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This entry was published on 2024-05-03
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SECTION 2807-FF
New York managed care organization provider tax
Public Health (PBH) CHAPTER 45, ARTICLE 28
§ 2807-ff. New York managed care organization provider tax. 1. The
commissioner, subject to the approval of the director of the budget,
shall: apply for a waiver or waivers of the broad-based and uniformity
requirements related to the establishment of a New York managed care
organization provider tax (the "MCO provider tax") in order to secure
federal financial participation for the costs of the medical assistance
program; issue regulations to implement the MCO provider tax; and,
subject to approval by the centers for medicare and medicaid services,
impose the MCO provider tax as an assessment upon insurers, health
maintenance organizations, and managed care organizations offering the
following plans or products:

(a) Medical assistance program coverage provided by managed care
providers pursuant to section three hundred sixty-four-j of the social
services law;

(b) A child health insurance plan certified pursuant to section
twenty-five hundred eleven of this chapter;

(c) Essential plan coverage certified pursuant to section three
hundred sixty-nine-gg of the social services law;

(d) Coverage purchased on the New York insurance exchange established
pursuant to section two hundred sixty-eight-b of this chapter; or

(e) Any other comprehensive coverage subject to articles thirty-two,
forty-two and forty-three of the insurance law, or article forty-four of
this chapter.

2. The MCO provider tax shall comply with all relevant provisions of
federal laws, rules and regulations.