Loading chat...
NY S06492
Bill
Status
1/20/2016
Primary Sponsor
Kemp Hannon
Click for details
AI Summary
-
Amends Public Health Law Section 4903 to include nursing home care following inpatient hospital admission within utilization review requirements for health insurance coverage determinations.
-
Requires utilization review agents to make determinations on nursing home care requests and provide notice to enrollees within 24 hours of receipt when the request is submitted at least 24 hours before hospital discharge.
-
Prohibits denial of nursing home care requests based on medical necessity or lack of prior authorization when the request is submitted at least 24 hours prior to inpatient discharge.
-
Applies the same expedited 24-hour review timeline to nursing home care requests as currently applies to inpatient substance use disorder treatment requests.
Legislative Description
Requires a utilization review of a request for nursing home care after an inpatient hospital admission to be completed within 24 hours of the request.
Last Action
COMMITTED TO RULES
6/17/2016