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 508 - Child/teen Health Plan (c/thp)
Section 508.4 - Informing persons eligible for C/THP services about C/THP

Universal Citation: 18 NY Comp Codes Rules and Regs § 508.4

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

(a) Each local social services district must inform each household with children or a person or persons having legal custody of a child eligible for C/THP services, in writing, of the availability of C/THP services no later than 60 days following:

(1) the date initial eligibility for C/THP is determined;

(2) the date eligibility is determined after a 12-month or longer period of ineligibility; or

(3) the date a person eligible for C/THP services is added to a case. All persons eligible for C/THP services must be informed in writing at least annually after eligibility is determined of the availability of C/THP services.

(b) In addition to the requirements of subdivision (a) of this section, all persons eligible for C/THP services, except persons receiving supplemental security income or foster care services, must be informed orally of the availability of C/THP services no later than 90 days following:

(1) the date initial eligibility is determined;

(2) the date eligibility is determined after a 12-month or longer period of ineligibility; or

(3) the date a person eligible for C/THP services is added to a case.

(c) Each local social services district must maintain written documentation of the names and medical assistance identification numbers of households informed about the availability of C/THP services, and the dates such households were informed.

(d) Each local social services district must ensure that procedures are in place in the district for informing persons who are illiterate, blind, deaf, or who cannot understand the English language, about the C/THP services and benefits.

(e) Both the written notification and oral informing will include the following information:

(1) the benefits or preventive health services;

(2) where and how C/THP services can be obtained;

(3) the periodic C/THP examination services offered by the C/THP;

(4) that treatment services available under the medical assistance program will be provided to persons eligible for C/THP services for problems discovered during the C/THP examination;

(5) that the local social services district will offer and provide assistance with transportation to persons eligible for C/THP services for medical or dental services if such assistance is requested;

(6) that the local social services district will offer and provide assistance in scheduling appointments with providers of medical or dental services if such assistance is requested; and

(7) that C/THP services are available at no cost.

(f) Any material developed by a local social services district which will be used to inform persons eligible for C/THP services about C/THP services must be approved by the department.

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