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NYS Department of Financial Services (DFS) Complaint Submission Process Overview

June 13 @ 3:00 pm - 4:00 pm

Effective January 1, 2024, Commercial payers were required to cover OMH-Licensed School-Based Mental Health (SBMH) Clinic services and reimburse the providers either at the rate negotiated with the provider or, in the absence of a negotiated rate, an amount no less than the Medicaid rate (Insurance Circular Letter No. 9 (2023). To support providers experiencing payment/reimbursement issues, the Department of Financial Services (DFS) in partnership with the Office of Mental Health (OMH), is hosting a webinar to review the process for submitting complaints to DFS and answer questions.

Register for the webinar here: https://meetny.webex.com/weblink/register/ra55682ad1f2d4b835b76ee27b44d4c64

Linked are the DFS Instructions on Opening a Portal Account and Provider Complaint Forms Portal Instructions which were previously sent on April 25, 2024. More information on filing a complaint can be located at File a Complaint | Department of Financial Services (ny.gov).

If you have any questions or specific areas that need clarification about filing a commercial complaint for behavioral health services with DFS, please send them in advance to commercial-billing@omh.ny.gov.