TheraTree Pediatric Therapy - TheraTree Blog #COVID-19TheraTree Pediatric Therapy - TheraTree Blog #COVID-19https://www.theratreepeds.com/blogs/tag/covid-19Wed, 12 Nov 2025 18:53:40 -0800http://zoho.com/sites/<![CDATA[KY Medicaid Annual Renewals]]>https://www.theratreepeds.com/blogs/post/medicaidThe Kentucky Department for Medicaid Services (DMS) is resuming annual Medicaid renewals which may effect your child's coverage. This blog has important information to help prevent patients from losing Medicaid coverage.]]>

Avoid Loss Of Medicaid Coverage

The Kentucky Department for Medicaid Services (DMS) is resuming annual Medicaid renewals which may effect your child's coverage. During the COVID-19 Public Health Emergency, DMS  stopped all annual renewals to facilitate Medicaid beneficiaries keeping their coverage during the Emergency. Because the Public Health Emergency was ended at the federal level, annual renewals have resumed. This blog has important information to help prevent patients from losing Medicaid coverage.


Critical Bottom Lines: 

  1. Medicaid must have your current and up to date information to avoid loss of coverage. If your contact information has changed or is incorrectly listed, you may miss your notification of renewal.  Verify and update your mailing address, phone number, email and other contact information as soon as possible by visiting kynect.ky.gov​​ or calling 855-459-6328.
  2. If your child's benefits are managed by an MCO your child may have a change of coverage during their review whether passive or actively renewed. Currently, MCO's are holding KY Medicaid accountable for coverage during the review period. Therefore if a healthcare service is provided during this review and the provider is unaware of your review, your service may be denied due to no prior authorization. Medicaid has yet to provide a mainstreamed solution for coverage during the renewal process. 

Different Renewal Requests and Actions

Passive Renewals: Members who have up-to-date and verifiable information in the system can be passively renewed. This means that Medicaid has all information necessary to make an automatic renewal determination within their records to ensure they remain eligible. These individuals will receive a Notice of Eligibility and will not need to act. The Notice of Eligibility notifies a member that their coverage has been continued. 


Action Required for Renewals: Members that are missing specific pieces of information will receive a Request for Information (RFI). A RFI requests additional information to support Medicaid in accurately determining a member’s eligibility. Members who receive a RFI must respond to the RFI prior to their renewal due date to ensure their renewal can be accurately and timely processed.


Additional Action Required for Renewals: Members in which Kentucky Medicaid requires more information from the member because they cannot be passively renewed by the system will receive a prepopulated Renewal Packet. A Renewal Packet requests additional information from the member to be updated within kynect. This information must be submitted prior to their renewal due date to ensure their renewal can be accurately and timely processed and coverage can continue.

Different Renewal Requests and Actions

Members renewal and redetermination date, timelines, and status information is available on  kynect in your benefits page.

  • April 2023: Initial notices of renewals sent to individuals enrolled in Medicaid. 
  • May 2023: Renewal process has restarted. 
    • 90 days prior to member’s end date, members will receive an email and SMS communication from the state that their renewal is upcoming.
    • 50-60 days prior to member’s end date:
      • The state will attempt to automatically renew a member’s benefits.
      • In cases where Medicaid cannot automatically renew benefits, 50-60 days prior to member’s end date notices will be sent out. This means that members will receive notices within the first 2 weeks of a month before the month of their end date.
      • If there has been no response from a member by the 15th of the month of their end date, members will receive follow up outreach to request response and information.
    • End Date of Coverage: 
      • It is important for members to provide all requested information before their renewal date to avoid discontinuation of coverage.
      • Coverage will end for members who are determined to be no longer eligible on their posted renewal date. 
      • Members who do not respond to requests for information or submit their renewal packet information may also be determined ineligible based on lack of information. 
  • April 2024: All initial renewals will be complete and additional annual renewals will continue to occur.


Download Instructions for Viewing Your Renewal Date

Important Communication

The most important action is to  update your contact information in kynect (https://kynect.ky.gov/). Submit multiple ways to be contacted by Medicaid within their kynect profile (e.g., home address, email address, phone number). 


All communications will come from the state Cabinet for Family and Health Services (CHFS) and the Department for Medicaid Services. Check your communication preferences on kynect. 

  • Postal Communication: If you have opted in for paper communications, this will come via postal mail. 
  • Digital Communication: If a member is opted in for digital communications, the notice will be shown in their message center and an email and/or SMS will be sent. 
    • Opt in to receive email and SMS messages on your kynect account as well as with your health plan to ensure you receive all information in the most efficient manner. 
    • Other providers or representatives from your health plan may reach out about your upcoming renewal, but any request for information (RFI) or Medicaid renewal packet will only come from the state.
    • Please note that the state is exempt from the Telephone Consumer Protection Act when communicating with members about their benefits.


