Assembly Actions -
Lowercase Senate Actions - UPPERCASE |
|
---|---|
Jan 03, 2024 |
referred to health |
Feb 08, 2023 |
referred to health |
Senate Bill S4439
2023-2024 Legislative Session
Sponsored By
(D) 34th Senate District
Current Bill Status - In Senate Committee Health 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
Actions
2023-S4439 (ACTIVE) - Details
- See Assembly Version of this Bill:
- A6842
- Current Committee:
- Senate Health
- Law Section:
- Social Services Law
- Laws Affected:
- Amd §363-e, Soc Serv L
2023-S4439 (ACTIVE) - Sponsor Memo
BILL NUMBER: S4439 SPONSOR: FERNANDEZ TITLE OF BILL: An act to amend the social services law, in relation to preclaim review for participating providers of medical assistance program services and items PURPOSE OR GENERAL IDEA OF BILL: To require verification organizations to declare each service or item to be verified or unverified within thirty days of receiving all required documentation. SUMMARY OF PROVISIONS: Section 1 amends the social services law by creating a 30 day require- ment for verification organizations to return a decision. Section 2 sets the effective date.
2023-S4439 (ACTIVE) - Bill Text download pdf
S T A T E O F N E W Y O R K ________________________________________________________________________ 4439 2023-2024 Regular Sessions I N S E N A T E February 8, 2023 ___________ Introduced by Sen. FERNANDEZ -- read twice and ordered printed, and when printed to be committed to the Committee on Health AN ACT to amend the social services law, in relation to preclaim review for participating providers of medical assistance program services and items THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: Section 1. Section 363-e of the social services law, as added by section 64 of part H of chapter 59 of the laws of 2011, the opening paragraph as amended by section 20 of part C of chapter 60 of the laws of 2014, is amended to read as follows: § 363-e. Preclaim review for participating providers of medical assistance program services and items. The department of health and the office of the Medicaid inspector general shall jointly develop require- ments for preclaim review. Every service or item within a claim or encounter submitted by a participating provider shall be reviewed and verified by a verification organization prior to submission of a claim or encounter to the department of health or to a managed care provider as defined in paragraph (b) of subdivision one of section three hundred sixty-four-j of this title. The verification organization shall declare each service or item to be verified or unverified WITHIN THIRTY DAYS OF RECEIVING ALL REQUIRED SUPPORTING DOCUMENTATION FROM A PARTICIPATING PROVIDER. Each participating provider shall receive and maintain reports from the verification organization which shall contain data on: 1. verified services or items, including whether a service appeared on a conflict or exception report before verification and how that conflict or exception was resolved; and 2. services or items that were not verified, including conflict and exception report data for these services. § 2. This act shall take effect on the thirtieth day after it shall have become a law. EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD08931-01-3
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