Assembly Bill A8909

2009-2010 Legislative Session

Relates to a medical assistance information and payment system

download bill text pdf

Sponsored By

Archive: Last Bill Status - In Assembly Committee

  • Introduced
    • In Committee Assembly
    • In Committee Senate
    • On Floor Calendar Assembly
    • On Floor Calendar Senate
    • Passed Assembly
    • Passed Senate
  • Delivered to Governor
  • Signed By Governor

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2009-A8909 (ACTIVE) - Details

See Senate Version of this Bill:
S7520
Current Committee:
Assembly Social Services
Law Section:
Social Services Law
Laws Affected:
Amd ยง367-b, Soc Serv L
Versions Introduced in Other Legislative Sessions:
2011-2012: A961, S379
2013-2014: S2934

2009-A8909 (ACTIVE) - Summary

Relates to a medical assistance information and payment system; directs the department of health to issue a request for proposal for the purpose of providing the system within 90 days.

2009-A8909 (ACTIVE) - Sponsor Memo

2009-A8909 (ACTIVE) - Bill Text download pdf 

                            
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  8909

                       2009-2010 Regular Sessions

                          I N  A S S E M B L Y

                              June 15, 2009
                               ___________

Introduced  by M. of A. DESTITO -- read once and referred to the Commit-
  tee on Social Services

AN ACT to amend the social  services  law,  in  relation  to  a  medical
  assistance information and payment system

  THE  PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM-
BLY, DO ENACT AS FOLLOWS:

  Section 1. Subparagraph 2 of paragraph (b) of subdivision 8 of section
367-b of the social services law, as amended by chapter 109 of the  laws
of 2007, is amended to read as follows:
  (2) Coordination of benefits. Develop, test and implement an automated
process  to  improve  the  coordination  of benefits between the medical
assistance program and other sources of coverage for medical  assistance
recipients.  Such  initiative shall initially examine the savings poten-
tial to the medical assistance program through retrospective  review  of
claims  paid  which  shall  be  completed not later than January thirty-
first, two thousand seven. If, based upon such initial  experience,  the
Medicaid  inspector general deems the automated process to be capable of
including or moving to a prospective review, with negligible  effect  on
the  turnaround of claims for provider payment or on recipient access to
services, then the Medicaid inspector general in subsequent tests  shall
examine  the  savings  potential through prospective, pre-claims payment
review.  PROVIDED, HOWEVER, THAT THE DEPARTMENT OF HEALTH  SHALL  IMPLE-
MENT  AN INITIATIVE ESTABLISHING AN AUTOMATED REAL TIME PROSPECTIVE PRE-
CLAIMS PAYMENT REVIEW PROCESS, INCLUDING, BUT NOT LIMITED  TO,  A  PRIOR
PHARMACY  AUTHORIZATION  AND  PRE-PHARMACY  CLAIMS REVIEW OF ALTERNATIVE
INSURANCE COVERAGE PROGRAM, PROVIDED HOWEVER THAT  ANY  SUCH  INITIATIVE
HAS  MINIMAL  INITIAL  COSTS TO THE DEPARTMENT OF HEALTH. ANY INITIATIVE
IMPLEMENTED BY THE DEPARTMENT OF HEALTH SHALL HAVE A  NEGLIGIBLE  EFFECT
ON  THE TURNAROUND OF CLAIMS FOR PROVIDER PAYMENT OR ON RECIPIENT ACCESS
TO SERVICES AND DEMONSTRATE SAVINGS POTENTIAL.

 EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                      [ ] is old law to be omitted.
                                                           LBD14345-02-9

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