Emedny 432301 2025

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The document outlines the New York State Medicaid program's policy to provide an enhanced reimbursement rate of 30% for non-institutional pediatric continuous private duty nursing services for medically fragile children. It specifies eligibility criteria for Licensed Home Care Services Agencies (LHCSA) and independently enrolled nurses, requiring them to certify their training and experience in caring for this population. The document also details the billing instructions and necessary forms to be submitted for reimbursement.

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