New York has introduced new network adequacy regulations to improve access to behavioral health services, requiring initial appointments within 10 business days or seven days after hospitalization. Insurers unable to ensure timely care must provide out-of-network coverage without added costs. The regulations also mandate that provider directories offer clearer details about available services, such as location, telehealth options, and language proficiency. If in-network providers do not meet the standards, insurers will allow access to out-of-network providers at in-network rates. These regulations will take effect on July 1, 2025.
New York will now require behavioral health care appointments within 10 business days, with strict standards for insurers to provide access without cost increases.
Insurers must enhance provider directories with detailed information on behavioral health service availability, ensuring transparency about provider locations and telehealth options.
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