N.Y. Social Services Law § 398-b: Transition to managed care

§ 398-b. Transition to managed care. 1. Notwithstanding any

inconsistent provision of law to the contrary and subject to the

availability of federal financial participation, the commissioner is

authorized to make grants up to a gross amount of five million dollars

for state fiscal year two thousand fourteen--fifteen and up to a gross

amount of fifteen million dollars for state fiscal year two thousand

fifteen--sixteen to facilitate the transition of foster care children

placed with voluntary foster care agencies to managed care. The use of

such funds may include providing training and consulting services to

voluntary agencies to assess readiness and make necessary infrastructure

and organizational modifications, collecting service utilization and

other data from voluntary agencies and other entities, and making

investments in health information technology, including the

infrastructure necessary to establish and maintain electronic health

records. Such funds shall be distributed pursuant to a formula to be

developed by the commissioner of health, in consultation with the

commissioner of the office of children and family services. In

developing such formula the commissioners may take into account size and

scope of provider operations as a factor relevant to eligibility for

such funds. Each recipient of such funds shall be required to document

and demonstrate the effective use of funds distributed herein. If

federal financial participation is unavailable, then the nonfederal

share of payments pursuant to this subdivision may be made as state

grants.

2. Data provided by voluntary foster care agencies shall be compliant

with the health insurance portability and accountability act, and shall

be transmitted securely using eMEDS or other mechanism to be determined

by the department of health. Such data may be used by the department of

health to establish rates of payment for managed care organizations for

services provided to children in foster care. In establishing such rates

the commissioner of health shall also take into account care

coordination services that will continue to be provided by the voluntary

foster care agencies.

3. The commissioner of health shall issue a report to be made public

on the department of health's website. Such report shall conform to the

requirements of subdivision five of section ninety-two of part H of

chapter fifty-nine of the laws of two thousand eleven.