New York A01257 mandates that claims for services by home care agencies be submitted on forms approved by the Centers for Medicare and Medicaid.

New York A01257 amends the public health law to require that claims for services provided by home care agencies be submitted using forms approved by the Centers for Medicare and Medicaid Services. This applies to claims submitted to insurers directly or through a billing entity selected by the home care agency or a fiscal intermediary. The bill also ensures that insurers retain the ability to review or audit claims for fraud, waste, and abuse, including those from Medicaid managed care plans and managed long-term care plans. The act takes effect 30 days after becoming law.

New York A01257 mandates that claims for services by home care agencies be submitted on forms approved by the Centers for Medicare and Medicaid.

New York A01257 amends the public health law to require that claims for services provided by home care agencies be submitted using forms approved by the Centers for Medicare and Medicaid Services. This applies to claims submitted to insurers directly or through a billing entity selected by the home care agency or a fiscal intermediary. The bill also ensures that insurers retain the ability to review or audit claims for fraud, waste, and abuse, including those from Medicaid managed care plans and managed long-term care plans. The act takes effect 30 days after becoming law.