No. While we often meet families during hospital discharge, many of our clients are already living at home. If your child has a complex medical condition and you are struggling to manage their care alone, you can apply for Private Duty Nursing or the Parent-as-Provider program right now.

Generally, no. In Wisconsin, many disability-related Medicaid programs (like the Katie Beckett Waiver or CLTS) look at the child’s income and assets, not the parents’. However, depending on your income level, there may be a small “Parental Payment” fee for the CLTS program. We can help you understand if this applies to you.

Yes. Under Wisconsin’s “Personal Care” and “Personal Supports” options, legally responsible parents can be hired and paid to provide care that meets the “Extraordinary Care” standard—meaning care that goes significantly above and beyond what is typical for a child of that age.

Yes, as long as your work hours do not overlap with the hours you are billing for care. However, many parents find that being a paid caregiver allows them to reduce their outside work hours or focus entirely on their child’s care.

No. For the Parent-as-Provider program (Personal Care), you do not need a nursing license. B&Y Health Care will provide the required training, background checks, and competency testing to employ you as a Personal Care Worker (PCW) for your child.

Yes. We believe education is vital! Our nurses can accompany your child to school, ride the bus with them, and provide all necessary medical cares (like suctioning or tube feedings) during the school day so they can focus on learning.

Hours are determined by “Medical Necessity.” For Private Duty Nursing, a physician generally must certify that your child requires 8 or more hours of skilled care per day. Our clinical team works with your doctor to document this need and submit the Prior Authorization (PA) request to the state.

Absolutely. You always have the right to choose your provider. If you feel your current agency isn’t meeting your needs—or if you want to switch to our Parent-as-Provider model—we handle the entire transfer process for you. We coordinate with your case manager to ensure there is zero gap in your child’s care during the switch.

• Transferring Agencies: Can happen in as little as 1–2 weeks.

• New Applications: Typically take 30–60 days for the state to process the Functional Screen and Prior Authorization.

• The sooner you contact us, the sooner we can start the clock.