New York Codes, Rules and Regulations
Title 14 - DEPARTMENT OF MENTAL HYGIENE
Chapter XIII - Office of Mental Health
Part 514 - Clinical Review Criteria for the Treatment of Mental Illness
Section 514.4 - Definitions

Universal Citation: 14 NY Comp Codes Rules and Regs ยง 514.4

Current through Register Vol. 46, No. 39, September 25, 2024

For purposes of this Part:

(a) Clinical Review Criteria means the written screening policies, procedures, clinical protocols, practice guidelines, level of care tools, and programs used by a Utilization Review Agent to determine the medical necessity and appropriateness of a proposed health care service for the treatment of a Mental Health Condition.

(b) Office means the New York State Office of Mental Health.

(c) Mental Health Condition shall have the same meaning as such term is provided in sections 3216, 3221, and 4303 of the Insurance Law.

(d) Utilization Review shall have the same meaning as such term is provided in section 4900 of the Public Health Law or section 4900 of the Insurance Law, as applicable.

(e) Utilization Review Agent shall have the same meaning as such term is provided in section 4900 of the Public Health Law or section 4900 of the Insurance Law, as applicable.

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.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.