Ways to get Information:

  • Kentucky PHE website: https://medicaidunwinding.ky.gov
    •  If there are specific questions about the Medicaid renewal process, Medicaid members can access information sheets and guides here.
  • Monthly Stakeholder Meetings: 
    • Every third Thursday at 11:00 EST. 
    • ​You can register for the June 15, 2023 session through this registration link​​.
    • If you have any questions for DMS that you would like for us to speak to during the upcoming monthly meeting, please submit those questions through this survey. 

How to Renew

Information can be submitted in various means. Members will receive a notice that only requests the information necessary, based on their specific situation, to make a determination. The types of documents needed will be clearly communicated to the member.



1. Complete and Return Forms:

  • Fill in all requested information
  • Return by fax to 502-573-2005 or 502-573-2007
  • Return by mail to P.O. Box 2104, Frankfurt, KY 40602



2. Self-Service Portal:



3. Connecting with kynect or DCBS:

  • Kynect
    • Hours: Mon-Fri 8:00 am to 4:30 pm ET
    • Call  (1-855-459-6328) 
    • Find and visit a kynector or agent office HERE. 
  • DCBS
    • Hours: Mon-Fri 8:00 am to 4:30 pm ET and Saturdays from 9:00 am to 12:00 pm ET
    • Call (1-855-306-8959) 
    • Find  and visit a DCBS office HERE.
Download kynect benefits FAQ

Income Verification: If verification of income is requested, Documents are required for proof of income and will need to upload any of the following:

  • Wage stubs
  • Written statement from or a collateral contact to the employee
  • Previous year tax return
  • Award letters for things such as Retirement, Survivors, and Disability Insurance (RSDI) or Unemployment Insurance Benefits (UIB)
  • The state’s various data sources such as eligibility advisor or state wage data for the previous quarter
  • Personal records for those who are self-employed 
  • “No income” status can be verified through client attestation, through collateral contact to a non-household member, a signed written statement from a non-household member, or Form PAFS-702, Proof of No Income.

Social Security Disability Insurance

The Medicaid renewal process will impact members who currently have Medicaid and are on SSDI. Medicaid will attempt to determine individuals on SSDI Medicaid eligible in another category. If Medicaid is unable to make this determination, the member will be determined ineligible and will receive a termination notice (will no longer receive Medicaid benefits).

MCOs

MCO partners will conduct outreach to members who have received a redetermination package or a request for information from the state. MCOs will help members understand what actions they must take and connect them to navigators or kynectors to provide additional support or guidance, as appropriate. MCOs will outreach to individuals administratively terminated for up to 90 days after their end date to encourage they submit information. 


A member submitting required information and determined eligible within the 90 days will have coverage retroactively reinstated to their end date. MCOs will also outreach to members who have been determined to no longer be eligible for Medicaid to support them in identifying alternative health care coverage options such as a Qualified Health Plan on kynect.

Waiver Participants 

Appendix K  Waiver flexibilities will extend 6-months beyond the end of the PHE May 11, 2023  extending waiver flexibilities to November 11, 2023. This extension is to allow 1915(c) HCBS waivers return to normal operation. Appendix K cannot remain in place beyond its approval end date. To make Appendix K updates permanent, changes would need to be incorporated into the current waiver applications and submitted to CMS for approval. Additionally, waiver-related Kentucky Administrative Regulations must be updated and approved.

All waiver participants will go through a redetermination during the 12 months. For detailed information, please see the 1915(c) HCBS COVID-19 and Appendix K FAQ. There is an outreach plan to support waiver members through the PHE unwinding period. Kentucky is actively preparing for the future of our waiver programs to ensure we continue to support waiver participants as well as possible. 

Ineligibility & Disqualifications

If a member is determined to no longer be eligible for Medicaid, they will receive a discontinuance notice that fully explains the reason for no longer being eligible. The discontinuance notice will also indicate the options to appeal the decision. 


All members have a right to appeal if they do not agree with the decision. Members who have been determined ineligible have 90 days from their Medicaid renewal due date to submit all requested information and be determined eligible for Medicaid coverage. Their coverage will be reinstated back to their end date automatically. If a member submits the requested information and application within 90 days from their Medicaid renewal date and is determined to be eligible, they will have their Medicaid reinstated back to their end date automatically. If a renewal is pending for state action at the time of the member’s renewal date, the member’s coverage will be extended until a determination is made. If no longer eligible, the member’s coverage will end on the first day of the following month.

