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S. 7754-A(Hannon)/A. 11000-A(Dinowitz)

Managed Long Term Care; Certificate of Authority

Summary:  The bill allows certain eligible managed long-term care applicants that were designated as such prior to April 1, 2007, to be held to Medicare service capitation criteria that are more akin to the criteria that were in effect prior to April 1, 2007.

Specifically, the bill amends Public Health Law § 4403-f(3)(f) to permit managed long-term care plan applicants that have their principle place of business in Bronx county, were designated as eligible applicants prior to April 1, 2007, and are unable to achieve full capitation, readiness, and capability for Medicare services, to demonstrate readiness and capability on a scheduled basis or the capability and protocols for benefit coordination for Medicare services.

Effective Date:  Immediately.

Last Action: The bill was signed by the Governor on September 25, 2008 (Chapter 627).

Department of Financial Services


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