Do you support this bill?

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

Archive: Last Bill Status - On Floor Calendar

Please enter your contact information

Home address is used to determine the senate district in which you reside. Your support or opposition to this bill is then shared immediately with the senator who represents you.

Optional services from the NY State Senate:

Create an account. An account allows you to officially support or oppose key legislation, sign petitions with a single click, and follow issues, committees, and bills that matter to you. When you create an account, you agree to this platform's terms of participation.

Include a custom message for your Senator? (Optional)

Enter a message to your senator. Many New Yorkers use this to share the reasoning behind their support or opposition to the bill. Others might share a personal anecdote about how the bill would affect them or people they care about.

Actions

co-Sponsors

2023-A5750 (ACTIVE) - Details

See Senate Version of this Bill:
S6123
Law Section:
Public Health Law
Laws Affected:
Amd §3614-e, Pub Health L
Versions Introduced in 2025-2026 Legislative Session:
A1257, S3358

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

Comments

Open Legislation is a forum for New York State legislation. All comments are subject to review and community moderation is encouraged.

Comments deemed off-topic, commercial, campaign-related, self-promotional; or that contain profanity, hate or toxic speech; or that link to sites outside of the nysenate.gov domain are not permitted, and will not be published. Attempts to intimidate and silence contributors or deliberately deceive the public, including excessive or extraneous posting/posts, or coordinated activity, are prohibited and may result in the temporary or permanent banning of the user. Comment moderation is generally performed Monday through Friday. By contributing or voting you agree to the Terms of Participation and verify you are over 13.

Create an account. An account allows you to sign petitions with a single click, officially support or oppose key legislation, and follow issues, committees, and bills that matter to you. When you create an account, you agree to this platform's terms of participation.