New York A04860 mandates capitated payments for medical assistance, with adjustments via contracts.

New York A04860 amends the social services law to require all medical assistance payments to be capitated. The commissioner of health can develop patient rating categories based on risk. The bill also allows for contract arrangements to adjust payment amounts, including incentives and pass-through payments. Within a year of the act's effective date, the commissioner must draft legislation to convert all medical assistance payments from fee-for-service to capitated payments and submit it to the governor, senate president, and assembly speaker.

New York A04860 mandates capitated payments for medical assistance, with adjustments via contracts.

New York A04860 amends the social services law to require all medical assistance payments to be capitated. The commissioner of health can develop patient rating categories based on risk. The bill also allows for contract arrangements to adjust payment amounts, including incentives and pass-through payments. Within a year of the act's effective date, the commissioner must draft legislation to convert all medical assistance payments from fee-for-service to capitated payments and submit it to the governor, senate president, and assembly speaker.