Bill > A00646

This bill establishes comprehensive guidelines for complex rehabilitation technology (CRT) within the Medicaid program, focusing on patients with significant medical conditions like spinal cord injury, traumatic brain injury, and multiple sclerosis. The bill defines key terms such as "complex needs patients" and "complex rehabilitation technology," specifying that CRT includes individually configured medical equipment like specialized wheelchairs, adaptive seating, and other assistive devices. It sets strict requirements for CRT suppliers, mandating that they be nationally accredited, have qualified professionals who can evaluate and customize equipment for individual patients, provide on-site service and repair, and maintain a retail location in New York. The bill also requires the state commissioner to develop specific reimbursement and billing procedures that ensure adequate patient access to CRT, with provisions for monitoring and incorporating new Medicare billing codes. Additionally, the bill instructs managed care organizations to determine reimbursement rates consistently with these guidelines and allows the commissioner to establish minimum benchmark rates. The legislation aims to improve medical equipment access and support for patients with complex medical needs by creating more detailed and patient-centered procurement standards.

Health and Social Services

https://www.nysenate.gov/legislation/bills/2025/A646