Legislation
TITLE 11
Medical Assistance For Needy Persons
Social Services (SOS) CHAPTER 55, ARTICLE 5
TITLE 11
MEDICAL ASSISTANCE FOR NEEDY PERSONS
Section 363. Declaration of objects.
363-a. Federal aid; state plan.
363-b. Agreements for federal determination of eligibility of
aged, blind and disabled persons for medical
assistance.
363-c. Medicaid management.
363-d. Provider compliance program.
363-e. Medicaid plan, applications for waivers and plan
amendments; public disclosure.
363-f. Electronic visit verification for personal care and
home health providers.
364. Responsibility for standards.
364-a. Cooperation of state departments.
364-b. Residential and medical care placement demonstration
projects.
364-c. National long term care channeling demonstration
project.
364-d. Medical assistance research and demonstration projects.
364-e. Aid to families with dependent children homemaker/home
health aide demonstration projects.
364-f. Primary care case management programs.
364-g. Medical assistance capitation rate demonstration
project.
364-h. Foster family care demonstration programs for elderly
or disabled persons.
364-i. Medical assistance presumptive eligibility program.
364-j. Managed care programs.
364-j-1. Transitional supplemental payments.
364-j-2. Transitional supplemental payments.
364-jj. Special advisory review panel on Medicaid managed care.
364-kk. Condition of Participation.
364-m. Statewide patient centered medical home program.
364-n. Diabetes and chronic disease self-management pilot
program.
365. Responsibility for assistance.
365-a. Character and adequacy of assistance.
365-b. Local medical plans: professional directors.
365-c. Medical advisory committee.
365-d. Medicaid evidence based benefit review advisory
committee.
365-e. Optional or continued membership in entities offering
comprehensive health services plans.
365-f. Consumer directed personal assistance program.
365-g. Utilization review for certain care, services and
supplies.
365-h. Provision and reimbursement of transportation costs.
365-j. Advisory opinions.
365-k. Provision of prenatal care services.
365-l. Health homes.
365-m. Administration and management of behavioral health
services.
365-n. Department of health assumption of program
administration.
365-o. Provision and coverage of services for living organ
donors.
365-p. Doulas for Medicaid.
366. Eligibility.
366-a. Applications for assistance; investigations;
reconsideration.
366-b. Penalties for fraudulent practices.
366-c. Treatment of income and resources of institutionalized
persons.
366-d. Medical assistance provider; prohibited practices.
366-e. Certified home health agency medicare billing.
366-f. Persons acting in concert with a medical assistance
provider; prohibited practices.
366-g. Newborn enrollment for medical assistance.
366-h. Automated system; established.
366-i. Long-term care financing demonstration program.
367. Authorization for hospital care.
367-a. Payments; insurance.
367-b. Medical assistance information and payment system.
367-c. Payment for long term home health care programs.
367-d. Personal care need determination.
367-e. Payment for AIDS home care programs.
367-f. Partnership for long term care program.
367-g. Authorization and provision of personal emergency
response services.
367-h. Payment for assisted living programs.
367-i. Personal care services provider assessments.
367-o. Health insurance demonstration programs.
367-p. Responsibilities of local districts for personal care
services, home care services and private duty
nursing.
367-p*2. Payment for limited home care services agencies.
367-q. Personal care services worker recruitment and retention
program.
367-r. Private duty nursing services worker recruitment and
retention program.
367-s. Long term care demonstration program.
367-s*2. Emergency medical transportation services.
367-t. Payment for emergency physician services.
367-u. Payment for home telehealth services.
367-v. County long-term care financing demonstration program.
367-w. Health care and mental hygiene worker bonuses.
367-x. Payment for violence prevention programs.
367-y. Reimbursement for treatment in place and transportation
to alternative health care settings.
368. Quarterly estimates.
368-a. State reimbursement.
368-b. State reimbursement to local health districts;
chargebacks.
368-c. Audit of state rates of payment to providers of health
care services.
368-d. Reimbursement to public school districts and state
operated/state supported schools which operate
pursuant to article eighty-five, eighty-seven or
eighty-eight of the education law.
368-e. Reimbursement to counties for pre-school children with
handicapping conditions.
