New York S 9398: Establishes a non-emergency medical transportation administrative modernization pilot program to strengthen program integrity and reduce improper payments

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S09398 Summary:

BILL NOS09398 

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SAME ASNo Same As

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SPONSORBORRELLO

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COSPNSR

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MLTSPNSR

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Add §365-q, Soc Serv L

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Establishes a pilot program to implement a unified administrative platform for the authorization, coordination, monitoring, and payment of non-emergency medical transportation services.

Go to top S09398 Actions:

BILL NOS09398 

&nbsp

03/09/2026REFERRED TO HEALTH

Go to topS09398 Committee&nbspVotes:

Go to topS09398 Floor&nbspVotes:

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

Go to topS09398 Text:

 STATE OF NEW YORK
 ________________________________________________________________________

 9398

 IN SENATE

 March 9, 2026
 ___________

 Introduced by Sen. BORRELLO -- read twice and ordered printed, and when
 printed to be committed to the Committee on Health

 AN ACT to amend the social services law, in relation to establishing a
 non-emergency medical transportation administrative modernization
 pilot program to strengthen program integrity and reduce improper
 payments, and requiring program integrity review by the office of the
 Medicaid inspector general

 The People of the State of New York, represented in Senate and Assem-
 bly, do enact as follows:

 1 Section 1. The social services law is amended by adding a new section
 2 365-q to read as follows:
 3 § 365-q. Non-emergency medical transportation administrative modern-
 4 ization pilot program. 1. Establishment. The commissioner of health
 5 shall establish a pilot program to implement a unified administrative
 6 platform for the authorization, coordination, monitoring, and payment of
 7 non-emergency medical transportation services provided pursuant to this
 8 title.
 9 2. Purpose. The purpose of the pilot program shall be to evaluate
 10 whether improved administrative coordination, data integration, and trip
 11 verification processes can reduce improper payments and support fraud
 12 detection and recovery efforts, enhance accountability in the adminis-
 13 tration of non-emergency medical transportation services, and maintain
 14 beneficiary access to transportation services.
 15 3. Scope and duration. (a) The pilot program shall operate in not
 16 fewer than two and not more than five counties selected by the commis-
 17 sioner.
 18 (b) The pilot program shall operate for a period of two to three years
 19 from the date of implementation of the unified administrative platform.
 20 (c) Prior to such implementation, the commissioner of health shall
 21 establish baseline improper payment indicators, audit findings, and
 22 related program integrity metrics in pilot counties for comparison
 23 during and after the pilot period.

 EXPLANATION--Matter in italics (underscored) is new; matter in brackets
 [ ] is old law to be omitted.
 LBD15045-01-6

 S. 9398 2

 1 (d) The commissioner of health may modify or discontinue the pilot
 2 program based upon demonstrated outcomes and shall provide written
 3 notice of any such action to the governor and the legislature.
 4 4. Platform requirements. The administrative platform shall, at a
 5 minimum:
 6 (a) provide verification of Medicaid eligibility and enrollment
 7 status;
 8 (b) incorporate electronically documented level-of-service determi-
 9 nations consistent with criteria established by the department of
 10 health;
 11 (c) permit communication among the department of health, its transpor-
 12 tation manager or contractor, transportation providers, health care
 13 providers, and eligible recipients;
 14 (d) allow recipients or their authorized representatives to schedule
 15 rides and obtain trip status information;
 16 (e) include objective validation of trip initiation and completion,
 17 including location-based or comparable verification methods where prac-
 18 ticable;
 19 (f) support claims processing and improve payment timeliness for clean
 20 claims; and
 21 (g) generate reporting regarding utilization, expenditures, denials,
 22 complaint trends, and provider performance sufficient to support program
 23 integrity review.
 24 5. Integration with program integrity functions. (a) The commissioner
 25 shall ensure that data generated through the pilot platform is made
 26 available to the office of the Medicaid inspector general in a format
 27 sufficient to suppo