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NY A08600
Bill
Status
5/22/2025
Primary Sponsor
Jo Simon
Click for details
AI Summary
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Increases Medicaid reimbursement rates for outpatient behavioral health clinic services for individuals under age 21 by at least 35%, effective April 1, 2026
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Adds a care coordination fee of at least $7.50 per member per month for applicable outpatient behavioral health services for those under 21
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Implements a 3.2% trend factor for outpatient behavioral health clinic services for individuals under 21
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Requires the commissioner to submit state plan amendments to CMS by October 1, 2025, to implement a rate increase of at least $45 million for home and community based services and child and family treatment services
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Authorizes the Healthcare Stability Fund to be used for funding children's behavioral health outpatient rate increases
Legislative Description
Increases Medicaid reimbursement rates for certain behavioral health services provided to individuals under the age of twenty-one; directs that funds in the healthcare stability fund can be used for the funding of children's behavioral health outpatient rate increases.
Last Action
referred to health
1/7/2026