Requires additional medicaid recipients throughout the state to participate in managed care plans

2 Co-sponsors

• Francine DelMonte
• Dennis H. Gabryszak

3 Multi-sponsors

• Earlene Hooper
• William Magee
• Naomi Rivera

BILL NUMBER:A6675A

Title of bill

An act to amend the social services law, in relation to mandatory managed care for certain recipients of medical assistance

Purpose of the bill

This bill would require additional Medicaid recipi- ents, throughout the State, to participate in managed care plans.

Summary of specific provisions

§ 1- Amends Paragraph (b) of subdivision 1 of § 364-j of the Social Services Law to include rural health networks and those providers who hold a comprehensive HIV special needs plan certificate of authority as managed care providers.

§ 2- Amends paragraph (g) of subdivision 3 of § 364-j of the Social Services Law to expand the categories of individuals who are required to enroll with a managed care program. Specifically, this bill would require that the following categories of individuals be enrolled in managed care programs: persons who are dually eligible for Medicaid and Medicare and who are enrolled in a TEFRA plans; persons who are eligible for S.S.I.; persons who are HIV positive; or persons with serious mental illness and children and adolescents with serious emotional disturbances be enrolled in managed care programs,

§ 3- Amends § 364-j of the Social Services Law to authorize the Commis- sioner of Health to take all necessary measures to cause all social services districts in the state not already doing so to provide Medicaid services and implement the State's managed care program. In addi- tion,-this section authorizes the Commissioner of Health to submit all appropriate waivers to implement this plan.

§ 4- Stipulates that § 2 of this act shall not take effect unless and until the Commissioner of Health receives all necessary approvals under federal law.

§ 5- Effective date.