A PPEC (Prescribed Pediatric Extended Care) center that allows Medicaid-eligible children from birth through age 21 with medically complex conditions to receive continual medical care in a non-residential setting. Essentially, a PPEC is a pediatric medical daycare for children with special needs. Small Steps PPEC provides services that are covered by Medicaid and administered by our qualified pediatric medical staff.

PPEC services are 100% covered by Medicaid. Parents/Guardians with Medicaid coverage need not pay a dime! For those ineligible for Medicaid, Small Steps reduces the financial burden through collaboration with most private insurances. We even handle all of the necessary paperwork!

For those, not Medicaid eligible, Small Steps PPEC works with most private insurances to handle all the necessary paperwork to reduce as much financial burden as possible subject to plan benefits for prescribed pediatric care services.

Any child from birth to 21 years old who requires nursing care and has a medically fragile or complex diagnosis is qualified for the PPEC program.

Any child requires nursing care and has a medically fragile or complex diagnosis.

Definitely! We recognize the importance of family and community in raising children. At our facility, we create a harmonious, caring, healing environment, a home/community for children, where exceptional care is provided in a loving and compassionate manner.

Small Steps PPEC focuses on including the family in the plan of care (POC) to assist in gaining the confidence necessary to integrate the child into family life. The Small Steps PPEC has a strong team consisting of a board-certified pediatrician, registered nurses, a physical therapist, an occupational therapist, a speech therapist, and a behavioral therapist each of whom works together to create a one-of-a-kind care ecosystem.

Transportation services are provided to and from to/from wherever the child is located on that day, or to/from the child’s home/base location. This service is 100% covered through Medicaid and free of charge to parents. Children are also accompanied by a trained Staff member.
At Small Steps, we provide Behavioral therapy, Occupational therapy, Physical therapy, Respiratory therapy, and Speech therapy.
Small Steps PPEC is conveniently located in Orlando.

What Parents Say

“Children see magic because they look for it. This daycare helps provide that for them!”


“They don’t handicap your children by making it easy. They strive to help them for themselves”


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