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Requirements for Enrollment in the Pediatric Complex Care Program

Following are requirements for enrollment in the program. We make exceptions depending on your child's situation.

  • Age under 15 years at enrollment. We follow enrolled patients for years after that but generally do not take patients who will soon transition to adult care.
  • Receiving care from a primary care physician with whom we can partner. We do not replace the primary care physician
  • A lifelong chronic illness that is not expected to go away and that will require ongoing care
  • One hospital admission of 10 days or more, or one ICU admission
  • Involvement with at least four subspecialty providers or care teams
  • Not under care of a team dedicated to your child's illness, such as cystic fibrosis, cancer, sickle cell disease, diabetes, autoimmune diseases such as lupus, and juvenile rheumatoid arthritis
  • Dependent on a technology for ongoing care 

Our team will see your child in two-hour quarterly outpatient visits, which include time with a pediatrician, pharmacist, social worker and case manager. In these visits we focus on how your child’s unique health challenges affect other areas of their life. 

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