What's happening
This bill requires standard billing codes and electronic payments for Medicaid claims related to mental health or substance abuse services.
Why it matters
Reduces administrative burden. by creating a universal set of billing codes for mental health and substance abuse Medicaid claims, making it easier for providers to submit claims and insurers to process them.
Improves payment speed and reliability. through mandatory electronic funds transfer, which can help mental health and substance use treatment providers receive payments more quickly and securely than with paper checks.
Promotes consistency and transparency. across the Medicaid system, as all insurers and providers must use the same coding and payment standards, potentially reducing billing errors and disputes.
May enhance access to care. by improving the financial stability of treatment facilities, as streamlined billing and payment processes can reduce overhead and allow more focus on patient services.
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Who cares
Headline styles
Standardize Mental Health Billing
Plain English, a few words. Used as the page title.
Sponsors
No co-sponsors yet.
History
- Referred to health
- Referred to health
Companion bill
The same bill in the other chamber. A bill becomes law when one version passes both houses and the governor signs it, so either number can carry it.
Streamline Mental Health Payments
In Senate Committee · Health · Sponsor Terrence P. Murphy
Full text
1 pageUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗
STATE OF NEW YORK
833
2017-2018 Regular Sessions
IN ASSEMBLY
January 9, 2017
Introduced by M. of A. GUNTHER -- read once and referred to the Committee on Health
AN ACT to amend the public health law, in relation to universal standards 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 Assembly, 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:
§ 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 pursuant 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.
§ 4403-i. Electronic payment of claims. The payment of claims submitted 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 pursuant 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.
§ 2. This act shall take effect on the first of January next succeeding 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.
EXPLANATION--Matter in italics (underscored) is new; matter in brackets
[ ] is old law to be omitted.
LBD02343-01-7
Reflowed for reading: line numbers and page breaks removed. Cite the official text.
Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.