FYI.....this is the substance of EI measures in the budget legislation for 2014/2015. Many health related pieces were put into a new bill, S6914, including the following: § 19. For claims for payment submitted by early intervention providers 34 to third party payors between the period April 1, 2013 until June 30, 35 2013 in accordance with title 2-A of article 25 of the public health 36 law, for which the third party payor has not, on the effective date of 37 this section, made payment of the claim in whole or in part or rendered 38 a determination that it is not obligated to pay the claim, the provider 39 shall be authorized to seek payment of such claim from the municipality, 40 through the fiscal agent under contract with the department of health; 41 provided, however, that the provider shall continue to render any 42 assistance needed, and provide any information and documentation 43 requested by the third party payor to facilitate payment of the claim 44 even if the provider has already received payment from the municipality. 45 If such third party payor makes payment of the claim after the provider 46 has received payment from the municipality, the third party payment 47 shall be reconciled against future payments due the provider from the 48 municipality. This section shall only apply to claims submitted by 49 approved early intervention providers to third party payors during the 50 period April 1, 2013 until June 30, 2013 for which no payment or deter- 51 mination has been made, as specified in this section, on April 1, 2014. 52 Payment shall be made on the forty-fifth day after this act shall take 53 effect. The provisions in subdivision 2 of section 2557 of the public 54 health law that prohibit state reimbursement from being paid prior to 55 April first of the year in which the approved costs are paid by the S. 6914 26 A. 9205 1 municipality shall not apply to the municipal payments made under this 2 section. 3 § 20. Article 29-D of the public health law is amend
Posted on: Sat, 29 Mar 2014 18:27:18 +0000
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