]]>Sat, 03 Jun 2023 11:31:27 -0500<![CDATA[COVID-19 Precautions Update]]>https://www.theratreepeds.com/blogs/post/covid-19-precautions-updateWe are excited to announce a lifting of select COVID-19 precautions as our community begins to transition to a post pandemic way of operating.  Th ]]>

TheraTree Families,

We are excited to announce a lifting of select COVID-19 precautions as our community begins to transition to a post pandemic way of operating. 


Thank you for your flexibility over the last 16 months. Your commitment to your children getting the best care safely is clear! We appreciate your trust to help your family. 


On June 11th, 2021 Kentucky Governor Beshear issued new guidance and mandates for both non-healthcare public entities and healthcare facilities. The guidance for non-healthcare public facing entities lifting mask requirements for vaccinated individuals is a step towards an eagerly awaited new post-pandemic life. 


TheraTree does fall under the healthcare facility mandates that differs from those guidelines. Here is our new precautions in alignment with the new mandates for healthcare facilities: 

Masks & PPE

Both patients, caregivers and staff continue to be required to wear face coverings in our office per the June 11, 2021 Kentucky Supplemental Guidance for Healthcare Facilities and 902 KAR 2.212E filed on June 16th, 2021.


Patient and Caregivers 

  • All patients (2yr+) and accompanying adults will be asked to wear masks in our office. 
  • Patient masks may be surgical or cloth masks. 
  • If you have a cloth mask at home, we ask that you bring this mask. 
  • Surgical masks are available at reception. 
  • If your child refuses to wear a mask, they will not be refused treatment. 

TheraTree Staff
  • All staff are required to wear surgical masks during treatment and all spaces shared with the public. 
  • Staff who are vaccinated and have those vaccination records on file with our HR department may temporarily remove their masks in staff only areas separated from the public. 
  • Additional PPE such as gloves, face shields, and gowns continue to be available for staff to use and may be used in circumstances the clinician as determined clinically appropriate. 

Waiting Room 

  • Our waiting room will be open to the public Monday-Friday 8am-6pm beginning Tuesday, June 22, 2021.
  • Seating will be limited and spaced 6ft apart in pairs. 
  • If you choose to utilize our waiting room please see reception immediately for your COVID screening and to check in for your appointment. 
  • Please ensure you and your child wear a mask.
  • If you prefer to wait in your vehicle: 
    • Please call/text our office to check in: 270-688-8449 
    • A clinician will meet you at your vehicle to complete your child's screening and bring them into the clinic. 

COVID-19 Screenings

  • Every person (clients and staff) with the intention of entering the building will be screened at reception or your vehicle.
  • Temperatures will be taken by a touchless thermometer. All temperatures over 100.4℉ will not be permitted to participate in therapy and/or enter the building. 
  • Each person will be asked if in the last two weeks (14 days) you or your child have: 
    • Experienced COVID symptoms (cough, difficulty breathing, temperature 100.4℉+, chills, sore throat, new loss of taste or smell)
    • Been exposed to / direct contact with / or someone in household with COVID-19. 

Sanitation and Other Modifications

  • The clinic will continue to have a fully stocked PPE station in addition to several mini stations throughout the clinic. 

  • High touched surfaces will be regularly sanitized to avoid cross contamination.
  • Staff will complete regular hand hygiene procedures for self and clients.
  • Staff will use cleaner, sanitizer, and disinfectant on equipment immediately after use. 
  • Fabric and other equipment not easily cleaned such as swings, ball pit, carpet bonded foam, crash pads, and vests that can't be washed immediately after use will be stored and not used in treatment. 
  • Any fabric used in treatment will immediately be placed in the hamper to wash.
  • All people must socially distance. 
]]>Mon, 21 Jun 2021 15:04:41 -0500<![CDATA[Tips for Supporting Children and Teens during this Holiday Season]]>https://www.theratreepeds.com/blogs/post/Holiday-2020Links from article:  Check out CDC guidance to make holiday gather ings safer. Understanding & Coping with Reactions in a Pandemic ]]>

Links from article: 

]]>Thu, 10 Dec 2020 12:56:22 -0600<![CDATA[COVID-19 Daily Screening Process]]>https://www.theratreepeds.com/blogs/post/COVID-19-Daily-Screening-ProcessScreening Stations There will be a screening station in place at both client entrance and employee entrance of the clinics. All people with the intenti ]]>

Screening Stations

There will be a screening station in place at both client entrance and employee entrance of the clinics. All people with the intention of coming inside the building (including staff, patients, and accompanying adults) will be screened upon entering. Each screening will be recorded on log by a staff member.

Screening Criteria

To pass a screening, a person must not have any symptoms or environmental factors related to COVID-19.


Each person's temperature will be taken using a touchless thermometer at the door.


