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Senate Bill S6123

2023-2024 Legislative Session

Relates to the submission of claims for services provided by home care agencies

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Archive: Last Bill Status - In Senate Committee Rules Committee

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2023-S6123 (ACTIVE) - Details

See Assembly Version of this Bill:
A5750
Current Committee:
Senate Rules
Law Section:
Public Health Law
Laws Affected:
Amd §3614-e, Pub Health L
Versions Introduced in 2025-2026 Legislative Session:
S3358, A1257

2023-S6123 (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-S6123 (ACTIVE) - Sponsor Memo

2023-S6123 (ACTIVE) - Bill Text download pdf 

                             
                     S T A T E   O F   N E W   Y O R K
 ________________________________________________________________________
 
                                   6123
 
                        2023-2024 Regular Sessions
 
                             I N  S E N A T E
 
                              March 30, 2023
                                ___________
 
 Introduced  by  Sen.  RIVERA -- read twice and ordered printed, and when
   printed to be committed 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

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