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0 chapters · 728 sections in this title.
N.Y. Social Services Law § 366-B Penalties for fraudulent practices
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§ 366-b. Penalties for fraudulent practices. 1. Any person who\nknowingly makes a false statement or representation, or who by\ndeliberate concealment of any material fact, or by impersonation or\nother fraudulent device, obtains or attempts to obtain or aids or abets\nany perso…
N.Y. Social Services Law § 366-C Treatment of income and resources of institutionalized persons
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§ 366-c. Treatment of income and resources of institutionalized\npersons. 1. Notwithstanding any other provision of law to the contrary,\nin determining the eligibility for medical assistance of a person\ndefined as an institutionalized spouse, the income and resources of such\n…
N.Y. Social Services Law § 366-D Medical assistance provider; prohibited practices
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§ 366-d. Medical assistance provider; prohibited practices. 1.\nDefinitions. As used in this section, "medical assistance provider"\nmeans any person, firm, partnership, group, association, fiduciary,\nemployer or representative thereof or other entity who is furnishing\ncare, s…
N.Y. Social Services Law § 366-E Certified home health agency medicare billing
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§ 366-e. Certified home health agency medicare billing. (a) Certified\nhome health agencies shall bill under title XVIII of the federal social\nsecurity act for services provided to all patients eligible for such\nprogram who, as defined by federal law and regulations, are: (i)\…
N.Y. Social Services Law § 366-F Persons acting in concert with a medical assistance provider; prohibited practices
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§ 366-f. Persons acting in concert with a medical assistance provider;\nprohibited practices.\n 1. No person acting in concert with a medical assistance provider\nshall, with intent to defraud:\n (a) solicit, receive, accept or agree to receive or accept any payment\nor other co…
N.Y. Social Services Law § 366-G Newborn enrollment for medical assistance
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§ 366-g. Newborn enrollment for medical assistance. 1. Each hospital\nlicensed under article twenty-eight of the public health law shall\nreport to the department of health, or such other entity designated by\nthe department of health, in such format as the department of health\…
N.Y. Social Services Law § 366-H Automated system; established
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§ 366-h. Automated system; established. Notwithstanding any\ninconsistent provision of law or regulation, the commissioner of health\nshall, as soon as practicable, establish an automated system to ensure\nthat persons who meet the criteria for receipt of medical assistance\nben…
N.Y. Social Services Law § 366-I Long-term care financing demonstration program
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§ 366-i. Long-term care financing demonstration program. 1.\nNotwithstanding any inconsistent provision of sections three hundred\nsixty-six or three hundred sixty-six-c of this title, or any other\nprovision of law, the commissioner of health is authorized to develop\nthe long-…
N.Y. Social Services Law § 367 Authorization for hospital care
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§ 367. Authorization for hospital care. 1. Except as permitted by\nthe regulations of the department, so far as practicable, no patient\nshall be admitted to a hospital as a public charge under this title or\nthis chapter without the prior authorization of the social services\no…
N.Y. Social Services Law § 367-A Payments; insurance
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§ 367-a. Payments; insurance. 1. (a) Any inconsistent provision of\nthis chapter or other law notwithstanding, no assignment of the claim of\nany supplier of medical assistance shall be valid and enforceable as\nagainst any social services district or the department, and any pay…
N.Y. Social Services Law § 367-B Medical assistance information and payment system
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§ 367-b. Medical assistance information and payment system. 1. The\ndepartment shall design and implement a statewide medical assistance\ninformation and payments system for the purpose of providing individual\nand aggregate data to social services districts to assist them in ma…
N.Y. Social Services Law § 367-C Payment for long term home health care programs
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§ 367-c. Payment for long term home health care programs. 1. If a long\nterm home health care program as defined under article thirty-six of the\npublic health law is provided in the social services district for which\nhe has authority, the local social services official, before…
