N.Y.
Public Health Law Section 2831
Medically fragile young adults
1.
For purposes of this section, “medically fragile young adults” shall have the same meaning as the term “medically fragile children” as set forth in subdivision three-a of § 3614 (Payments for certified home health agency services, long term home health care programs and AIDS home care programs)section thirty-six hundred fourteen of this chapter and shall include medically fragile young adults who currently reside at a pediatric specialized nursing facility and are over twenty-one years of age.2.
The department shall promulgate rules and regulations to allow medically fragile young adults who reside in pediatric specialized nursing facilities to remain at such facilities after reaching the age of twenty-one and until they reach the age of thirty-six. Unless a higher reimbursement rate is expressly authorized by the department, the reimbursement rate and methodology for such medically fragile young adults shall remain the same as it was prior to reaching age twenty-one and shall include a daily per diem rate and coverage for bed holds. Medicaid reimbursement for this population for reserved beds due to hospitalization and for therapeutic and hospice leaves of absence must remain at one hundred percent of the Medicaid rate of medically fragile children, without any daily limit for this population. * NB Effective April 12, 2025
Source:
Section 2831 — Medically fragile young adults, https://www.nysenate.gov/legislation/laws/PBH/2831
(updated Dec. 20, 2024; accessed Jan. 11, 2025).