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 519 - Provider Hearings
Section 519.17 - Responsibilities at the hearing

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

(a) The department must provide a representative at the hearing to present the audit file and summarize the case.

(b) The department will provide a brief opening summary of the proceedings had thus far, including:

(1) the names, addresses and ownership or other relationships of persons affected by the action;

(2) the action which prompted the request for the hearing;

(3) a brief description of the facts, evidence and reasons supporting the action including identification of the specific provisions of law or regulations upon which the action was based; and

(4) a copy of its final determination.

(c) The appellant may provide a brief opening statement summarizing his/her reasons for believing that the department's actions were based upon mistakes of fact, were arbitrary and capricious, or were an abuse of discretion.

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