Sample Letter from Social Worker


Request for increase in attendant care hours for Lavana Flowers

To whom it may concern:

I am writing in support of increased attendant care hours for L to 85 hours per week through the CCC+ Medicaid waiver program. As Lavana’s medical Social Worker through Peony Hospice, it is my opinion that these hours are necessary for Lavana to receive safe and adequate care in her home.

Lavana is receiving hospice care through our organization, Peony Hospice. Lavana is currently 100% bedridden with a diagnosis of severe ME/CFS and metastasized cancer. She requires complete care in all ADLs and IADLs. 

Lavana’s attending physician, Dr. Poppy, has stated in a letter that “her medical condition has left her 100% dependent on aids for ALL ADLs all the time.” Her doctor has recommended the maximum allowable care hours, with 85 hours per week being the minimum possible needed.

Lavana’s care needs cannot be adequately met without this increase in hours. Lavana’s informal unpaid caregiver, is onsite a limited amount and unavailable to provide care, due to other obligations. Peony Hospice is providing nursing care, in the form of a nurse who visits one hour per week. HOspice is unable to provide comprehensive personal care support.

In an attached support letter, Lavana’s physician, Dr. poppy has noted that “placement in a facility is medically contraindicated and is not being considered as an option.“ Lavana needs to remain in her home in order to have her care needs safely met.

Lavana is requesting community-based services in the form of CCC+ medicaid waiver attendant care hours, which will allow her to remain in her home. This request is made in accordance with the the Olmstead act, which finds that institutional placement of persons who can handle and benefit from community settings perpetuates unjustified segregation of persons with disabilities and constitutes discrimination in violation of title II of the Americans with Disabilities Act.

Thank you for your consideration of this request. Please feel free to contact me with further questions.

Sincerely,