New York Commercial Insurance Reimbursement Mandate For OMH & OASAS Behavioral Health Outpatient Services Beginning On & After January 1, 2025: Frequently Asked Questions

The document was released October 4, 2024, jointly by three New York State departments: Department of Financial Services (DFS), Office of Mental Health (OMH), and Office of Alcohol and Substance Abuse Services (OASAS). Starting January 1, 2025, commercial health plans in New York state will be required to reimburse for outpatient services provided community mental health centers (CMHCs) and other types of facilities at the same fee-for-service (FFS) rates that the state Medicaid plan pays. The document presents responses to frequently asked questions about this transition. Topics include the types of plans that must comply and those that . . .