NY A10608

Defines "subcontracted facilitators" as community-based organizations that provide delegated fiscal intermediary services, helping consumers enroll with the statewide fiscal intermediary and providing ongoing customer service with disability and culturally competent support

Requires the statewide fiscal intermediary to subcontract with independent living service centers that have provided fiscal intermediary services since January 1, 2024, and at least one entity per rate setting region serving individuals with disabilities and seniors since January 1, 2012

Mandates that consumers be informed quarterly about available facilitation services and allowed to choose their own facilitator, with protections against involuntary reassignment due to eligibility changes or administrative issues

Prohibits the statewide fiscal intermediary from performing subcontracted facilitation services itself or creating subsidiaries to provide such services, requiring complete separation from subcontracted facilitators

Establishes financial penalties requiring the statewide fiscal intermediary to pay subcontracted facilitators directly for each month of non-compliance with subcontract obligations, calculated by the referral rate multiplied by unserved referrals