New York Codes, Rules and Regulations
Title 10 - DEPARTMENT OF HEALTH
Chapter V - Medical Facilities
Subchapter C - State Hospital Code
Article 6 - Treatment Center and Diagnostic Center Operation
Part 759 - Adult Day Health Care Services For Registrants With Aids and other high-need populations
Section 759.14 - Payment
Universal Citation: 10 NY Comp Codes Rules and Regs ยง 759.14
Current through Register Vol. 46, No. 39, September 25, 2024
(a) Payments to adult day health care programs by State government agencies. A program may only bill for one visit per registrant per day.
(b) Payments to adult day health care programs by managed care organizations or care coordination models:
(1) Payments shall be made in accordance with
the negotiated agreement between the adult day health care program and the
managed care organization or care coordination model.
(2) The full range of adult day health care
services shall be available to registrants with a documented need for such
services. Based on a registrant's individual needs, as determined in the
comprehensive assessment, the managed care organization or care coordination
model may order less than the full range of adult day health care services.
Nothing shall prohibit adult day health care programs and managed care
organizations or care coordination models from agreeing to reimbursement terms
that reflect a registrant's receipt of less than the full range of adult day
health care services.
Disclaimer: These regulations may not be the most recent version. New York may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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