My mom has Microscopic PolyAngiitis, Asthma, and a number of other chronic progressive conditions. She is nearly 90 yo. She is in a Medicaid Program called MLTSS (Managed Long Term Services and Supports) and receives "nursing facility level of care at home." Her Chief Pulmonologist also manages her Asthma. One of the services covered by her HMO is called "Chore Services," includes "Deep Cleaning" of her apartment every 3 months. The HMO now claims "there is no medical necessity for 'deep cleaning' of her apartment to continue," and we reject that decision because we know how important it is to abate all elements that can cause infections, as well as the allergens and contaminants that trigger Asthma attacks. My mom's specialists and our family are frustrated the HMO does not see the medical necessity for continuing "Deep Cleaning" of her home, to prevent other infections from harming or killing her and I thought I would reach out to you for guidance. Your thoughts and advice are greatly appreciated, as is your time and consideration on my mom's behalf.