What... (i.e. camp, dance class, birthday party)
        
 
Pick a NYMetroParents Region: All Regions   Manhattan    Brooklyn    Queens    Westchester    Rockland   Fairfield    Nassau    Suffolk  

Resources

   

EARLY INTERVENTION REIMBURSEMENT BILL PASSES NY ASSEMBLY AND STATE

     Home  >  Articles  > NYMP News (not region specific)
by NYMetroParents Staff

Related: early intervention, special needs, medical costs, new york state, ny, insurance, reimbursement, bill, tax,


New York Assemblywoman Amy Paulin's legislation to increase insurance payments to counties for early intervention services (A. 384-B) has passed both houses and awaits the governor's signature.

"This legislation will provide significant mandate relief for Westchester County. The dollars they recoup will be substantial," Paulin said.

When early intervention (EI) services, such as speech pathology or physical therapy, are provided to a child, the municipality must pay 100 percent of the costs up front and then seek reimbursement from the child's insurance provider. However, reimbursement from insurance companies has been minimal and uneven across the state, leaving the cost for EI services to be paid by state and municipal tax dollars.

The New York State Association of Counties has reported that approximately $95.5 million was billed to commercial insurers and only $10.6 million was recouped, for a rate of 11 percent. This legislation seeks to correct the top reasons why insurance companies deny claims for EI services by:

1. Increasing the time for a municipality to file a claim
2. Requiring parents to provide a written referral from the child's primary care provider showing medical necessity
3. Requiring the insurance company to supply the municipality with information on the child's benefits
4. Requiring parents to inform the county of their child's insurance coverage.

As a result, more claims will be paid, and Westchester and other counties will be able to collect more of the money that they are entitled to.
 
"This is a change that the Westchester County Board of Legislators has sought for nearly a decade, and we greatly appreciate Assemblywoman Paulin and the state legislators' efforts," County Legislator Jim Maisano said. "This will save taxpayers money."
 
Paulin worked closely with the county, Assemblyman Joseph Morelle - Chair of the Assembly Insurance Committee, the New York State Association of County Health Officials, and insurance companies to arrive at an agreement on the legislation.
 
"Being able to process early intervention claims more efficiently, thanks to this new legislation, will create greater cooperation between insurers and local governments," said Westchester Board of Legislators Chairman Ken Jenkins (D-Yonkers). "As Assemblywoman Paulin knows, streamlining processes drive down costs and save taxpayers' dollars, as in this case.  Now we look forward to the Governor signing the bill."

 

Give yourself a free Holiday Gift
Receive our weekly highlights newsletter
Over 1,000 local activities

More NYMP News (not region specific) Articles

A Guide to Gifts for Your Child's Teacher
Children Can Receive Letters From Santa Through a Postal Service Program
Holiday Fashions for Boys and Girls
Indulge in Gift-Giving Instincts Without Spoiling You Kids
Holiday Gifts That Keep Giving

Be a good fellow parent and share this with a friend who would be interested
Email Friend

Local NYMP News (not region specific) Sponsors

Destination Science
Locations in Bedford, Chappaqua, Larchmont, New Rochelle, Ossining, Rye, Scarsdale, Tarrytown, White Plains, and Yonkers
888-909-2822
Destination Science kids (ages 5 to 11 years) enjo...

Greenwich Historical Society History and Art Camp
39 Strickland Road
Cos Cob, 203-869-6899 x10
TThe first week immerses campers in the life of Ne...

North Shore Day Camp
85 Crescent Beach Road
Glen Cove , NY
516-676-0904
North Shore Day Camp's full-day, 4, 6 or 8 week se...

Arts Alive LI
100 Crossways Park W., Suite 107
Woodbury, NY
516-224-8440
Arts Alive LI, speaks to the heart of LIAA’s missi...

U.S. Party Zone
15 Frowein Rd
Center Moriches, NY
631-462-3212
A family fun center designed for children, and adu...
See Our NYMP News (not region specific) Directory

local zones

Nassau

Nassau cont.

Suffolk

Suffolk cont.

Westchester

Westchester cont.

Fairfield

Rockland

Rockland cont.

Queens

Queens cont.

Brooklyn

Brooklyn cont.

Manhattan

Copyright 2014 NY Metro Parents Magazine Site Design: THE VOICE