child with medically complex conditions

Defined in 1 dictionary — U.S. Code

United States Code

42 U.S.C. § 1396w-4a — in this section (2 versions over time)

Subject to subparagraph (B), the term “child with medically complex conditions” means an individual under 21 years of age who—

(i) is eligible for medical assistance under the State plan (or under a waiver of such plan); and

(ii) has at least—

(I) one or more chronic conditions that cumulatively affect three or more organ systems and severely reduces cognitive or physical functioning (such as the ability to eat, drink, or breathe independently) and that also requires the use of medication, durable medical equipment, therapy, surgery, or other treatments; or

(II) one life-limiting illness or rare pediatric disease (as defined in section 360ff(a)(3) of title 21).