Bill > A4747

Introduced Session

This bill would increase the Medicaid reimbursement rates for private duty nursing (PDN) services by $4. PDN services are individualized nursing services that are provided by licensed nurses, on a continuous and non-intermittent basis, to certain beneficiaries in the home setting. Under the State FY 2023 Appropriations Act, the current Medicaid reimbursement rate for PDN services is $61 per hour when the services are provided by a registered nurse and $49 per hour when the services are provided by a licensed practical nurse. These rates supersede the rates established under current Department of Human Services regulations, which establish a rate of $60 for PDN services provided by a registered nurse and a rate of $48 for services provided by a licensed practical nurse. The bill increases the Medicaid reimbursement rate for PDN services to at least $65 per hour when provided by a registered professional nurse and to at least $53 per hour when provided by a licensed practical nurse. The increased reimbursement rate will apply regardless of whether services are provided under the fee for service delivery system or the managed care delivery system. The bill requires the Commissioner of Human Services to apply for such State plan amendments or waivers as may be necessary to implement the provisions of the bill and secure federal financial participation for State Medicaid expenditures under the federal Medicaid program.

AI Summary

Committee Categories

Daniel Benson (D)*,  Angelica Jimenez (D)*,  Yvonne Lopez (D)*,  Verlina Reynolds-Jackson (D), 

Introduced, Referred to Assembly Human Services Committee (on 10/11/2022)

Official Document