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Bill > A05368


NY A05368

NY A05368
Provides 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
In Committee
01/05/2022
Crossed Over
Passed
Dead
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 The bill takes effect 90 days after it becomes law, but the amendments made by this bill will be repealed when the underlying law is repealed.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)

Last Action

referred to ways and means (on 01/05/2022)

bill text


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