NY A01933

Requires the Department of Health to provide managed care providers with expanded actuarial documentation 30 days before submitting Medicaid reimbursement rates to the federal Centers for Medicare and Medicaid Services (CMS) for approval

Mandates that actuarial memoranda include certification letters submitted to CMS, correspondence between the state and CMS regarding rates, alternative methodologies considered but not used, and any federally required disclosures

Allows managed care providers to request additional review of the actuarial soundness of rate-setting processes, with the department required to either conduct the review and delay CMS submission or provide written reasons for denial

Requires the department to notify managed care providers of reimbursement rates before such rates take effect

Takes effect immediately but is subject to the existing repeal date of the underlying statute (section 364-j of the social services law)