purpose of this chapter is to provide standards for Medicaid reimbursement and
Medicaid clinical eligibility for pediatric medical day care (PMDC) services.
1. PMDC is a program that provides medically
necessary services in an ambulatory care setting to children who reside in the
community and who, because they are technology-dependent and/or medically
complex, require continuous rather than part-time or intermittent care of a
registered professional nurse in a developmentally appropriate environment and
whose needs cannot be met in a regular day care or pre-school handicapped
chapter applies to children who are Medicaid beneficiaries applying for
authorization or reauthorization to participate in PMDC.
(c) This chapter applies to PMDC facilities
that seek to participate in and receive reimbursement for providing PMDC
services and to maintain their active Medicaid provider status.