Medi-Cal Coverage for Pediatric Day Health

Medi-Cal Coverage for Pediatric Day Health | Eden Care Center

Affordable Care: Understanding
Medi-Cal Coverage for Your Child

Specialized pediatric nursing daycare at Eden Care Center in Maywood, California β€” services are often covered by Medi-Cal.

Medi-Cal Accepted
No Out-of-Pocket Cost*
Free Insurance Verification
We Handle the Paperwork
Maywood, CA

Your Child's Care Shouldn't Come With a Financial Burden

At Eden Care Center, we believe that a child's medical complexity should never be a financial burden on their family. Many parents are surprised to learn that specialized nursing daycare at a Pediatric Day Health Center (PDHC) is often available at no out-of-pocket cost through California's healthcare programs. Our goal is to support working families by providing the highest level of nursing-supervised childcare β€” while navigating the insurance and authorization process for you.

A child receiving skilled nursing care at Eden Care Center pediatric day health center in Maywood, California

Compassionate, nurse-supervised care for medically fragile children in Maywood, CA

Does Medi-Cal Cover Specialized Medical Daycare?

Medi-Cal Covers Pediatric Day Health Center Services

In California, Pediatric Day Health Center services are a covered benefit under the Medi-Cal EPSDT (Early and Periodic Screening, Diagnostic, and Treatment) program. If your child is medically fragile and requires skilled nursing intervention during the day, they likely qualify for full-day care at Eden Care Center.

This coverage typically includes all of the following for qualifying children:

  • Full-Day Nursing SupervisionLicensed RNs and LVNs on-site at all times throughout the care day.
  • Developmental Play & Social InteractionStructured activities that support growth, learning, and socialization.
  • Nutritional & Respiratory SupportG-tube feedings, oxygen therapy, nebulizer treatments, and more.
  • Daily Health MonitoringMedication administration, vital sign monitoring, and seizure management.

How the Enrollment Process Works

Because we are a medical daycare center, admission is based on "medical necessity." This is a benefit for parents β€” it allows insurance to cover the costs that traditional daycare would charge out-of-pocket.

Eden Care Center enrollment specialist meeting with a family to discuss Medi-Cal pediatric day health coverage in Maywood

Our enrollment team guides families through every step of the process

  1. 1

    Doctor's Recommendation

    Your child's pediatrician or specialist simply needs to agree that a nursing-supervised environment is best for your child's safety and development. We can help coordinate this conversation if needed.

  2. 2

    Free Clinical Assessment

    Our nursing team in Maywood performs a free assessment to understand your child's specific needs β€” whether that's G-tube care, seizure monitoring, oxygen therapy, or other clinical requirements.

  3. 3

    Insurance Authorization

    Our administrative team handles all the paperwork directly with Medi-Cal or your Managed Care Plan to get the care hours authorized. You don't have to navigate this alone β€” we do it for you.

  4. 4

    Zero Out-of-Pocket Cost

    For qualifying Medi-Cal families, there are no weekly daycare fees, registration fees, or hidden tuition costs. Your child receives full skilled nursing care at no financial burden to your family.

What If I Have Private Insurance?

Free Insurance Verification β€” We'll Do the Legwork

Eden Care Center works with many private insurance providers. Since every plan is different, we offer a Free Insurance Verification service. We will call your provider, check your pediatric nursing benefits, and explain exactly what is covered β€” before you begin the enrollment process. Contact us today to get started β†’

Supporting Working Parents & Caregivers

We know that parents of medically fragile children often feel they have to choose between working and staying home to provide care. Our PDHC program is designed to change that.

Return to Work or School

Go back to work or school with total peace of mind knowing your child is in the safest possible hands.

Consistent, Reliable Schedule

A predictable daily schedule that traditional daycare simply cannot offer for medically complex children.

Reduce High Care Costs

Eliminate the high cost of private in-home nursing or specialized sitters β€” covered through Medi-Cal for qualifying families.

"They are the first daycare for children with medical needs that accepts Medi-Cal… my son enjoys playing, and he's excited every time he goes to daycare. I'm glad they also offer overnight nursing daycare!"

Renee Ruth

Mom of a boy, Eden Care Center Parent

Frequently Asked Questions

My child has a G-tube but isn't "sick" β€” do they qualify?

"Medically fragile" simply means your child needs a nurse to perform tasks that a regular daycare teacher is not licensed to do β€” such as managing a feeding tube or monitoring for seizures. If your child requires any skilled nursing intervention during the day, they very likely qualify.

Is there a cost for the initial tour or assessment?

No. At Eden Care Center, all tours and initial clinical screenings are completely free for families. There is no obligation and no cost to come in, meet our team, and see if we're the right fit for your child.

What Medi-Cal managed care plans do you work with?

We work with multiple Medi-Cal Managed Care Plans serving the Los Angeles area. Please contact our enrollment team directly at (323) 588-3337 and we can quickly confirm whether we are in-network with your specific plan.

How long does the authorization process take?

Timelines can vary depending on your Medi-Cal plan and your child's medical documentation. Our administrative team handles this process on your behalf and will keep you informed at every step. We work to get your child enrolled as quickly as possible.

Do you accept private insurance in addition to Medi-Cal?

Yes. We work with many private insurance providers and offer a free Insurance Verification service. We will contact your provider directly to confirm your pediatric nursing benefits before you begin the enrollment process.

Let Us Help You Navigate the Paperwork

Insurance and Medi-Cal can be confusing, but you don't have to do it alone. Let our expert team in Maywood help you secure the specialized care your child deserves β€” at no cost to your family.