New York Codes, Rules and Regulations
Title 18 - DEPARTMENT OF SOCIAL SERVICES
Chapter II - Regulations of the Department of Social Services
Subchapter B - Public Assistance
Article 2 - Determination of Eligibility-Categorical
Part 360 - MEDICAL ASSISTANCE
Subpart 360-9 - Catastrophic Health Care Expense Program
Section 360-9.6 - Powers and responsibilities of the social services district
Current through Register Vol. 46, No. 39, September 25, 2024
Each social services district that participates in the CHCEP must:
(a) determine eligibility of a family to participate in the CHCEP within 90 days from receipt of an application;
(b) not require that a new application be submitted by an applicant who reapplies within 30 days of a notice of denial;
(c) ensure that the application date is the date of original application for any applicant who reapplies within 30 days of the notice of denial;
(d) provide written notice to the department if a problem arises which threatens the continuation or completion of the project. Such notice must be provided within three days after the problem arises or is discovered, including recommendations for resolving the problem;
(e) submit claims for payment to the department on a monthly basis;
(f) transfer to the department any funds received from sources other than the CHCEP for medical expenses which would be paid under the CHCEP;
(g) prepare quarterly progress and financial reports and submit the reports to the department no later than 30 days after the close of each calendar quarter;
(h) provide notice of the termination of the project to the department not less than 30 days prior to the effective date of termination if the district determines that continuing the CHCEP in the district is not feasible;
(i) use interim authorization and vendor billing forms approved by the department; and
(j) give applicants for or families in receipt of CHCEP assistance notices which comply with sections 358-2.2 and 358-3.3 of this Title.