People will be asked if they've traveled to countries known to have wide spread cases of COVID-19 or have been exposed to/in direct contact with someone with COVID-19.


If the person is currently or within the last 14 days experienced the following quantities of symptoms.

 One or more:Two or more: 
1. Cough
2. Shortness of breath / difficulty breathing
3. Temperature 100.4+
A. Chills
B. Repeated Shaking with chills
C. Muscle Pain  
D. Headache
E. Sore Throat
F. New loss of taste of smell

If a person does not pass their screening, they will not be able to enter the clinic. It is advised they contact their primary care physician for further directions.

]]>Tue, 05 May 2020 14:06:42 -0500<![CDATA[COVID-19 Limited In-Person Services Resume 5/7/2020]]>https://www.theratreepeds.com/blogs/post/Enter-your-post-titleWe are excited to announce that we are ready to resume an limited amount of in-person services beginning Thursday, May 7th, 2020! We have created a co ]]>

We are excited to announce that we are ready to resume an limited amount of in-person services beginning Thursday, May 7th, 2020!


We have created a comprehensive re-opening plan based on data and best practice:


Phase 1: Preparation 

This phase consisted of obtaining adequate Personal Protective Equipment (PPE: masks, gloves, face shields, gowns) and sanitation supplies (hand sanitizer, virucide, disinfectant). We are increased the quantity of touchless thermometers for screenings. We created new policies and procedures for using PPE, training employees, restricted clinic space, and phasing in employees gradually. We also surveyed select parents on returning in-person services.


Phase 2: Limited In-Person Services Begins May 7th, 2020

See below sections for details.


Phase 3: Increased In-Person Services

The phase includes allowing patients to resume in-person services based on preference, increased quantity of staff returning to clinic, maintaining many of the PPE & sanitizing protocols as phase 2, less restrictions of utilizing clinic space. A date for this phase to begin has not been established.


Phase 4: Primarily In-Person Services

We will resume in-person services in both outpatient and GRHH settings. Our waiting room will re-open and maintain social distance. Staff will be integrated back into the clinic. PPE protocols will be modified as appropriate for the conditions advised by KY government and CDC.  A date for this phase to begin has not been established.


Phase 5: Regular Therapy Services

Services will resume as usual. Telehealth will be utilized for outpatient clients to remove the barrier of distance, illness, and schedule as approved by their insurance company. PPE will be utilized per pre-COVID-19 protocols. Socially distancing, and daily screening will have ended. Equpitment will be on regular sanitizing schedules. A date for this phase to begin has not been established.

Phase 2: Who Can Resume In-Person Services

We are prioritizing patients treated through our outpatient setting who have:

  1. Been unable to participate in Telehealth for a technical reason.
  2. A clinical need for in-person services. This recommendation will be at the discretion of your therapy provider. Please ask your provider if you are interested in resuming in-person services.
If your child can receive services through Telehealth and there is not a clinical need for your child to resume in person services, we ask that you remain receiving services through Telehealth at this time. Phase 3 of our reopening plan will accommodate patients how prefer to receive in-person services.

Phase 2: What to Expect

Our waiting room is closed.

  • Our front doors will be locked and there will not be a receptionist working at the front desk.
  • Your therapy provider will meeting you at the front door. 
    • Please wait in your car until they are ready for you.
    • Please wait for their previous patient to depart from the side walk and/or enter their vehicle before exiting your vehicle to maintain good social distancing.
  • Allow your child to independently participate in therapy. We are limiting the quantity of people on our building, so unless it's essential for you to accompany your child in treatment, let them participate independently.
  • If you have a transportation concern, please contact client services at 270-688-8449 to make special arrangements.


Screenings

  • Every person (clients and staff) with the intention of entering the building will be screened at the door.
  • Temperatures will be taken and recorded by a touchless thermometer. All temperatures over 100.4F will not be permitted to participate in therapy and/or enter the building. 
  • Each person will be asked a services of screening questions as related to COVID-19 symptoms. An adult will need to answer or confirm answers of minors.


