N.Y. Public Health Law Section 3614-D
Universal standards for coding of payment for medical assistance claims for long term care

Claims for payment submitted under contracts or agreements with insurers under the medical assistance program for home and community-based long-term care services provided under this article, by fiscal intermediaries operating pursuant to Social Services Law § 365-F (Consumer directed personal assistance program)section three hundred sixty-five-f of the social services law, and by residential health care facilities operating pursuant to article 28 (Hospitals)article twenty-eight of this chapter shall have standard billing codes. Such insurers shall include but not be limited to Medicaid managed care plans and managed long term care plans. Such payments shall be based on universal billing codes approved by the department or a nationally accredited organization as approved by the department; provided, however, such coding shall be consistent with any codes developed as part of the uniform assessment system for long term care established by the department and shall include, for any entity operating pursuant to Social Services Law § 365-F (Consumer directed personal assistance program)section three hundred sixty-five-f of the social services law a code that is specific to the hourly cost of services at an overtime rate; provided, however, that this section shall not be construed to require the department to develop an overtime rate.

Source: Section 3614-D — Universal standards for coding of payment for medical assistance claims for long term care, https://www.­nysenate.­gov/legislation/laws/PBH/3614-D (updated Oct. 7, 2022; accessed Apr. 27, 2024).

3600
Declaration of legislative findings and intent 3602
Definitions 3605
Licensure of home care services agencies 3605‑A
Proceedings involving the license of a home care services agency 3605‑B
Registration of licensed home care services agencies 3605‑C
Authorization to enroll and provide medical assistance 3606
Establishment of certified home health agencies 3606‑A
Certified home health agency construction 3607
Grants for expansion of services 3608
Certification of home care services agencies 3609
Grants for planning an establishment of new certified home health agencies 3610
Authorization to provide a long term home health care program 3611
Operation of home care services agency 3611‑A
Change in the operator or owner 3612
Powers and duties of commissioner and state hospital review and planning council 3613
Home care services workers 3614
Payments for certified home health agency services, long term home health care programs and AIDS home care programs 3614‑A
Home care provider assessments 3614‑B
Licensed home care services agencies assessments 3614‑C
Home care worker wage parity 3614‑D
Universal standards for coding of payment for medical assistance claims for long term care 3614‑E
Electronic payment of claims 3614‑F
Home care minimum wage increase 3615
State aid to certified home health agencies 3616
Provision of certified home health agency services, long term home health care programs and AIDS home care programs 3616‑A
Quality assurance 3617
Respite projects 3618
Continuation of existing home health agencies 3619
Exempt agencies 3620
Authorization to provide an AIDS home care program 3621
Payment of claims 3622
Separability
Green check means up to date. Up to date

Accessed:
Apr. 27, 2024

Last modified:
Oct. 7, 2022

§ 3614-D’s source at nysenate​.gov

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