Assembly Bill A3715

2019-2020 Legislative Session

Requires the universal coding and electronic payment of medical assistance claims for mental health or substance abuse disorder services

download bill text pdf

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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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2019-A3715 (ACTIVE) - Details

Current Committee:
Assembly Health
Law Section:
Public Health Law
Laws Affected:
Add §§4403-h & 4403-i, Pub Health L
Versions Introduced in Other Legislative Sessions:
2015-2016: A8314
2017-2018: A833

2019-A3715 (ACTIVE) - Summary

Requires the universal coding and electronic payment of medical assistance claims for mental health or substance abuse disorder services.

2019-A3715 (ACTIVE) - Bill Text download pdf 

                            
 
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   3715
 
                        2019-2020 Regular Sessions
 
                           I N  A S S E M B L Y
 
                             January 30, 2019
                                ___________
 
 Introduced  by M. of A. GUNTHER -- read once and referred to the Commit-
   tee on Health
 
 AN ACT to amend the public health law, in relation to  universal  stand-
   ards  for  the  coding  and  electronic  payment of medical assistance
   claims for mental health or substance abuse disorder services

   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:
 
   Section 1. The public health law is amended by adding two new sections
 4403-h and 4403-i to read as follows:
   §  4403-H.  UNIVERSAL  STANDARDS  FOR  CODING  OF  PAYMENT FOR MEDICAL
 ASSISTANCE  CLAIMS  FOR  MENTAL  HEALTH  OR  SUBSTANCE  ABUSE   DISORDER
 SERVICES. CLAIMS FOR PAYMENT CONTRACTS OR AGREEMENTS WITH INSURERS UNDER
 THE  MEDICAL  ASSISTANCE  PROGRAM  FOR  MENTAL HEALTH OR SUBSTANCE ABUSE
 DISORDER SERVICES PROVIDED UNDER THIS ARTICLE, BY  FACILITIES  OPERATING
 PURSUANT TO ARTICLES THIRTY-ONE AND THIRTY-TWO OF THE MENTAL HYGIENE LAW
 SHALL  HAVE STANDARD BILLING CODES. SUCH INSURERS SHALL INCLUDE, BUT NOT
 BE LIMITED TO, MEDICAID MANAGED CARE PLANS AND INSURERS CERTIFIED PURSU-
 ANT TO THIS ARTICLE.  SUCH PAYMENTS SHALL BE BASED ON UNIVERSAL  BILLING
 CODES APPROVED BY THE DEPARTMENT OR A NATIONALLY ACCREDITED ORGANIZATION
 AS APPROVED BY THE DEPARTMENT.
   §  4403-I. ELECTRONIC PAYMENT OF CLAIMS. THE PAYMENT OF CLAIMS SUBMIT-
 TED UNDER CONTRACTS  OR  AGREEMENTS  WITH  INSURERS  UNDER  THE  MEDICAL
 ASSISTANCE  PROGRAM  FOR  MENTAL  HEALTH  OR  SUBSTANCE  ABUSE  DISORDER
 SERVICES PROVIDED UNDER THIS ARTICLE, AND BY FACILITIES OPERATING PURSU-
 ANT TO ARTICLES THIRTY-ONE AND THIRTY-TWO  OF  THE  MENTAL  HYGIENE  LAW
 SHALL  BE  PAID  VIA  ELECTRONIC  FUNDS  TRANSFER.  SUCH  INSURERS SHALL
 INCLUDE, BUT NOT BE LIMITED TO, MEDICAID MANAGED CARE PLANS AND INSURERS
 CERTIFIED PURSUANT TO THIS ARTICLE.
   § 2. This act shall take effect on the first of January next  succeed-
 ing  the  date  on  which it shall have become a law; provided, however,
 that effective immediately, the addition, amendment and/or repeal of any
 rule or regulation necessary for the implementation of this act  on  its
 effective  date  are authorized and directed to be made and completed on
 or before such effective date.

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