Patients & PPE

  • All people will remove their shoes upon entering the building. Shoes are a cross contaminant.
  • All people must sanitize their hands immediately upon entering the building with hand sanitizer.
  • All patients (2yr+) and accompanying adults will be asked to wear masks during treatment.
    • Patient masks may be surgical or cloth masks.
    • If you have a cloth mask at home, we ask that you bring this mask.
    •  An adult sized surgical mask will be provided for those who do not have access to masks.
    • Prepare your child for wearing a mask before your appointment
      • Watch videos about masks.
        • We Wear Masks by Mike McGovern
      • Read social stories.
      • Practice wearing a mask for 30-60 minutes daily.
        • You may need to begin practicing with 5 minutes and extend time based on tolerance.
        • Use a timer to practice.
        • Use a video at a specific length of time to practice.
    • If your child refuses to wear a mask, they will not be refused treatment.
      • They will continue to be offered to try a mask each visit.
      • Keep practicing at home


Staff & PPE

  •  Our staff will be wearing the following PPE:
    • Surgical Masks (cloth masks are not permitted for health care providers to wear)
    • Gloves
    • Face shields
    • No shoes (or designated sanitized work shoes to prevent cross contamination)
    • Gowns: These will be at the discretion of the therapist for patients who require a high level of physical interaction.
  • Prepare your child for therapists wearing PPE.

Sanitation and Other Modifications
  • PPE Stations
    • The clinic will have two fully stocked PPE stations and patient and client entrances. There will also be several mini stations throughout the clinic.
    • All staff will be replacing PPE as needed throughout the day.
  • Hand sanitation
    • All staff will be sanitizing their hands before/after each glove change.
    • All staff are assigned hand sanitizer they will keep on themselves at all times.
  • All treatment rooms will be stocked with hand sanitizer and disinfectant spray.
  • Treatment rooms and equipment will be sanitized immediately after use by hand sanitizer, disinfectant spray, virucide, UVC etc. 
  • We have a designated person in the clinic to assist with increased sanitizing protocols.
  • Fabric equipment (swings, crash pads etc) will not be used and the ball pit is closed. 
  • Patients who typically work on feeding in the clinic will have additional clinical considerations about feeding therapy. This will be address through Telehealth when possible during this phase of re-opening.
  • Specific areas of the clinic will be limited to only staff (example: kitchen).
  • Only two patients will be allowed in the therapy gym at the same time and must socially distance.
  • All staff will be practicing social distancing and will continue attending meetings virtually vs in person meetings.
  • Staff will gradually transition from remote work to in person work based on the need for in person services.
    • Administrative staff will continue to work from home when possible.
    • Therapists who have full caseloads through Telehealth will continue to work remotely.

Phase 2: How To Schedule

Please contact us at 270-688-8449 or Contact@TheraTreePeds.com to schedule your appointment.

]]>Mon, 04 May 2020 19:59:59 -0500<![CDATA[COVID-19 & Telehealth Update]]>https://www.theratreepeds.com/blogs/post/COVID-19-Telehealth-UpdateTheraTree Familes, Our promise to our families is alive and moving swiftly with individual communication about how we are addressing COVID-19 in the c ]]>

TheraTree Familes,

Our promise to our families is alive and moving swiftly with individual communication about how we are addressing COVID-19 in the context of keeping children and families safe while receiving therapeutic treatment. The health and well being of children and families are always of the highest importance to us.


We also understand that the circumstances occurring in our community, state, and world may create fear in parents and children alike. You may have panic and uncertainty. So, we'd like to take this opportunity to create a context around those feelings. It's important to understand that fear does not live off facts. Fear lives and feeds off speculation. We as humans have a tendency to react to what we speculate. However, we as both an organization and health care providers, operate on and make decisions on facts, not fear.


Receiving Therapy

TheraTree is equip and excited to deliver therapeutic services through Telehealth. This is a delivery model we've been working on for weeks - as soon as we knew in-person treatment may not be possible at some point. It's taken a lot of research, planning, action and training. We've been working adamantly to ensure our families have access to therapy services if we reached that critical moment. We first prioritized our most vulnerable clients served to transition to Telehealth. Telehelath is now the only method of delivering therapy services during this time. We have created accessibility to Telehealth across all practice settings we serve.


What is Telehealth?Telehealth is the use of telecommunications technologies to provide health care. Technologies are HIPAA compliant and TheraTree's primary method of providing telehealth is videoconferencing. Telehealth therapy may include evaluations, assessments, consultation, treatment planning, and therapeutic interventions. 



Benefits to Families: Provides opportunities to progress skills sets and overcome barriers such as distance, illness, schedule, and travel. Increases skills and confidence of family members and caregivers. 



What to Expect: Activities will be similar to a typical clinic session. Parent coaching is a key component and can increase home carryover and progress. It's important for the parent or caregiver to be involved during the session to increase effectiveness.


Who Pays for Telehealth:

Outpatient Setting: Kentucky Based Health Insurance Plan cover Telehealth.
  • This includes Medicaid, MCOS, and Private insurance.
  • Self funded and out of state plans may cover Telehealth; we can confirm with your insurance.
Green River Home Health: We have approval to provide Telehealth!

