New York A11673 prohibits utilization review agents from denying coverage for medically necessary skilled rehabilitation services based solely on.
New York A11673 amends the insurance law to ensure that utilization review agents cannot issue adverse determinations for medically necessary skilled rehabilitation services solely because the insured or enrollee has not shown measurable improvement in their condition. The bill specifies that such services may include physical therapy, occupational therapy, speech-language pathology services, pulmonary rehabilitation, cardiac rehabilitation, and other rehabilitative services performed by licensed health care professionals.
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- Core Provisions
- Implementation
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- Legal Framework
- Critical Issues
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