mary’s Evaluation Team offers comprehensive English, bilingual,

and diagnostic (including Autism Spectrum Disorders), multi-disciplinary

evaluations. Our team of education professionals uses various assess-

ment tools to determine eligibility for the Committee on Preschool

Special Education Program (CPSE). Evaluations are conducted on

site, at our Bayside campus, or in the community.

SEIT Services

A Special Education Itinerant Teacher or SEIT is a licensed special

education teacher who works with young children with disabilities in

early childhood programs, as well as young children who are medically

fragile at home or in a residential facility. SEITs assist in the designing

of learning environments and activities that promote each child's devel-

opment in the least restrictive environment.

For more information, contact St. Mary’s Department of Early Education

Preschool inquiries: Jean Steins, Director, 718-281-8848

Evaluation inquiries: Barbara E. Becker, 718-281-8638

Preschool Team

Special Educators

Speech Language Pathologists

Occupational Therapists

Physical Therapists

Nursing Services

Social Worker

Psychologist

Teaching Assistants

SEIT & Evaluations Service Area

Brooklyn

Queens

Manhattan

Bronx

Nassau

Suffolk

Department of Early Education 29-01 216th Street Bayside, NY 11360 www.stmaryskids.org

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