New York State Department of Health
Bureau of Early Intervention (BEI) Electronic Mailing List
Communication to Early Intervention (EI) Stakeholders Regarding EI Covered
Lives Assessment legislation (A.5339/S.5560A) signed by Governor Hochul
Dear
Colleague:
On December 29, 2021,
Governor Hochul signed legislation (A.5339/S.5560A) that significantly changes
the way claims for Early Intervention services will be processed and
paid. See link below.
The legislation establishes
an Early Intervention Program (EIP) covered lives pool funded by an assessment
on insurance plans. The EIP pool funding will offset the municipal and
State share of EIP services not covered by Medicaid. EIP claims will no
longer be billed to commercial insurance. Claims will continue to be
billed to Medicaid for covered services and to municipal escrow for non-covered
services.
While the legislation has an
effective date of January 1, 2022, it will take time to implement. For now,
claims should continue to be billed to commercial insurance. Providers should
continue to address claims billed to insurance needing attention and service
coordinators should continue to collect insurance information from families.
https://www.governor.ny.gov/news/governor-hochul-announces-historic-240-million-increase-investment-schools-serving-children
Article ID: 459, Created On: 1/5/2022, Modified: 1/5/2022