Assembly Bill A5750

2023-2024 Legislative Session

Relates to the submission of claims for services provided by home care agencies

download bill text pdf

Sponsored By

Current Bill Status - On Floor Calendar

  • 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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2023-A5750 (ACTIVE) - Details

See Senate Version of this Bill:
S6123
Law Section:
Public Health Law
Laws Affected:
Amd §3614-e, Pub Health L

2023-A5750 (ACTIVE) - Summary

Provides that the submission of claims for services provided by home care agencies shall be done on forms approved by the centers for Medicare and Medicaid services.

2023-A5750 (ACTIVE) - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   5750
 
                        2023-2024 Regular Sessions
 
                           I N  A S S E M B L Y
 
                              March 23, 2023
                                ___________
 
 Introduced by M. of A. PAULIN -- read once and referred to the Committee
   on Health
 
 AN  ACT to amend the public health law, in relation to the submission of
   claims for services provided by home care agencies
 
   THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND  ASSEM-
 BLY, DO ENACT AS FOLLOWS:

   Section  1.  Section  3614-e  of  the  public  health law, as added by
 section 49 of part B of chapter 57 of the laws of 2015,  is  amended  to
 read as follows:
   §  3614-e.  Electronic  payment  of  claims.  1. The payment of claims
 submitted under contracts or agreements with insurers under the  medical
 assistance  program for home and community-based long-term care services
 provided under this article, by fiscal intermediaries operating pursuant
 to section three hundred sixty-five-f of the social services law, and by
 residential health care facilities operating pursuant to  article  twen-
 ty-eight  of  this  chapter shall be paid via electronic funds transfer.
 CLAIMS FOR SERVICES PROVIDED BY HOME CARE AGENCIES LICENSED OR CERTIFIED
 UNDER THIS ARTICLE AND BY FISCAL INTERMEDIARIES  OPERATING  PURSUANT  TO
 SECTION  THREE  HUNDRED SIXTY-FIVE-F OF THE SOCIAL SERVICES LAW SHALL BE
 ONLY SUBMITTED AND REMITTED ON FORMS APPROVED BY THE CENTERS  FOR  MEDI-
 CARE  AND  MEDICAID  SERVICES.    CLAIMS  SHALL BE SUBMITTED TO INSURERS
 DIRECTLY OR BY A  BILLING  ENTITY  SELECTED  BY  THE  HOME  CARE  AGENCY
 LICENSED  OR  CERTIFIED  UNDER  THIS ARTICLE OR BY A FISCAL INTERMEDIARY
 OPERATING PURSUANT TO SECTION THREE HUNDRED SIXTY-FIVE-F OF  THE  SOCIAL
 SERVICES  LAW. INSURERS SHALL NOT REQUIRE THE UTILIZATION BY CONTRACT OR
 ACTION ANY SPECIFIC BILLING ENTITY BY A HOME  CARE  AGENCY  LICENSED  OR
 CERTIFIED  UNDER  THIS  ARTICLE  OR  BY  A FISCAL INTERMEDIARY OPERATING
 PURSUANT TO SECTION THREE HUNDRED SIXTY-FIVE-F OF  THE  SOCIAL  SERVICES
 LAW; NOR IMPEDE THE TIMELY PROCESSING AND PAYMENT OF CLAIMS.
   2.  NOTHING SHALL LIMIT AN INSURER'S ABILITY TO REVIEW OR AUDIT CLAIMS
 FOR FRAUD, WASTE, AND ABUSE.
 
  EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                       [ ] is old law to be omitted.
                                                            LBD10102-01-3

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