Bill > S01616

This bill aims to ensure fair reimbursement for durable medical equipment (DME) providers in New York's Medicaid managed care system by requiring these providers to be paid at least 100% of the state's established medical assistance fee schedule for durable medical equipment and complex rehabilitation technology. Specifically, the bill amends the social services law to mandate that Medicaid managed care organizations directly or indirectly pay DME providers, including those supplying prosthetics, orthotics, and related supplies, at a rate no lower than the official state fee schedule for identical services or items. This change is designed to provide parity and financial stability for DME providers, ensuring they receive full compensation for the essential medical equipment and support technologies they supply to Medicaid patients. The bill will take effect 90 days after becoming law, with the understanding that the amendment will be subject to any future repeal of the underlying section of the social services law.

Budget and Finance, Health and Social Services

https://www.nysenate.gov/legislation/bills/2025/S1616