New York Codes, Rules and Regulations
Title 14 - DEPARTMENT OF MENTAL HYGIENE
Chapter XIII - Office of Mental Health
Part 591 - Medical Assistance Payments For Comprehensive Psychiatric Emergency Programs
Section 591.4 - Standards pertaining to reimbursement

(a) The comprehensive psychiatric emergency program must have a valid operating certificate.

(b) The staff and services must conform with the requirements of Part 590 of this Title.

(c) The written records of the reimbursed unit of service, including presentation log, case records and discharge plans and summaries, as appropriate, must conform with the requirements of Part 590 of this Title.

(d) A patient may receive one triage and referral visit or one full emergency visit service in one calendar day. If a patient receives one of each, the comprehensive psychiatric emergency program shall receive reimbursement for the full emergency visit.

(e) A patient may receive one crisis outreach visit and either one triage and referral visit or one full emergency visit in one calendar day.

(f) A patient may receive crisis outreach services for a period of time that allows for linkage to services after discharge from the emergency room of the comprehensive psychiatric emergency program.

(g) In any calendar day comprehensive psychiatric emergency services reimbursed pursuant to this Part shall not be included in the limitation on the number of reimbursed services included in Part 588 of this Title.

(h) The services provided in a medical/surgical emergency setting for comorbid conditions shall be separately reimbursed.

(i) The standards of reimbursement included within this Part shall be in effect as long as continued Federal financial participation is assured.