NY A07583

Creates a Medicaid-covered "Complex Care Assistant" program allowing family members (parents, siblings, grandparents, legal guardians, or blood relatives) to become certified caregivers for children and young adults with developmental disabilities

Requires family members to complete training and pass an in-person examination to demonstrate proficiency in adaptive living skills, instrumental activities of daily living, and academic assistance appropriate to the recipient's needs

Agencies employing complex care assistants must pay all certification costs, and family members cannot be required to reimburse these expenses

Limits paid complex care assistant services to 40 hours per week, with care plans recertified every 180 days and regular registered nurse supervisory visits

Mandates that agencies pass through at least 65% of Medicaid reimbursement to complex care assistants, with rates adjusted bi-annually based on the Consumer Price Index

Requires the Medicaid director to submit public reports every two years starting three years after implementation, tracking hospitalizations, service hours, fraud metrics, and program viability