368-f. Reimbursement of costs under the early intervention
program.
369. Application of other provisions.
MEDICAL ASSISTANCE FOR NEEDY PERSONS
Section 363. Declaration of objects.
363-a. Federal aid; state plan.
363-b. Agreements for federal determination of eligibility of
aged, blind and disabled persons for medical
assistance.
363-c. Medicaid management.
363-d. Provider compliance program.
363-e. Medicaid plan, applications for waivers and plan
amendments; public disclosure.
363-f. Electronic visit verification for personal care and
home health providers.
364. Responsibility for standards.
364-a. Cooperation of state departments.
364-b. Residential and medical care placement demonstration
projects.
364-c. National long term care channeling demonstration
project.
364-d. Medical assistance research and demonstration projects.
364-e. Aid to families with dependent children homemaker/home
health aide demonstration projects.
364-f. Primary care case management programs.
364-g. Medical assistance capitation rate demonstration
project.
364-h. Foster family care demonstration programs for elderly
or disabled persons.
364-i. Medical assistance presumptive eligibility program.
364-j. Managed care programs.
364-j-1. Transitional supplemental payments.
364-j-2. Transitional supplemental payments.
364-jj. Special advisory review panel on Medicaid managed care.
364-kk. Condition of Participation.
364-m. Statewide patient centered medical home program.
364-n. Diabetes and chronic disease self-management pilot
program.
365. Responsibility for assistance.
365-a. Character and adequacy of assistance.
365-b. Local medical plans: professional directors.
365-c. Medical advisory committee.
365-d. Medicaid evidence based benefit review advisory
committee.
365-e. Optional or continued membership in entities offering
comprehensive health services plans.
365-f. Consumer directed personal assistance program.
365-g. Utilization review for certain care, services and
supplies.
365-h. Provision and reimbursement of transportation costs.
365-j. Advisory opinions.
365-k. Provision of prenatal care services.
365-l. Health homes.
365-m. Administration and management of behavioral health
services.
365-n. Department of health assumption of program
administration.
365-o. Provision and coverage of services for living organ
donors.
365-p. Doulas for Medicaid.
366. Eligibility.
366-a. Applications for assistance; investigations;
reconsideration.
366-b. Penalties for fraudulent practices.
366-c. Treatment of income and resources of institutionalized
persons.
366-d. Medical assistance provider; prohibited practices.
366-e. Certified home health agency medicare billing.
366-f. Persons acting in concert with a medical assistance
provider; prohibited practices.
366-g. Newborn enrollment for medical assistance.
366-h. Automated system; established.
366-i. Long-term care financing demonstration program.
367. Authorization for hospital care.
367-a. Payments; insurance.
367-b. Medical assistance information and payment system.
367-c. Payment for long term home health care programs.
367-d. Personal care need determination.
367-e. Payment for AIDS home care programs.
367-f. Partnership for long term care program.
367-g. Authorization and provision of personal emergency
response services.
367-h. Payment for assisted living programs.
367-i. Personal care services provider assessments.
367-o. Health insurance demonstration programs.
367-p. Responsibilities of local districts for personal care
services, home care services and private duty
nursing.
367-p*2. Payment for limited home care services agencies.
367-q. Personal care services worker recruitment and retention
program.
367-r. Private duty nursing services worker recruitment and
retention program.
367-s. Long term care demonstration program.
367-s*2. Emergency medical transportation services.
367-t. Payment for emergency physician services.
367-u. Payment for home telehealth services.
367-v. County long-term care financing demonstration program.
367-w. Health care and mental hygiene worker bonuses.
367-x. Payment for violence prevention programs.
367-y. Reimbursement for treatment in place and transportation
to alternative health care settings.
368. Quarterly estimates.
368-a. State reimbursement.
368-b. State reimbursement to local health districts;
chargebacks.
368-c. Audit of state rates of payment to providers of health
care services.
368-d. Reimbursement to public school districts and state
operated/state supported schools which operate
pursuant to article eighty-five, eighty-seven or
eighty-eight of the education law.
368-e. Reimbursement to counties for pre-school children with
handicapping conditions.
368-f. Reimbursement of costs under the early intervention
program.
369. Application of other provisions.