Establishes a specialized health home program to serve certain individuals with physical disabilities who are Medicaid eligible adults eighteen years of age or older with a diagnosis of a neurological, muscular, or neuromuscular condition, and a mobility impairment; provides that a specialized health home shall be reimbursed on a fee-for-service basis and shall receive enhanced rates of payment; makes related provisions.
Summary
Bill S01918 proposes the establishment of a specialized health home program in New York aimed at serving Medicaid-eligible adults aged eighteen and older who have physical disabilities, specifically those diagnosed with neurological, muscular, or neuromuscular conditions and who experience mobility impairments. The bill mandates that these specialized health homes be reimbursed on a fee-for-service basis and receive enhanced payment rates as determined by the commissioner of health. Additionally, the bill empowers the commissioner to seek federal waivers or state plan amendments to facilitate the program's objectives, ensuring that the funds are effectively utilized and documented.
Impact
The implementation of this bill will amend the social services law by introducing a new subdivision that specifically addresses the needs of individuals with physical disabilities within the Medicaid system. It aims to enhance the quality of care for this demographic by establishing standards for operation and reimbursement for specialized health homes, thereby potentially improving health outcomes and accessibility for affected individuals. The bill could also lead to increased funding and resources allocated to health homes catering to this population.
Sentiment
The sentiment surrounding Bill S01918 appears to be overwhelmingly positive, as evidenced by the unanimous votes in the Senate Health Committee, with 15 yeas on February 4, 2025, and 13 yeas on February 4, 2026. This indicates strong bipartisan support and recognition of the importance of addressing the healthcare needs of individuals with physical disabilities.
Contention
There are currently no notable points of contention regarding Bill S01918, as the discussions and votes reflect a consensus among committee members. However, potential future debates may arise regarding the specifics of funding allocation and the operational standards to be established by the commissioner.
Same As
Establishes a specialized health home program to serve certain individuals with physical disabilities who are Medicaid eligible adults eighteen years of age or older with a diagnosis of a neurological, muscular, or neuromuscular condition, and a mobility impairment; provides that a specialized health home shall be reimbursed on a fee-for-service basis and shall receive enhanced rates of payment; makes related provisions.
Establishes a specialized health home program to serve certain individuals with physical disabilities who are Medicaid eligible adults eighteen years of age or older with a diagnosis of a neurological, muscular, or neuromuscular condition, and a mobility impairment; provides that a specialized health home shall be reimbursed on a fee-for-service basis and shall receive enhanced rates of payment; makes related provisions.
Establishes program for certain individuals to become certified homemaker-home health aides and provide services to certain Medicaid and Medicaid-Medicare dually eligible enrollees under increased reimbursement rates.
Establishes program for certain individuals to become certified homemaker-home health aides and provide services to certain Medicaid and Medicaid-Medicare dually eligible enrollees under increased reimbursement rates.
Effectuates a Medicaid reimbursement rate enhancement for Valley Health Services of the Bassett Healthcare Network, and provides that such reimbursement rate enhancement shall be in addition to costs otherwise reimbursable.
Provides that admission agreements at adult homes include language providing that daily room and board rates at adult homes shall be increased when the minimum wage in New York City increases in an amount equal to the percentage of such minimum wage increase; states that such adjustment applies solely to room, board and non-medical supportive services and shall not affect Medicaid reimbursement rates.
Establishes a family caregiver program which shall receive reimbursement from Medicaid and directs the commissioner of health to secure approval from the federal Centers for Medicare & Medicaid Services for family caregivers.
Opens eligibility of paratransit services to individuals with disabilities or health conditions who are able to utilize the public buses and railroad operated by the authority.
Makes permanent certain provisions relating to reimbursement for commercial and Medicaid services provided via telehealth; establishes the rural healthcare professional loan repayment award program and the rural healthcare professional tax credit program; establishes a tax credit for rural healthcare providers.
Medical assistance rate adjustments established for physician professional services, residential service rates increased, and statewide reimbursement rate for behavioral health home services required.