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Assembly Bill A8314

2015-2016 Legislative Session

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

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Archive: Last Bill Status - In Assembly Committee

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2015-A8314 (ACTIVE) - Details

See Senate Version of this Bill:
S5983
Current Committee:
Assembly Health
Law Section:
Public Health Law
Laws Affected:
Add ยงยง4403-h & 4403-i, Pub Health L
Versions Introduced in Other Legislative Sessions:
2017-2018: A833, S283
2019-2020: A3715

2015-A8314 (ACTIVE) - Summary

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

2015-A8314 (ACTIVE) - Bill Text download pdf 

                            
                    S T A T E   O F   N E W   Y O R K
________________________________________________________________________

                                  8314

                       2015-2016 Regular Sessions

                          I N  A S S E M B L Y

                              June 22, 2015
                               ___________

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:
  S  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.
  S  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.
  S 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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