New York A01933 amends Medicaid reimbursement rate determination by requiring additional review and notice to managed care providers.

New York A01933 amends the social services law to enhance transparency and review for Medicaid reimbursement rates. It mandates that the Department of Health require an independent actuary to provide a complete actuarial memorandum to managed care providers before submitting rates to the Centers for Medicare and Medicaid Services. Managed care providers can request additional review of the rate-setting process, and the department must either agree to this review or provide clear reasons for declining it.

New York A01933 amends Medicaid reimbursement rate determination by requiring additional review and notice to managed care providers.

New York A01933 amends the social services law to enhance transparency and review for Medicaid reimbursement rates. It mandates that the Department of Health require an independent actuary to provide a complete actuarial memorandum to managed care providers before submitting rates to the Centers for Medicare and Medicaid Services. Managed care providers can request additional review of the rate-setting process, and the department must either agree to this review or provide clear reasons for declining it.