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NY A01065
Bill
Status
1/7/2021
Primary Sponsor
Amy Paulin
Click for details
AI Summary
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Amends insurance law to prohibit policies from excluding coverage for early intervention services provided under New York's early intervention program based solely on the nature of the services.
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Requires individualized family services plans certified by early intervention officials to be deemed as meeting any precertification, preauthorization, and medical necessity requirements for covered services.
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Allows providers to redact non-payment-related information from individualized family services plans before submission to insurers.
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Establishes payment rates for early intervention services covered under policies at rates set by the commissioner of health through regulations.
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Prohibits insurers and HMOs from denying early intervention claims based on service location, duration of the child's condition, or whether the provider is in-network.
Legislative Description
Relates to insurance coverage of early intervention services.
Last Action
enacting clause stricken
9/16/2022