Ohio County Schools: The Kentucky School Board passed an emergency approval today (3/20/2020) to allow Telehealth as a delivery method for related services such as therapy!
    • It's important for you to know some information about Non-Traditional Instruction (NTI) as is relates to your child's IEP. Districts must provide IEP services during NTI days.
    • These services can be adapted to schoolwork packets, online learning, and other adaptions.
    • Telehealth is the ideal way to provide the required therapy services considering our typical in person delivery model is unavailable.
Technology & Other Requirements:
Setting up Telehealth:
  • Set up your ClockTree Account. A link will be emailed upon transitioning to Telehealth. Please set up your account as soon as possible to reduce technical difficulties. This invitation may go to your spam folder, so check there!
  • Watch the orientation video about your first appointment: https://www.clocktree.com/api/1/notificationdocument/730139?content
  • After you set up your account, our client services department will then confirm your Telehealth appointment and you'll get an email notification for this.
  • You can access the Telehealth platform through the appointment confirmation or through this link: Access Telehealth Platform HERE. 
  • Log in to your clock tree at least 8 minutes before your scheduled appointment on your device connected to the internet. ProTip: logging in on a mobile device creates endless movement options.
Learn more about TheraTree's Virtual Clinic with Telehealth HERE. 

Attendance

With any new process, there will be logistics to work out. Telehealth removes many barriers; especially the ones we're facing currently. We understand this is a swift transition for all of us. Our client services division is working to transition all of our patient's appointments to Telehealth.


Please keep in mind that we do continue to have a cancellation policy. If you need to cancel your appointment, cancel 24 hours in advance. The reason for this policy is when patients cancel the day of their appointment it hurts three people:

  1. The child who isn't receiving the service
  2. Another child who could have been scheduled during that appointment, and
  3. Your therapy provider who then isn't able to fulfill on their commitment to help families during that now vacant time.

Please note that during this time we will be doing our best to make accommodations for scheduling, rescheduling, and make-up sessions.

Events Since Last Update:

We have all experienced rapid changes of information regarding COVID-19 and our government's response of implementing new processes that effect our daily routines. The following is a series of updates as related to the delivery of our therapeutic services to create a context around the timing of our transition.


On Tuesday 3/17/2020 Kentucky's Governor ordered public-facing businesses to close on 3/18/2020. In this order, health care facilities following CDC guidelines were exempt. In his press conference on 3/18/2020 he stated Occupational Therapy and Physical Therapy should close. This new information did not specify therapy settings or timelines. Therefore, TheraTree sought clarification. Both the Kentucky Occupational Therapy Association (KOTA) and Kentucky Physical Therapy Association (KPTA or APTA KY) immediately requested clarification after the press conference from Secretary Friedlander. Secretary Friedlander then scheduled a meeting for 3/19/2020 to establish which settings the closure applies to and when it should occur. Both KOTA and KPTA then advised therapy members to wait on any closure actions until a specific order has occurred.


After the scheduled meeting on 3/19/2020, the Cabinet for Health and Family Services Office of Inspector General (CHFS OIG) issued it's letter that guides which settings may remain open and which shall close and transition to a Telehealth platform in accordance with DMS guidelines immediately. The letter also stated Telehealth services shall be maximized to the fullest extent possible for patients receiving community based rehabilitative skilled therapy services. TheraTree made the remaining rapid provisions to be in accordance with this official letter and the time line of "immediately". On 3/20/2020 CHFS OIG's letter was revised to identify 3/20/2020 as the date to cease operations and KPTA issued further guidance to cease physical operations by day's end on 3/20/2020.


Fortunately, if our profession has taught us anything, it's to adapt and respond. We've been adapting and responding to ensure the quality of service remains high while we serve our families and take the necessary precautions for everyone. We appreciate the families who are willing to adapt and respond with us by making the last minute schedule changes and learning our Telehealth platform. We are being dealt circumstances unlike we've seen before as an industry, community, and country. The length of time to remain operating this way is unknown. However, we can expect this to be the new normal for much longer than a child without therapy can go before regressing. We are all in this together. Adapt - Respond - Repeat

More Information about COVID-19:

TheraTree recommends the following resources for latest information about COVID-19:

]]>Fri, 20 Mar 2020 21:55:27 -0500<![CDATA[COVID-19 update]]>https://www.theratreepeds.com/blogs/post/COVID-19-updateTheraTree Families, We have a promise to keep our families updated about how we are addressing COVID-19 in the context of keeping children and families ]]>

TheraTree Families,

We have a promise to keep our families updated about how we are addressing COVID-19 in the context of keeping children and families safe while receiving therapeutic treatment. The health and well being of children and families in our community are always of the highest importance to us. Information regarding COVID-19 and our government's response is frequently changing. We continue to monitor the situation daily, if not hourly. At this time (3/18/2020) we have created more options to access services through Telehealth and will continue an option for outpatient services with higher level precautions. Consistent attendance is crucial for progress and to avoid regression. Our experience and research shows it! This is why we've been working tirelessly to make therapy more accessible to you!

