Bill Text: NY S05983 | 2015-2016 | General Assembly | Introduced

---

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

Spectrum: Partisan Bill (Republican 1-0)

Status: (Engrossed - Dead) 2016-06-14 - referred to health [S05983 Detail]

Download: New_York-2015-S05983-Introduced.html

---

                           S T A T E   O F   N E W   Y O R K
       ________________________________________________________________________
                                         5983
                              2015-2016 Regular Sessions
                                   I N  S E N A T E
                                     June 16, 2015
                                      ___________
       Introduced  by  Sen.  MURPHY -- read twice and ordered printed, and when
         printed to be committed to the Committee on Rules
       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:
    1    Section 1. The public health law is amended by adding two new sections
    2  4403-h and 4403-i to read as follows:
    3    S  4403-H.  UNIVERSAL  STANDARDS  FOR  CODING  OF  PAYMENT FOR MEDICAL
    4  ASSISTANCE  CLAIMS  FOR  MENTAL  HEALTH  OR  SUBSTANCE  ABUSE   DISORDER
    5  SERVICES. CLAIMS FOR PAYMENT CONTRACTS OR AGREEMENTS WITH INSURERS UNDER
    6  THE  MEDICAL  ASSISTANCE  PROGRAM  FOR  MENTAL HEALTH OR SUBSTANCE ABUSE
    7  DISORDER SERVICES PROVIDED UNDER THIS ARTICLE, BY  FACILITIES  OPERATING
    8  PURSUANT TO ARTICLES THIRTY-ONE AND THIRTY-TWO OF THE MENTAL HYGIENE LAW
    9  SHALL  HAVE STANDARD BILLING CODES. SUCH INSURERS SHALL INCLUDE, BUT NOT
   10  BE LIMITED TO, MEDICAID MANAGED CARE PLANS AND INSURERS CERTIFIED PURSU-
   11  ANT TO THIS ARTICLE.  SUCH PAYMENTS SHALL BE BASED ON UNIVERSAL  BILLING
   12  CODES APPROVED BY THE DEPARTMENT OR A NATIONALLY ACCREDITED ORGANIZATION
   13  AS APPROVED BY THE DEPARTMENT.
   14    S  4403-I. ELECTRONIC PAYMENT OF CLAIMS. THE PAYMENT OF CLAIMS SUBMIT-
   15  TED UNDER CONTRACTS  OR  AGREEMENTS  WITH  INSURERS  UNDER  THE  MEDICAL
   16  ASSISTANCE  PROGRAM  FOR  MENTAL  HEALTH  OR  SUBSTANCE  ABUSE  DISORDER
   17  SERVICES PROVIDED UNDER THIS ARTICLE, AND BY FACILITIES OPERATING PURSU-
   18  ANT TO ARTICLES THIRTY-ONE AND THIRTY-TWO  OF  THE  MENTAL  HYGIENE  LAW
   19  SHALL  BE  PAID  VIA  ELECTRONIC  FUNDS  TRANSFER.  SUCH  INSURERS SHALL
   20  INCLUDE, BUT NOT BE LIMITED TO, MEDICAID MANAGED CARE PLANS AND INSURERS
   21  CERTIFIED PURSUANT TO THIS ARTICLE.
   22    S 2. This act shall take effect on the first of January next  succeed-
   23  ing  the  date  on  which it shall have become a law; provided, however,
   24  that effective immediately, the addition, amendment and/or repeal of any
   25  rule or regulation necessary for the implementation of this act  on  its
   26  effective  date  are authorized and directed to be made and completed on
   27  or before such effective date.
        EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets
                             [ ] is old law to be omitted.
                                                                  LBD11600-01-5