New York A03148 limits the cost sharing fee for outpatient substance use disorder treatment to $250.
New York A03148 amends the insurance law to set a cap on the cost sharing fee for outpatient substance use disorder treatment at $250. This applies to treatment episodes provided by facilities licensed by the Office of Addiction Services and Supports. The insurer, not the insured, will cover all other financial obligations to the treatment facility. The bill also specifies that coverage for the first four weeks of treatment, up to 28 visits, is not subject to concurrent review, provided the facility notifies the insurer of the start of treatment and the initial treatment plan within two.
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