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
