175.999 Medicaid – Title XIX Recipients:
The position of the Medical Society of the State of New York is that all Title XIX (Medicaid) recipients must have equal access to high-quality health care along with freedom of choice as to the source from which they receive such care. This quality care should be delivered in an efficient manner by appropriately recognized and varying alternative mechanisms of medical care delivery. Reimbursement for medical service rendered to Title XIX (Medicaid) patients must be based on a realistic fee pattern, in keeping with current economic realities and with the physician mode of practice. Such fee patterns must be subject to periodic adjustments in the same manner as are all other recognized alternative mechanisms of medical care delivery. Further, there should be a: (1) Return of Medicaid patients to the offices of practicing physicians by revising the New York State Medicaid fee schedule to provide usual and customary fees, or to implement a realistically higher fixed fee schedule. (2) Well developed peer review system, administered by physicians at the local level and providing for an adequate appeals mechanism through physician ombudsmen. (3) Development of a program that would provide incentives to physicians for locating in undeserved areas. (4) Unification of administrative and fiscal Medicaid responsibilities within a single Department at the State level. (Council 4/22/82; Reaffirmed Council 6/3/04; Reaffirmed HOD 2014; Reaffirmed HOD 2024)
