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 510 - Chiropractic Services
Section 510.2 - State reimbursement
Universal Citation: 18 NY Comp Codes Rules and Regs ยง 510.2
Current through Register Vol. 46, No. 39, September 25, 2024
(a) State reimbursement shall be available for payments to chiropractors meeting the requirements provided in section 509.1 of this Part, for chiropractic services as defined in article 132 of the State Education Law, made in accordance with fee schedules established by the social services district, but reimbursement shall not be available for payments made in excess of the maximum reimbursable fees promulgated by the Director of the Budget.
(b) State reimbursement shall not be available for expenditures made for the following:
(1) chiropractic services beyond the third
visit, when a satisfactory treatment plan has not been received within 10 days
of that visit;
(2) chiropractic
services rendered after the 10th day of a subsequent month when a progress
report or amendment of the treatment plan has not been received for the
preceding month;
(3) chiropractic
services rendered to a patient not referred to a physician after such time as
the chiropractor identifies or suspects presence of a disease, disorder or
disability not treatable by the practice of chiropractic, or after conference
with the local medical director or his designee indicates need for referral to
a physician, except in the instances where the patient refuses to accept the
services of a physician.
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