Loading chat...
NY A09607
Bill
Status
1/21/2026
Primary Sponsor
Amy Paulin
Click for details
AI Summary
-
Requires the Commissioner of Health to review and approve all contracts between licensed home care services agencies and managed care organizations or managed long term care plans at least three months before any contract modification, expiration, or amendment related to billing, rates, or services
-
Establishes an independent dispute resolution process for billing and contract disputes between home care agencies and managed care plans, with disputes required to be submitted within 90 days of proposed changes
-
Mandates that independent dispute resolution entities consider direct care costs when determining appropriate contract payments, including base wages, overtime, employee benefits, payroll taxes, workers' compensation, travel time, and worker shortages
-
Requires managed care organizations to pay dispute resolution fees and prohibits them from retaliating against home care agencies that initiate disputes
-
Allows directed Medicaid payments to home care providers for minimum wage increases if approved by federal Centers for Medicare and Medicaid Services
Legislative Description
Requires review and approval by the commissioner of health of contracts for home care services provided to a licensed home care services agency from a managed care organization or a managed long term care plan; directs the commissioner of health to establish a dispute resolution process independent dispute resolution relating to billing under a contract for home care services.
Last Action
referred to health
1/21/2026