Requires the office of addiction services and supports and the office of mental health to publish information for calculation of rates paid for certain treatment pursuant to the medical assistance program in a form an manner prescribed by the commissioner of the office of addiction services and supports or the commissioner of mental health, as applicable.
Impact
If signed into law, this bill will have significant impacts on how insurance reimbursement rates are structured for outpatient treatment facilities. By compelling insurers to follow specific minimum rates as dictated by the medical assistance program, the bill addresses existing disparities in how these treatments are reimbursed. This could enhance access to essential services for individuals seeking treatment for addiction and mental health issues, ultimately fostering better health outcomes within the community.
Summary
The bill A09509 introduces amendments to the insurance laws of New York, specifically concerning the calculation of rates for rehabilitation and opioid treatment reimbursed under the medical assistance program. The legislation mandates that the Office of Addiction Services and Supports and the Office of Mental Health create and publish information to guide insurers in determining these rates. The bill's provisions aim to standardize reimbursement procedures, ensuring that participating facilities receive rates that are at a minimum equal to those delineated under the medical assistance framework.
Contention
Despite its intended benefits, the bill could face opposition from various stakeholders. Some insurance companies may be concerned about the financial implications of mandated minimum rates, which could lead to increased costs. Additionally, there may be apprehensions regarding the bureaucratic measures required to implement these changes and whether they harmonize adequately with existing insurance operations. Thus, while the intent is to enhance treatment access and standardize rates, the legislative debate may reveal contrasting priorities among insurers, healthcare providers, and public health advocates.
Same As
Requires the office of addiction services and supports and the office of mental health to publish information for calculation of rates paid for certain treatment pursuant to the medical assistance program in a form an manner prescribed by the commissioner of the office of addiction services and supports or the commissioner of mental health, as applicable.
Requires the office of addiction services and supports and the office of mental health to publish information for calculation of rates paid for certain treatment pursuant to the medical assistance program in a form an manner prescribed by the commissioner of the office of addiction services and supports or the commissioner of mental health, as applicable.
Requires rates paid for rehabilitation and opioid treatment be pursuant to certain fee schedules published by the office of addiction services and supports.
Requires rates paid for rehabilitation and opioid treatment be pursuant to certain fee schedules published by the office of addiction services and supports.
Requires the office of addiction services and supports to collect certain demographic data for incarcerated individuals in medication assisted treatment programs.
Requires the office of addiction services and supports to collect certain demographic data for incarcerated individuals in medication assisted treatment programs.
Authorizes the commissioner of the office of mental health, and the office of addiction services and support to jointly establish a single set of licensing standards and requirements for the construction, operation, reporting and surveillance of integrated behavioral health services.
Renames an office of addiction services and supports scholarship program the "NYS Father Peter Young Memorial Addiction Professionals Scholarship Program"; codifies the purposes of such program as offering financial education assistance to individuals pursuing a bachelor's degree in addiction studies or the education requirements for an office of addiction services and supports credential at Alfred State College, Stony Brook University or Empire State University.
Establishes an intensive addiction recovery and mental health integrated services pilot program to support two three-year demonstration programs that provide intensive addiction and mental health integrated services to individuals with significant addiction and mental health issues who have had multiple and frequent treatment episodes.