Bill > A08600

This bill aims to increase Medicaid reimbursement rates for behavioral health services provided to individuals under 21 years old, starting April 1, 2026. Specifically, the bill mandates three key changes: a minimum 35% rate increase for outpatient behavioral health clinic services, the addition of a care coordination fee of at least $7.50 per member per month, and a 3.2% trend factor for these services. The bill requires the commissioner of health to submit state plan amendments to the Centers for Medicare and Medicaid Services (CMS) by October 1, 2025, to implement these changes, which will be subject to federal financial participation. Additionally, the bill modifies the state finance law to allow funds from the healthcare stability fund to be used for funding these children's behavioral health outpatient rate increases. The legislation covers services provided under articles thirty-one and thirty-two of the mental hygiene law, with the goal of improving access and quality of behavioral health services for children and young adults.

Health and Social Services

https://www.nysenate.gov/legislation/bills/2025/A8600