On behalf of the Downstate New York Ambulance Association – a trade association comprised of the major ambulance service providers in the NYC metropolitan area – Garfunkel Wild, P.C. has filed a lawsuit in New York State Supreme Court against senior state officials challenging the downstate New York Medicaid ambulance reimbursement rates as illegal. The complaint alleges that the state has set the rate so far below the ambulance provider’s rising costs that providers are being forced out of business, which will result in the denial of necessary health services to hundreds of thousands of socioeconomically disadvantaged Medicaid beneficiaries. The complaint also alleges that the state has continued these far-below-cost Medicaid rates even in the face of a State Legislature-commissioned March 2017 study that the Medicaid reimbursement rates are approximately $50-90 below cost for each trip. The members of the Ambulance Association are frustrated that nothing has been done to help them, even after the report supported a rate increase, said attorney Roy Breitenbach, a partner at Garfunkel Wild, P.C. who is representing the trade group in the lawsuit. “They feel their only resort at this point is to pursue litigation.”
A link to the filed Complaint is HERE. All inquiries regarding the case should be directed to Roy Breitenbach, at firstname.lastname@example.org or 516-393-2272.