Bill
Bill > A05368
NY A05368
NY A05368Provides parity to durable medical equipment providers by requiring Medicaid managed care organizations to reimburse such providers at no less than one hundred percent of the medical assistance durable medical equipment and complex rehabilitation technology fee schedule for the same service or item.
summary
Introduced
02/16/2021
02/16/2021
In Committee
01/05/2022
01/05/2022
Crossed Over
Passed
Dead
12/31/2022
12/31/2022
Introduced Session
2021-2022 General Assembly
Bill Summary
AN ACT to amend the social services law, in relation to providing parity to durable medical equipment providers by requiring Medicaid managed care organizations to reimburse such providers at no less than one hundred percent of the state's Medicaid durable medical equipment and complex rehabilitation technology fee schedule for the same services and supplies
AI Summary
This bill requires Medicaid managed care organizations (MCOs) to reimburse durable medical equipment (DME) and complex rehabilitation technology (CRT) providers at no less than 100% of the state's Medicaid DME and CRT fee schedule for the same services and supplies. This is intended to provide parity for DME providers by ensuring they are reimbursed at the same rate as the state's Medicaid fee-for-service program, which is often higher than MCO reimbursement rates. The bill takes effect 90 days after it becomes law, but the amendments made by this bill will be repealed when the underlying law is repealed.
Committee Categories
Budget and Finance, Health and Social Services
Sponsors (8)
John McDonald (D)*,
Charles Barron (D),
Marjorie Byrnes (R),
William Colton (D),
Richard Gottfried (D),
Aileen Gunther (D),
Donna Lupardo (D),
Jo Anne Simon (D),
Last Action
referred to ways and means (on 01/05/2022)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location | Created |
|---|---|---|
| State Bill Page | https://www.nysenate.gov/legislation/bills/2021/A5368 | 02/17/2021 |
| BillText | https://assembly.state.ny.us/leg/?default_fld=&bn=A05368&term=2021&Summary=Y&Actions=Y&Text=Y&Committee%26nbspVotes=Y&Floor%26nbspVotes=Y#A05368A | 05/11/2021 |
| BillText | https://assembly.state.ny.us/leg/?default_fld=&bn=A05368&term=2021&Summary=Y&Actions=Y&Text=Y&Committee%26nbspVotes=Y&Floor%26nbspVotes=Y#A05368 | 02/17/2021 |
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