New York S 3358: Relates to the submission of claims for services provided by home care agencies

Bill Text

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S03358 Summary:

BILL NOS03358 

&nbsp

SAME ASSAME AS A01257

&nbsp

SPONSORRIVERA

&nbsp

COSPNSRJACKSON, LIU, MAY, PARKER

&nbsp

MLTSPNSR

&nbsp

Amd §3614-e, Pub Health L

&nbsp

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.

Go to top S03358 Actions:

BILL NOS03358 

&nbsp

01/27/2025REFERRED TO HEALTH

05/13/20251ST REPORT CAL.1086

05/14/20252ND REPORT CAL.

05/15/2025ADVANCED TO THIRD READING 

06/13/2025COMMITTED TO RULES

01/07/2026REFERRED TO HEALTH

05/19/20261ST REPORT CAL.1234

05/20/20262ND REPORT CAL.

05/21/2026ADVANCED TO THIRD READING 

06/05/2026COMMITTED TO RULES

Go to topS03358 Committee&nbspVotes:

Go to topS03358 Floor&nbspVotes:

There are no Assembly votes for this bill in this legislative session.

Go to topS03358 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 3358

 2025-2026 Regular Sessions

 IN SENATE

 January 27, 2025
 ___________

 Introduced by Sens. RIVERA, JACKSON, LIU, MAY, PARKER -- 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:

 1 Section 1. Section 3614-e of the public health law, as added by
 2 section 49 of part B of chapter 57 of the laws of 2015, is amended to
 3 read as follows:
 4 § 3614-e. Electronic payment of claims. 1. The payment of claims
 5 submitted under contracts or agreements with insurers under the medical
 6 assistance program for home and community-based long-term care services
 7 provided under this article, by fiscal intermediaries operating pursuant
 8 to section three hundred sixty-five-f of the social services law, and by
 9 residential health care facilities operating pursuant to article twen-
 10 ty-eight of this chapter shall be paid via electronic funds transfer.
 11 Claims for services provided by home care agencies licensed or certified
 12 under this article and by fiscal intermediaries operating pursuant to
 13 section three hundred sixty-five-f of the social services law shall be
 14 only submitted and remitted on forms approved by the centers for Medi-
 15 care and Medicaid services. Claims shall be submitted to insurers
 16 directly or by a billing entity selected by the home care agency
 17 licensed or certified under this article or by a fiscal intermediary
 18 operating pursuant to section three hundred sixty-five-f of the social
 19 services law. Insurers shall not require the utilization by contract or
 20 action any specific billing entity by a home care agency licensed or
 21 certified under this article or by a fiscal intermediary operating
 22 pursuant to section three hundred sixty-five-f of the social services
 23 law; nor impede the timely processing and payment of claims.

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD03466-01-5

 S. 3358 2

 1 2. Nothing shall limit an insurer's ability to review or audit claims
 2 for fraud, waste, and abuse.
 3 3. Such insurers shall include but not be limited to Medicaid managed
 4 care plans and managed long-term care plans.
 5 § 2. This act shall take effect on the thirtieth day after it shall
 6 have become a law.

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