Bill > S01832

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 (CRT) for patients with complex medical needs. The bill defines "complex needs patient," "complex rehabilitation technology," "individually configured," "qualified complex rehabilitation technology professional," and "qualified complex rehabilitation technology supplier." It requires the commissioner to maintain specific reimbursement and billing procedures for CRT products to ensure adequate access for complex needs patients, and to expeditiously incorporate new Medicare billing codes for CRT under the Medicaid program. The bill also requires managed care organizations to determine reimbursement rates for CRT products consistent with these provisions, and allows the commissioner to establish minimum benchmark reimbursement rates for managed care organizations.