New York Codes, Rules and Regulations
Title 10 - DEPARTMENT OF HEALTH
Chapter V - Medical Facilities
Subchapter A - Medical Facilities-minimum Standards
Article 6 - Adult Day Health Care in Residential Health Care Facilities
Part 425 - Adult Day Health Care
Section 425.24 - Payment

(1) A program may only bill for one visit per registrant per day.

(2) The majority of registrants for whom the program receives a payment made by a government agency must be in attendance for at least five hours.

(1) Payments shall be made in accordance with the negotiated agreement between the adult day health care program and the managed care plan.

(2) The full range of adult day health care services shall be available to registrants with a medical need for such services. Based on a registrant's individual medical needs, as determined in the comprehensive assessment, the managed care plan may order less than the full range of adult day health care services. Nothing shall prohibit adult day health care programs and managed care plans from agreeing to reimbursement terms that reflect a registrant's receipt of less than the full range of adult day health care services.