N.Y. Social Services Law § 367-D Personal care need determination
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* § 367-d. Personal care need determination. The commissioner shall\nannually determine the statewide need for personal care services for all\nrecipients except for those receiving personal care services pursuant to\nsection three hundred sixty-seven-c of this article and for th…
N.Y. Social Services Law § 367-E Payment for AIDS home care programs
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§ 367-e. Payment for AIDS home care programs. 1. If an AIDS home care\nprogram as defined under article thirty-six of the public health law is\nprovided in the social services district for which he has authority, the\nlocal social services official, before he authorizes care in …
N.Y. Social Services Law § 367-F Partnership for long term care program
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§ 367-f. Partnership for long term care program. 1. Definitions. As\nused in this section: (a) "Medicaid extended coverage" shall mean\neligibility for medical assistance (i) without regard to the resource\nrequirements of section three hundred sixty-six of this title, or in the…
N.Y. Social Services Law § 367-G Authorization and provision of personal emergency response services
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§ 367-g. Authorization and provision of personal emergency response\nservices. 1. Personal care services and home health services shall\ninclude, where appropriate as determined by the social services\ndistrict, the provision of personal emergency response services and\nshared a…
N.Y. Social Services Law § 367-H Payment for assisted living programs
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§ 367-h. Payment for assisted living programs. 1. Subject to the\napproval of the state director of the budget, the commissioner may\nauthorize the payment of medical assistance funds for assisted living\nprograms, as defined in section four hundred sixty-one-l of this\nchapter,…
N.Y. Social Services Law § 367-I Personal care services provider assessments
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§ 367-i. Personal care services provider assessments. 1. Providers of\npersonal care services, excepting those certified under article\nthirty-six of the public health law, are charged assessments on their\ngross receipts received from all personal care services and other\nopera…
N.Y. Social Services Law § 367-O Health insurance demonstration programs
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§ 367-o. Health insurance demonstration programs. 1. Notwithstanding\nany inconsistent provision of law, the commissioner of health is\nauthorized to establish one or more demonstration programs for the\npurposes of providing additional knowledge and experience in mechanisms\nto…
N.Y. Social Services Law § 367-P Responsibilities of local districts for personal care services, home care services and private duty nursing
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* § 367-p. Responsibilities of local districts for personal care\nservices, home care services and private duty nursing. Consistent with\nthe provisions of section three hundred sixty-seven-n of this title,\nlocal social services district responsibilities for personal care\nserv…
N.Y. Social Services Law § 367-P*2 Payment for limited home care services agencies
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* § 367-p. Payment for limited home care services agencies. 1.\nNotwithstanding any law to the contrary, the commissioner shall, subject\nto the approval of the director of the budget, establish rates of\npayment for services provided by limited home care services agencies,\nlic…
N.Y. Social Services Law § 367-Q Personal care services worker recruitment and retention program
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§ 367-q. Personal care services worker recruitment and retention\nprogram. 1. The commissioner of health shall, subject to the\navailability of federal financial participation adjust personal care\nservices medical assistance rates of payment established pursuant to\nthis title …
N.Y. Social Services Law § 367-R Private duty nursing services worker recruitment and retention program
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§ 367-r. Private duty nursing services worker recruitment and\nretention program. 1. (a) The commissioner of health, with the approval\nof the director of the budget, shall establish fees for the\nreimbursement of private duty nursing services.\n (b) The commissioner of health s…
N.Y. Social Services Law § 367-S Long term care demonstration program
