175.952 Preservation of Medicaid That our MSSNY strongly supports maintaining and expanding Medicaid coverage to ensure access to comprehensive healthcare for vulnerable populations, and MSSNY opposes any state or federal efforts to impose work requirements as a condition of Medicaid eligibility. MSSNY opposes increasing cost-sharing requirements for Medicaid enrollees, and ask the AMA to make
175.953 Medicaid Fee Parity with Medicare for all E&M Services MSSNY works with NY State Dept. of Health to extend 80% of Medicare fee schedule reimbursement for all E&M services across all places of service provided to NYS Fee for Service all Medicaid and all Medicaid HMO patients. (HOD 2024 – 262)
175.954 Medicaid to pay Medicare coinsurance for dual eligible patients MSSNY HOD-2024 MSSNY will work with NY State Dept. of Health for NYS Medicaid to resume paying 20% Medicare coinsurance for all dual eligible patients. (HOD 2024 – 109)
175.962 New York State Medicaid Fee Adequacy MSSNY will seek legislative and regulatory changes to establish that New York State Medicaid Physician Fees shall not be less than 100% of Medicare Fee for Service physician fee schedule to ensure adequate and equitable access for New York Medicaid patients. (HOD 2023-50)
175.961 Funding Primary Care The Medical Society of the State of New York supports legislation to require investment in primary and preventative care by New York State commercial insurers, including managed Medicaid insurers, to be no less than 12% of total health care spending. (HOD 2023-51)
175.960 Fair Reimbursement for Obstetrical Surveillance and Care MSSNY will advocate for a significant increase in the Medicaid physician payment for patient care for labor and delivery, which accounts for the significant increase in office overhead costs since the last time such fees were established. (HOD 2023 - Late E)
175.959 NYS Medicaid Coverage of Treatments for Severe Obesity The Medical Society of the State of New York supports legislation that would require NYS Medicaid to pay for FDA-approved anti-obesity medications in adults with class 3 obesity when prescribed by practitioners. (HOD 2023-251)
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
175.998 Fraud and Abuse Audit Control Activities: MSSNY is cognizant of the realities surrounding health insurance audit and utilization review activities to ensure justifiable expenditures of private or public funds for claimed medical services. The Society is, nevertheless, deeply concerned by reports of inappropriate and inequitable Medicaid
175.997 Utilization and Audits: MSSNY is working with the New York State Department of Social Services and the New York State Department of Health to establish protocols against inappropriate utilization of Medicaid services and commensurate expenditures and to address the needs for: (1) Clear utilization of services parameters
