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NY A00118
Bill
Status
1/5/2011
Primary Sponsor
William Boyland
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AI Summary
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Amends Social Services Law Section 367-a to modify Medicaid payment requirements for individuals who are dual beneficiaries of Medicaid and Medicare (Parts A and/or B of Title XVIII of the federal Social Security Act).
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Consolidates separate payment provisions for Medicare Part A and Part B beneficiaries into a single requirement that Medicaid payments cover deductibles and co-insurance liabilities for covered services.
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Removes the prior 20 percent co-insurance limitation for Part B services, except for specific providers including ambulance services, licensed psychologists, mental health facilities, and outpatient hospital/clinic services, which must receive full co-insurance coverage.
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Takes effect immediately and applies retroactively to July 1, 2003.
Legislative Description
Relates to amounts payable under medical assistance; insures access to essential health care services and supplies by elderly and disabled individuals who are dually eligible for Medicaid and Medicare.
Last Action
referred to social services
1/5/2011