County nurse observes one day and bases lower hours on her observations and calls doctor. Home health agency will provide, apply there first. Not alternate resource since time limited. Range of motion is a personal care service for which county decides eligibility and hours. When the doctor prescribes range of motion to also improve and maintain function at the same time, it is a paramedical service.
County denies monitoring for providing some specific paramedical service.
Doctor prescribes monitoring in order to provide the service. If the interventions to provide the service are frequent, the total hours may equal the maximum, which is all you can get. Contact PAI, regional centers, independent living centers, or legal aid for more help. Paramedical services include the administration of medications, puncturing the skin or inserting a medical device into a body orifice, activities requiring sterile procedures, or other activities requiring judgment based on training given by a licensed health care professional. These necessary services shall be rendered by a provider under the direction of a licensed health care professional, subject to the informed consent of the recipient obtained as a part of the order for service.