* § 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 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