Medicaid Reimbursement for Private Duty Nursing Services

Defines "pediatric continuing care integrated community" for purposes of state Medicaid program; defines "geographic area" & "prevailing hourly rate"; requires Medicaid managed care plans to reimburse licensed home health agencies for private duty nursing services provided in community residential group home at certain rate; prohibits Medicaid managed care plans from reducing reimbursement for such services; requires Medicaid managed care plans to negotiate rates with affiliated businesses at le…