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* § 367-s. Long term care demonstration program. 1. Notwithstanding\nany inconsistent provision of law, the commissioner of health is\nauthorized to establish a long term care demonstration program for\npersons eligible to receive services under this title, to operate in up\nto …
N.Y. Social Services Law § 367-S*2 Emergency medical transportation services
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* § 367-s. Emergency medical transportation services. 1.\nNotwithstanding any provision of law to the contrary, a supplemental\nmedical assistance payment shall be made on an annual basis to providers\nof emergency medical transportation services in an aggregate amount not\nto e…
N.Y. Social Services Law § 367-T Payment for emergency physician services
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§ 367-t. Payment for emergency physician services. Amounts payable\nunder this title for medical assistance for items and services provided\nto eligible persons by qualified emergency physicians, provided in an\nemergency room of an entity certified pursuant to article twenty-ei…
N.Y. Social Services Law § 367-U Payment for home telehealth services
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§ 367-u. Payment for home telehealth services. 1. Subject to the\napproval of the state director of the budget, the commissioner may\nauthorize the payment of medical assistance funds for demonstration\nrates or fees established for home telehealth services provided pursuant\nto…
N.Y. Social Services Law § 367-V County long-term care financing demonstration program
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§ 367-v. County long-term care financing demonstration program. 1.\nNotwithstanding any inconsistent provision of law, the commissioner is\nauthorized to establish a long-term care financing demonstration\nprogram, to operate in up to five counties, for the purpose of creating\n…
N.Y. Social Services Law § 367-W Health care and mental hygiene worker bonuses
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§ 367-w. Health care and mental hygiene worker bonuses. 1. Purpose and\nintent. New York's essential front line health care and mental hygiene\nworkers have seen us through a once-in-a-century public health crisis\nand turned our state into a model for battling and beating COVID…
N.Y. Social Services Law § 367-X Payment for violence prevention programs
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§ 367-x. Payment for violence prevention programs. 1. As used in this\nsection, the following terms shall have the following definitions:\n (a) "Community violence" means intentional acts of interpersonal\nviolence committed by individuals who are not intimately related to the\n…
N.Y. Social Services Law § 367-Y Reimbursement for treatment in place and transportation to alternative health care settings
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§ 367-y. Reimbursement for treatment in place and transportation to\nalternative health care settings. 1. Notwithstanding any provision of\nlaw to the contrary, any provision of this title providing for\nreimbursement of transportation costs for an ambulance service shall\nalso …
N.Y. Social Services Law § 368 Quarterly estimates
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§ 368. Quarterly estimates. Each public welfare district shall submit\nto the department quarterly estimates of its anticipated expenditures\nfor medical assistance for needy persons and administrative expenses not\nless than thirty days before the first day of each of the quart…
N.Y. Social Services Law § 368-A State reimbursement
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§ 368-a. State reimbursement. 1. The department shall review the\nexpenditures made by social services districts for medical assistance\nfor needy persons, and the administration thereof, before making\nreimbursement. Before approving such expenditures for reimbursement, the\nde…
N.Y. Social Services Law § 368-B State reimbursement to local health districts; chargebacks
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§ 368-b. State reimbursement to local health districts; chargebacks.\n1. Each approved local health district which enters into a contract\nwith the department of health pursuant to section three hundred\nsixty-four-a of this title shall submit to the department of health a\nquar…
N.Y. Social Services Law § 368-C Audit of state rates of payment to providers of health care services
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§ 368-c. Audit of state rates of payment to providers of health care\nservices. 1. The commissioner may conduct, or have conducted, an audit\nof financial and statistical reports used for the purpose of\nestablishing rates of payment or fees made in accordance with the\nmedical …
N.Y. Social Services Law § 368-D Reimbursement to public school districts and state operated/state supported schools which operate pursuant to article eighty-five, eighty...