Telehealth

This is the recommended delivery of therapeutic services for families who's children or household member(s) have a higher level of health / immune risk. This is also recommended in the event a member of the household has directly exposed to COVID-19 and/or is exhibiting symptoms. 



At this time, our contract home health company has not yet approved the use of telehealth to substitute in person visits. If you are treated in the home health setting and see telehealth as the most appropriate delivery model for you, please call our office at 270-688-8449 to discuss options. 



What is Telehealth? Telehealth is the use of telecommunications technologies to provide health care. Technologies are HIPAA compliant and TheraTree's primary method of providing telehealth is videoconferencing. Telehealth therapy may include evaluations, assessments, consultation, treatment planning, and therapeutic interventions. 



Benefits to Families: Provides opportunities to progress skills sets and overcome barriers such as distance, illness, schedule, and travel. Increases skills and confidence of family members and caregivers. 



What to Expect: Activities will be similar to a typical clinic session. Parent coaching is a key component and can increase home carryover and progress. It's important for the parent or caregiver to be involved during the session to increase effectiveness. For families with co-payments and deductibles, TheraTree has a credit card agreement option for hassle free payments.


Technology & Other Requirements: Families must have access to high speed internet and a computer or mobile device with a camera and mic. Families must sign a consent form for Telehealth services. There will be a link sent upon scheduling a telehealth appointment which will give families access to the telehealth portal. Please set up your portal as soon as possible to reduce technical difficulties. 



Complete Telehealth Consent form HERE

Complete Credit Card Agreement HERE
Access Telehealth Platform HERE

TheraTree's Enhanced Precautions:

We have updated our precautions to keep clients, families, and our staff healthy while receiving in person outpatient intervention.

  • Introducing Curb-Side: 

    • Beginning Thursday 3/19/2020 our waiting room with be closed. 

    • Your therapy provider will meet you at our main entrance to check in your child. 

    • If you have a payment, you can establish a credit card agreement or call the office before your appointment to skip line at reception. 

    • If you utilize public transportation, please see reception for options. 

    • If you have additional questions, please call us at 270-688-8449, email us at contact@theratreepeds.com, or ask your therapy provider at curb-side.

  • We've removed all fabric based intervention tools from use and the environment. 

  • As a reminder, our previously established precautions are 

    • Both clinicians and children will wash hands and/or utilize hand sanitizer upon entering and exiting the treatment area.

    • Hand washing is a prioritized goals for children who have difficulty with hand washing.

    • Staff is reminding patients to avoid touching eyes, nose, and mouths during sessions.

    • Our staff is cleaning AND disinfecting frequently touched surfaces / toys during and in between treatment sessions. This includes tables, doorknobs, light switches, countertops, pens, handles, toilets, faucets, and sinks.
    • Our clinic is professionally cleaned and sanitized on a regular basis with an increased priority to disinfect all surfaces in the clinic. 

    • Alternative social gestures to high five, hugs, and hand shakes.

Attendance:

Continue to follow the CDC recommendations of if a person has a fever or respiratory symptoms such as a cough or shortness of breath AND has traveled to an affected geographic area, OR had direct contact with someone with COVID-19 to not come into the office.

Please notify our office immediately if you, your child, or an immediate family member have:

  • Traveled to an affected country outside of the USA; identified by the CDC and/or WHO.

  • Been directly exposed to COVID-19 and are under a self-quarantine due to this exposure.
  • A confirmed case of COVID-19.

Please keep in mind that we have a cancellation policy to cancel your appointment 24 hours in advance. Please do not bring a sick child to therapy. Consider telehealth as an alternative. If you should have a question regarding this policy, please do not hesitate to contact our office. Please note that during this time we will be doing our best to make accommodations for rescheduling make-up sessions.

More Information about COVID-19:

TheraTree recommends the following resources for latest information about COVID-19:

TheraTree Community Engagement:

At this time, we have postponed community events that engage the public in person. We will announce via social media when these events will be rescheduled to.

]]>Wed, 18 Mar 2020 01:20:30 -0500<![CDATA[COVID-19 (Coronavirus) Update]]>https://www.theratreepeds.com/blogs/post/COVID-19-Coronavirus-UpdateTheraTree Families, This message is intended to inform our TheraTree community about how we are addressing COVID-19 in the context of keeping children ]]>


TheraTree Families,


This message is intended to inform our TheraTree community about how we are addressing COVID-19 in the context of keeping children and families safe while receiving therapeutic treatment. The health and well being of children and families in our community is of the highest importance; after all, that is why we are here in the first place!


