Bill > A09003

This bill amends the Social Services Law to add a new section 367-j, which relates to coverage and billing procedures in the Medicaid program for complex rehabilitation technology for patients with complex medical needs. The key provisions include: 1. Defining "complex needs patients" as Medicaid enrollees with significant physical or functional impairments resulting from various medical conditions, and "complex rehabilitation technology" as specialized durable medical equipment that is individually configured for these patients. 2. Establishing requirements for "qualified complex rehabilitation technology suppliers" to be accredited, enrolled in Medicaid, have certified professionals, and provide service and repair capabilities. 3. Requiring the Medicaid Commissioner to maintain specific reimbursement and billing procedures for complex rehabilitation technology to ensure adequate access, and to monitor and expeditiously incorporate new Medicare billing codes. 4. Directing the Medicaid Commissioner to establish minimum benchmark reimbursement rates for complex rehabilitation technology provided by managed care organizations. The bill aims to ensure Medicaid coverage and appropriate reimbursement for the specialized equipment and services required by patients with complex medical needs.

Budget and Finance, Health and Social Services

https://assembly.state.ny.us/leg/?default_fld=&bn=A09003&term=2019&Summary=Y&Actions=Y&Text=Y&Committee%26nbspVotes=Y&Floor%26nbspVotes=Y