This is an appeal from a final order of the Department of Children and Family-Services reducing nursing care services provided under a medical assistance program. The Department determined that the appellant was not entitled to twenty-four-hour residential nursing care, based on a finding that it was not medically necessary, and reduced his nursing care to two hours per day. We conclude that the order is not supported by competent substantial evidence and therefore we reverse with instructions to reinstate twenty-four: hour residential nursing care services. The appellant’s pediatrician and the registered nurse who treated him both testified that he was in need of continuous nursing care. This conclusion was supported, as well, by all of the other medical and lay witnesses who had first-hand knowledge of the appellant’s medical condition.

Reversed.