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NY A02520
Bill
Status
10/16/2025
Primary Sponsor
John McDonald
Click for details
AI Summary
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Requires Medicaid managed care organizations to reimburse durable medical equipment (DME) providers at no less than 100% of the state Medicaid fee schedule for DME and complex rehabilitation technology
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Covers durable medical equipment, prosthetics, orthotics, and related supplies under the reimbursement floor requirement
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Applies to both direct and indirect payments from managed care providers to DME suppliers
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Takes effect 90 days after becoming law
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Amends Section 364-j of the Social Services Law governing Medicaid managed care requirements
Legislative Description
Provides parity to durable medical equipment providers by requiring Medicaid managed care organizations to reimburse such providers at no less than one hundred percent of the medical assistance durable medical equipment and complex rehabilitation technology fee schedule for the same service or item.
Last Action
tabled
10/17/2025