175.996 “Pill Mill” Centers: MSSNY is seeking regulatory or statutory reform mandating that physicians affiliated with Medicaid “Pill Mill” Centers where there is undisputed evidence of Medicaid abuse be subject to an expedited license review and suspension as may be required by the appropriate agencies. MSSNY is seeking to
175.995 Funding for Medicaid Services: MSSNY has urged the Governor of the State of New York not to impose co-payments on Medicaid services, including nursing and therapy visits, paraprofessional services, prescriptions, and clinic visits. In addition, MSSNY has urged the Governor to: (1) Retain the existing Medicaid personal care program;
175.994 Emergency Care Exemption Under a Regionalized System: SUNSET HOD 2014 (Reaffirmed HOD 2024)
175.993 Nine-Tier Reimbursement Structure for HIV Care: SUNSET HOD 2014 (Reaffirmed HOD 2024)
175.992 Site of Service Differential Payment Policy: MSSNY reaffirms its position calling for the elimination of the highly objectionable Medicaid site of service differential payment policy for similar services provided in physicians’ offices as compared to hospital settings; particularly as the state-proposed Medicaid Managed Care Demonstration unfolds. (Council 12/19/96; Reaffirmed
175.991 Public Health Mandate Funding: Fee schedules for immunizations under public funding mechanisms such as Medicaid should be modified to include additional reimbursement to help defray physicians’ expenditures for compliance with State and City mandates which increase physicians’ operating costs. (HOD 1997-268; Reaffirmed HOD 2014; Reaffirmed HOD 2024)
175.990 Standing Orders: Since (a) the Medicaid Program does not currently recognize a standing orders protocol which is widely accepted by other insurers and (b) it becomes inefficient and burdensome for physicians to provide original signatures on all laboratory test requisitions, MSSNY will urge the Office of Medicaid Management of the NYS
175.989 Expanding Scope of Commission on Medicaid: SUNSET HOD 2014
175.988 New York State Department of Health Office of Medicaid Management Medicaid Fee Increase: SUNSET HOD 2024
175.987 Medicaid as a Secondary Payer: SUNSET HOD 2019
