Bill > A09050

This bill defines "mental health clubhouse" and requires the New York State Department of Health, in consultation with the Office of Mental Health, to authorize Medicaid reimbursement for services provided by these specialized facilities. A mental health clubhouse is a community-based rehabilitation center for people with serious mental illness that goes beyond traditional clinical settings. These clubhouses are characterized by a collaborative approach where members and staff work together, offering support services including employment assistance, education, healthcare, housing, and social opportunities. The bill specifies that eligible services for Medicaid reimbursement will include psychosocial rehabilitation, vocational support, crisis support, housing assistance, peer support, case management, and health promotion. The services must adhere to standards set by Clubhouse International and will be reimbursed using a standardized per diem rate, potentially through the H2031 billing code. The Office of Mental Health will be responsible for developing provider certification standards, service delivery criteria, and reimbursement methodologies, with the ultimate goal of providing comprehensive, holistic support for individuals with serious mental illness.

Health and Social Services

https://www.nysenate.gov/legislation/bills/2025/A9050