Provides that where the commissioner of health assumes the responsibility for the transportation of medicaid recipients in rural areas, existing public transportation systems shall be used when such systems are appropriate, available and the least expensive modes of transportation.
Provides that dental insurance coverage shall include coverage for night guards; defines dental night guards; provides that dental night guards shall be covered under Medicaid.
This bill simplifies enrollment and recertification for New York Medicaid recipients needing long-term care. It automatically assigns people requiring community-based long-term care for over 120 days to a managed care plan (based on prior care workers, quality, and location), unless they choose otherwise. It also allows certain groups - like those in managed long-term care plans, receiving personal care services, or getting fixed Social Security income - to recertify automatically without resubmitting resource documentation, using "attestation" instead. These changes aim to reduce administrative burdens for both recipients and the state.
Bill S 3554 increases the amount of personal savings individuals can have and still qualify for Medicaid benefits, directly affecting those seeking medical assistance. It changes the current savings exemption rule from a variable formula to a specific, fixed amount. Under this bill, the maximum savings amount for Medicaid eligibility, including for certain disabled individuals, would be set at $300,000. This change is scheduled to take effect on January 1, 2026, provided there is federal financial participation.
Requires individuals who practice the profession of dental therapy to be licensed and registered in the state; provides Medicaid reimbursement for dental therapy services.
Provides that dental insurance coverage shall include coverage for night guards; defines dental night guards; provides that dental night guards shall be covered under Medicaid.
Authorizes the creation of a distinctive brain tumor awareness license plate; creates the brain tumor research and support fund; provides that moneys of the brain tumor research and support fund may be expended to offset costs associated with medicaid fee for service coverage of tumor treating fields therapy.
This bill requires the state to reimburse non-medical transportation costs for individuals with substance use disorders attending peer support services. The state office must establish reimbursement rates by April 2026, working with health officials to seek Medicaid funding and utilize federal grants like opioid response funds. It directly affects people seeking peer support services and the state’s funding mechanisms for addiction treatment access. The law creates a concrete system to cover transportation expenses, excluding medical transport, and takes effect 90 days after enactment.
Authorizes Medicaid coverage to a disabled person attending an out-of-state college or university who is in need of continuous medical care and is a domiciliary of the state of New York; authorizes continuous coverage for services and care such person received while in-state; requires persons eligible for the provisions of this section must show proof of enrollment every semester.
Includes implants, replacement dental prosthetic appliances, crowns and root canals as medically necessary dental care and services for coverage under the Medicaid program if a qualified dentist authorizes the procedures.
