01
Tracheostomy and ventilator-dependent members (pediatric and adult)
For Referrers & Discharge Planners
We accept referrals
other agencies decline.
Megacare is a dedicated intake for hospital discharge planners, Medicaid managed care case managers, and referring physicians placing complex adult and pediatric home health cases in Greater Houston. Tracheostomy, ventilator, high-acuity pediatric PDN — we staff them.
Secure fax: (713) 995-0445 · Intake hours: Monday - Friday, 9:00 AM - 5:00 PM
Clinical Trust
Verified. Licensed.
On paper.
Hospital case management teams can independently verify every claim. CMS and Texas HHS records are public — we are on file.
22+
Years in operation
Since December 2003
0
Violations, Aug 2024
State HHS inspection
#673193
CMS Certification
Since 2005
A+
BBB Accredited
Since 2022
The Handoff
Trust.
You hand off a member. We answer with an RN, and we say yes or no the same business day. Trust is the whole transaction.
What We Accept
Built for the cases
most agencies won’t take.
Megacare is a high-acuity provider. Our clinical depth — RN supervision, trach/vent-trained LVNs, point-of-care tablet charting — is built for the cases most agencies will not take. If we cannot staff safely, we tell you on the first call and, when possible, suggest an agency that can.
02
Pediatric medically fragile / complex-care Medicaid members
03
Post-NICU and post-PICU discharge transitions
04
TPN and central-line infusion therapy
05
High-acuity seizure protocols (Diastat, Nayzilam rescue)
06
G-tube and J-tube feeding regimens
07
Neurogenic bladder and bowel programs
08
IV antibiotic therapy (PICC and central lines)
09
Post-surgical skilled nursing with wound vac
10
Dual-eligible Medicare + Medicaid managed care
How to Send a Referral
Three channels.
One intake nurse on duty.
Phone is the fastest path for urgent discharges. Secure fax is the preferred method for discharge orders, H&P, and POC paperwork. Please do not send patient identifiers by unsecured email.
01 · Phone
Monday - Friday, 9:00 AM - 5:00 PM. On-call coverage for urgent discharges.
Fastest method. Ask for the intake nurse.
02 · Secure Fax
(713) 995-0445
Monitored during business hours.
Preferred for discharge orders, H&Ps, and POC paperwork.
03 · Secure Email
For non-PHI questions only.
Do not send patient identifiers by email. Use phone or fax.
What to Expect
Predictable intake.
Documented every step.
The protocol is the same every time — built so you can hand off the patient and move to the next discharge without guesswork.
- 01
Prompt acknowledgement
Referrals received during intake hours are typically acknowledged the same business day. If we cannot safely staff the acuity, we tell you on the first call and do not waste your time.
- 02
Clinical review by an RN
A registered nurse reviews the H&P, discharge summary, active medications, equipment needs, and plan of care before we accept. Acuity-match is non-negotiable.
- 03
Authorization coordination
For Medicaid managed care, we work directly with the MCO utilization management team to confirm authorization before the first shift. No surprise denials.
- 04
Family visit and first shift
An intake nurse visits the family in the home to complete the environmental and equipment walk-through, then we coordinate start of care with the family, MCO, and referring physician. Urgent trach/vent discharges are expedited.
Referral Relationships
We’re on file
with your team.
We work with major Greater Houston hospital systems and Texas Medicaid managed care plans across the metro. Your case management team may already have us on file.
- Major Greater Houston hospital systems
- Texas Medicaid managed care organizations
- Pediatric subspecialty clinics
- Home infusion specialty agencies
- Regional referring hospitals
Placing a Complex Case?
Intake is standing by.
Pick up the phone.
Our intake team is available during business hours and on-call for urgent discharges. When hospitals discharge complex cases, they call us.
Fax: (713) 995-0445 · 4606 FM 1960 Rd W, Suite 620, Houston, TX 77069