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§ 368-d. Reimbursement to public school districts and state\noperated/state supported schools which operate pursuant to article\neighty-five, eighty-seven or eighty-eight of the education law.\n 1. The department of health shall review claims for expenditures made\nby or on beha…
N.Y. Social Services Law § 368-E Reimbursement to counties for pre-school children with handicapping conditions
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§ 368-e. Reimbursement to counties for pre-school children with\nhandicapping conditions. 1. The department of health shall review claims\nfor expenditures made by counties and the city of New York for medical\ncare, services and supplies which are furnished to preschool childre…
N.Y. Social Services Law § 368-F Reimbursement of costs under the early intervention program
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§ 368-f. Reimbursement of costs under the early intervention program.\n1. The department shall review claims for expenditures made by or on\nbehalf of social services districts for the administration of the early\nintervention program as established under title II-A of article\n…
N.Y. Social Services Law § 369 Application of other provisions
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§ 369. Application of other provisions. 1. All provisions of this\nchapter not inconsistent with this title shall be applicable to medical\nassistance for needy persons and the administration thereof by the\nsocial services districts.\n 2. (a) Notwithstanding any inconsistent pr…
N.Y. Social Services Law § 369-AA Definitions
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§ 369-aa. Definitions. In this article:\n 1. "Drug utilization review or (DUR)" shall mean the program designed\nto measure and to assess on a retrospective and a prospective basis the\nproper use of outpatient drugs in the medicaid program. Such program\nshall be in addition to…
N.Y. Social Services Law § 369-BB Drug utilization review board
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§ 369-bb. Drug utilization review board. 1. A twenty-three-member\ndrug utilization review board is hereby created in the department. The\nboard is responsible for the establishment and implementation of medical\nstandards and criteria for the retrospective and prospective DUR\n…
N.Y. Social Services Law § 369-CC Retrospective and prospective drug utilization review
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§ 369-cc. Retrospective and prospective drug utilization review. The\ndepartment, in cooperation with the DUR board, shall include in its\nstate plan the creation and implementation of a retrospective and\nprospective DUR program for medicaid outpatient drugs to ensure that the\…
N.Y. Social Services Law § 369-GG Basic health program
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§ 369-gg. Basic health program. 1. Definitions. For purposes of this\nsection:\n (a) "Eligible organization" means an insurer licensed pursuant to\narticle thirty-two or forty-two of the insurance law, a corporation or\nan organization under article forty-three of the insurance …
N.Y. Social Services Law § 369-II 1332 state innovation program
N.Y. Social Services Law § 369-K Definitions
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§ 369-k. Definitions. As used in this section:\n 1. "Health insurance" shall mean insurance or an employee benefit plan\nagainst sickness, ailment or bodily injury of the employee and, if\ncovered, his or her dependents, other than (i) insurance or an employee\nbenefit plan prov…
N.Y. Social Services Law § 369-L Establishment of program
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§ 369-l. Establishment of program. 1. There is hereby established\nwithin the department of social services the health insurance\ncontinuation program for persons with AIDS.\n 2. Notwithstanding any inconsistent provision of law, the\ncommissioner, subject to the approval of the…
N.Y. Social Services Law § 369-M Program eligibility and operations
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§ 369-m. Program eligibility and operations. 1. In accordance with\nregulations of the commissioner, a social services district shall pay\nall or part of the health insurance costs on behalf of a person with\nAIDS who:\n (a) is unemployed, or, if employed, currently is ineligibl…
N.Y. Social Services Law § 369-N Relationship of program to medical assistance program
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§ 369-n. Relationship of program to medical assistance program. 1. Any\nperson eligible for medical assistance benefits under title eleven of\nthis article or who would be eligible for such benefits if an\napplication were to be made pursuant to section three hundred sixty-six\n…
N.Y. Social Services Law § 37 Reports of and to department
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§ 37. Reports of and to department. The department may collect and,\nso far as it shall deem advantageous, embody in its annual reports\ninformation relating to the best manner of dealing with those who\nrequire assistance from public funds, or who receive aid from private\nchar…
N.Y. Social Services Law § 370 Community centers and services for senior citizens; when social services official to furnish
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§ 370. Community centers and services for senior citizens; when\nsocial services official to furnish. 1. A social services official of a\ncounty, city or town is authorized, provided funds have been made\navailable therefor, to provide at public expense one or more community\nce…