New York Codes, Rules and Regulations
Title 10 - DEPARTMENT OF HEALTH
Chapter II - Administrative Rules and Regulations
Subchapter R - Health Maintenance Organizations
Part 98 - Health Maintenance Organizations
Subpart 98-5
Section 98-5.3 - Definitions
Current through Register Vol. 47, No. 12, March 26, 2025
As used in this Part:
(a) Appointment wait time means the time from the initial request for health care services to the earliest date offered for the appointment for services.
(b) Behavioral health services mean mental health services and substance use disorder treatment services.
(c) Health care professional means an appropriately licensed, registered, or certified health care professional pursuant to title 8 of the Education Law or a health care professional comparably licensed, registered, or certified by another state.
(d) Health care provider or provider means a health care professional, or a facility licensed, certified, or designated pursuant to Public Health Law articles 28, or Mental Hygiene Law articles 19, 31, 32, or 36, or a facility comparably licensed or certified by another state.
(e) Network means the health care providers with which a MCO has contracted to provide health care services to enrollees.
(f) Non-participating means not having a contract with a MCO to provide health care services to an enrollee.
(g) Participating means having a contract with a MCO to provide health care services to an enrollee.
(h) Telehealth has the meaning set forth in section 2999-cc of the Public Health Law and includes audio-only visits.
