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NY S03358
Bill
Status
1/27/2025
Primary Sponsor
Gustavo Rivera
Click for details
AI Summary
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Requires claims for services from licensed home care agencies and fiscal intermediaries to be submitted only on forms approved by the Centers for Medicare and Medicaid Services (CMS)
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Allows home care agencies and fiscal intermediaries to submit claims directly to insurers or through a billing entity of their own choosing
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Prohibits insurers from requiring home care agencies or fiscal intermediaries to use a specific billing entity by contract or other action
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Prohibits insurers from impeding the timely processing and payment of claims
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Preserves insurers' ability to review and audit claims for fraud, waste, and abuse
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Takes effect 30 days after becoming law
Legislative Description
Provides that the submission of claims for services provided by home care agencies shall be done on forms approved by the centers for Medicare and Medicaid services.
Last Action
REFERRED TO HEALTH
1/7/2026