New York Codes, Rules and Regulations
Title 18 - DEPARTMENT OF SOCIAL SERVICES
Chapter II - Regulations of the Department of Social Services
Subchapter E - Medical Care
Article 3 - Policies and Standards Governing Provision of Medical and Dental Care
Part 505 - Charges For Professional Health Services
Section 505.30 - Chronic hemodialysis services in the home

(a) Provision of chronic hemodialysis in the home shall be based on recommendation for such home treatment plan from a renal dialysis center or renal dialysis facility and shall require prior approval of the local professional director, except that treatment plans for individuals participating in the kidney disease institute's home dialysis assistance program shall not require prior approval by the local professional director.

(b) Provision and installation of a hemodialyzer and other durable medical equipment, supplies and drugs needed in the home care treatment plan shall be subject to prior approval requirements for these items, unless the items are provided through the kidney disease institute's home dialysis assistance program.

(c) State reimbursement for physician services, laboratory procedures, appliances and other items of care not included in an all-inclusive facility rate shall be made in accordance with the appropriate fee schedule.

(d) Payment to the kidney disease institute for equipment, drugs and supplies necessary to home care treatment shall be made in accordance with the actual or invoice charge to the kidney disease institute but shall not exceed the amount specified in the appropriate fee schedule. Payment and reimbursement for items provided through the kidney disease institute shall be available for services rendered on and after April 1, 1981.