Section 98-5.5 Appointment wait time standards
Section 98-5.5 Appointment wait time standards.
(a) A MCO shall ensure that its network has adequate capacity and availability of health care providers of behavioral health services to offer enrollees appointments with providers that can treat enrollees’ behavioral health conditions within:
Section 98-6.0 Effective date
Section 98-6.0 Effective date.
This Part shall take effect July 1, 2025 and shall apply to all policies issued, renewed, modified, or amended on or after such date.
Section 98-5.9 MCO reporting on network adequacy and access
Section 98-5.9 MCO reporting on network adequacy and access.
(a) By December 31, 2026 and annually thereafter, each MCO shall submit to the commissioner a written certification in a form prescribed by the commissioner and signed by an officer of the MCO that confirms the following:
Section 98-5.8 Additional MCO responsibilities regarding network adequacy and access
Section 98-5.8 Additional MCO responsibilities regarding network adequacy and access.
Section 98-5.7 Provider directory requirements
Section 98-5.7 Provider directory requirements.
(a) In addition to the provider directory requirements set forth in Public Health Law 4403 and 4408, when listing a behavioral health provider, the provider directory shall include: