Legislation
SECTION 364-D
Medical assistance research and demonstration projects
Social Services (SOS) CHAPTER 55, ARTICLE 5, TITLE 11
* § 364-d. Medical assistance research and demonstration projects. 1.
The department is authorized to sponsor, conduct and participate in the
following research and demonstration projects: "Eldercare: A Social
Health Maintenance Organization", "New York State Alcoholism Services
Demonstration", and "Physician Reimbursement and Continuing Care Under
Medicaid", for the purpose of testing the use of innovative
administrative techniques, new reimbursement methods, and changes in the
scope of benefits, so as to promote a more efficient utilization of
health resources and the containment of medical assistance program
costs. Such demonstration projects may be conducted in one or more
social services districts or portions of such districts.
2. (a) Social services districts shall be required to participate in
the operation of such research and demonstration projects as the
department may approve. Social services districts shall cooperate with
the department in the conduct of such projects whenever the department
shall request or require such participation or cooperation.
(b) Notwithstanding any inconsistent provision of law to the contrary,
expenditures made in connection with any research demonstration project
undertaken pursuant to the provisions of this section shall be subject
to state reimbursement under section three hundred sixty-eight-a of this
title.
3. The research and demonstration projects undertaken pursuant to the
provisions of this section shall limit the individuals participating
thereunder to those persons with respect to whom the department has
determined that there is a reasonable expectation that the total cost of
benefits under such project would be less than the total cost of
benefits for such individual if the research and demonstration program
were not in effect.
4. Notwithstanding any inconsistent provision of this chapter or any
other law to the contrary, the commissioner may, subject to the approval
of the director of the budget, approve any or all of the research and
demonstration projects specified in subdivision one of this section, and
apply for the appropriate waivers under federal law and regulation, and
may waive any of the provisions of this chapter, when such action would
be likely to assist in promoting the objectives of this title.
5. (a) For each project undertaken pursuant to the provisions of this
section, the department shall submit an interim report and final report
to the governor and the legislature. The interim report shall be due
eighteen months after the date of approval of the project by the
department; the final report shall be due at the conclusion of the
project.
(b) Such reports shall include a listing of the accomplishments of the
research and demonstration project, and shall evaluate the progress made
in achieving the objectives of the project.
6. This section shall be effective with respect to each such project,
other than the "New York State Alcoholism Services Demonstration
Project", if and as long as, federal participation is available for
expenditures made for such research and demonstration project conducted
pursuant to the provisions of this section.
* NB Expired July 22, 1986 -- Eldercare: A Social Health Maintenance
Organization expired April 9, 2007 per chapter 58 of 2007 Part C § 6.
The department is authorized to sponsor, conduct and participate in the
following research and demonstration projects: "Eldercare: A Social
Health Maintenance Organization", "New York State Alcoholism Services
Demonstration", and "Physician Reimbursement and Continuing Care Under
Medicaid", for the purpose of testing the use of innovative
administrative techniques, new reimbursement methods, and changes in the
scope of benefits, so as to promote a more efficient utilization of
health resources and the containment of medical assistance program
costs. Such demonstration projects may be conducted in one or more
social services districts or portions of such districts.
2. (a) Social services districts shall be required to participate in
the operation of such research and demonstration projects as the
department may approve. Social services districts shall cooperate with
the department in the conduct of such projects whenever the department
shall request or require such participation or cooperation.
(b) Notwithstanding any inconsistent provision of law to the contrary,
expenditures made in connection with any research demonstration project
undertaken pursuant to the provisions of this section shall be subject
to state reimbursement under section three hundred sixty-eight-a of this
title.
3. The research and demonstration projects undertaken pursuant to the
provisions of this section shall limit the individuals participating
thereunder to those persons with respect to whom the department has
determined that there is a reasonable expectation that the total cost of
benefits under such project would be less than the total cost of
benefits for such individual if the research and demonstration program
were not in effect.
4. Notwithstanding any inconsistent provision of this chapter or any
other law to the contrary, the commissioner may, subject to the approval
of the director of the budget, approve any or all of the research and
demonstration projects specified in subdivision one of this section, and
apply for the appropriate waivers under federal law and regulation, and
may waive any of the provisions of this chapter, when such action would
be likely to assist in promoting the objectives of this title.
5. (a) For each project undertaken pursuant to the provisions of this
section, the department shall submit an interim report and final report
to the governor and the legislature. The interim report shall be due
eighteen months after the date of approval of the project by the
department; the final report shall be due at the conclusion of the
project.
(b) Such reports shall include a listing of the accomplishments of the
research and demonstration project, and shall evaluate the progress made
in achieving the objectives of the project.
6. This section shall be effective with respect to each such project,
other than the "New York State Alcoholism Services Demonstration
Project", if and as long as, federal participation is available for
expenditures made for such research and demonstration project conducted
pursuant to the provisions of this section.
* NB Expired July 22, 1986 -- Eldercare: A Social Health Maintenance
Organization expired April 9, 2007 per chapter 58 of 2007 Part C § 6.