Governor Cuomo’s 2013-2014 Executive Budget proposal would restructure Early Intervention, linking EI services with health insurance coverage. The budget proposal would:
- Allow a health insurance representative to be part of the team that develops and reviews a child’s Individualized Family Services Plan (IFSP), giving the health insurance company a voice in determining a child’s EI services for the first time.
- Require EI providers to join health insurance networks, negotiate their reimbursement rates with health insurers, and exhaust all appeals of claim denials by health insurers before being paid by EI, likely leading to a further reduction in the number of experienced EI providers available to serve children.
- Require children to be evaluated and served by evaluators and service providers within the children’s health insurance network, without a clear process for obtaining an exception for children who need specialized service providers.