Information regarding the prevalence of COVID-19 is frequently changing. We have assessed and continue to monitor the situation daily, if not hourly. At this time (3/11/2020) we have determined that it is safe and in the best interest of the families we serve to continue to provide services with enhanced precautions.


TheraTree's Enhanced Precautions:

Our staff has been taking extra precautions to keep clients, families, and our staff healthy in our treatment and waiting rooms.

  • All patients will wash hands when arriving, prior to entering treatment spaces.
  • Hand sanitizer will be made available in the waiting area.
  • Both clinicians and children will utilize hand sanitizer upon entering and exiting the treatment area.
    • If you have a preferred hand sanitizer due to skin sensitivity, please bring this with you.
  • For children who have difficulty with hand washing, this will be a prioritized goal for them. Hand washing is a daily life skill addressed by Occupational Therapy, and is especially important during times of health concern.
  • Staff is reminding patients to avoid touching eyes, nose, and mouths during sessions.
  • Our staff is cleaning AND disinfecting frequently touched surfaces / toys during and in between treatment sessions. This includes tables, doorknobs, light switches, countertops, pens, handles, toilets, faucets, and sinks.
  • Our clinic is already professionally cleaned and sanitized on a regular basis. An increased priority will be made to disinfect all surfaces in the clinic. 
  • High five, hugs, and hand shake alternatives: How about an elbow bump, thumbs up or a "raise the roof" instead?

Families' Precautions:

  • Caregivers can model and encourage the use of covering mouths and noses with a tissue when you/your child coughs / sneezes or use the inside of the elbow.
  • Throw used tissues in the trash immediately after use as and dispose of garbage promptly.
  • Do not bring or consume food / drinks in the waiting area.
  • Wash your hands with soap and water for at least 20 seconds after using the restroom.
    • Pro Tip: Sing the ABC's all the way through!
  • Avoid touching your or your child's face.
  • Face masks:
    • The CDCdoes not recommend that people who are well wear a face mask to protect themselves from respiratory disease, including COVID-19. Face masks will not prevent COVID-19 as it is not an airborne virus. However, masks can remind you not to touch your face and you are welcome to wear them.
    • Face masks should be used by people who show symptoms of COVID-19 (see below). 
  • If you choose, you may wear latex, nitrile, or vinyl gloves. This is an effective precaution, as COVID-19 is transmitted through contact.

Attendance:

Currently, the CDC recommends that if a person has a fever or respiratory symptoms such as a cough or shortness of breath AND has traveled to an affected geographic area, OR had direct contact with someone with COVID-19 to not come into the office and call your medical provider immediately for further instructions.

Please notify our office immediately if you, your child, or an immediate family member have:
  • Traveled to an affected country outside of the USA; identified by the CDC and/or WHO.
  • Been directly exposed to COVID-19 and are under a self-quarantine due to this exposure.
  • A confirmed case of COVID-19.
Please keep in mind that we have a cancellation policy to cancel your appointment 24 hours in advance. Please do not bring a sick child to therapy. A child must be symptom free 24 hours before resuming therapy sessions. This includes fever (100.4 degrees or over), pink eye, lice, or diarrhea. Please provide a doctors excuse for cancellations due to illness. If you should have a question regarding this policy, please do not hesitate to contact our office. Please note that during this time we will be doing our best to make accommodations for rescheduling make-up sessions.

COVID-19 Symptoms:

  • Fever
  • Cough
  • Shortness of breath
Symptoms may appear 2-14 days after exposure.

Reported illnesses for confirmed COVID-19 cases have a range of severity. Most reported cases are mild symptoms. In approximately 16% of cases, at risk populations exhibited severe symptoms. At risk populations are people 80+ years old, those with pre-existing fragilities, and serious medical conditions such as lung disease and heart disease.

Ample data indicates that healthy individuals do NOT need to fear COVID-19 as symptoms are typically mild for people with an able immune system.

More Information about COVID-19:

COVID-19 is a respiratory disease, caused by a new strand of coronavirus first identified in China in 2019. On March 11, 2020, The World Health Organization classified COVID-19 as a pandemic. As of March 11, 2020 there are 8 confirmed cases in Kentucky.

See the latest information from:


In the Case of School Closures:

We have created a comprehensive plan which includes remaining open during school closures. We are committed to providing the best care for your child and your family. Therapeutic treatment is most effective in person and when provided consistently. We will continue to mitigate risk exposure and will make decisions about the safety of our therapists and client community based on the facts presented. During this time alternative intervention settings may be offered. We will update you immediately and as often as necessary regarding changes to our procedures or operations.

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