New York A07239 requires Medicare and Medicaid managed care providers to cover certain out-of-network health care if the patient has a long-term.
New York A07239, known as the "patient choice of health care provider protection act," mandates that Medicare and Medicaid managed care providers offer coverage for specific out-of-network health care services. This applies when a patient has a long-term relationship with a medical professional who is not part of the managed care provider's network. A "long term relationship" is defined as a treatment relationship of ninety days or longer during which the health care professional provided medical assistance to the patient at least ten times.
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