Bill > S03433

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 key provisions include: 1. Defining "complex needs patients" as those with significant physical or functional impairments resulting from medical conditions like spinal cord injury, cerebral palsy, or muscular dystrophy. 2. Defining "complex rehabilitation technology" as individually configured durable medical equipment like manual and power wheelchairs, adaptive seating and positioning items, and other specialized equipment. 3. Requiring the Medicaid commissioner to maintain specific reimbursement and billing procedures for CRT to ensure adequate access for complex needs patients, and to expeditiously incorporate new Medicare billing codes for CRT. 4. Requiring that where CRT reimbursement rates are determined by managed care organizations, they must be consistent with the provisions of this new section, and the commissioner may establish minimum benchmark rates for managed care organizations.