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Communication to Early Intervention (EI) Stakeholders Regarding EI Covered Lives Assessment

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

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