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 519.3 - Definitions

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

The definitions set forth in Parts 515 and 517 of this Title apply to this Part. In addition, the following terms have the following meanings:

(a) Appellant is any person who requests a hearing or his/her authorized representative.

(b) Final determination is a final audit report or notice of agency action sanctioning a person, or requiring the repayment of overpayments or restitution.

(c) Hearing is the procedure by which a person may appeal from determinations of the department sanctioning a person or requiring the repayment of overpayments or payment of restitution.

(d) Hearing officer is a person who is employed by the department to conduct administrative hearings.

(e) Parties are the appellant and the department.

(f) Mass change is a change initiated by the department or the Legislature which affects all or a significant portion of all providers.

(g) Witness is a person who presents testimony and/or documentary evidence at a hearing, other than the provider, his/her representative or the representative of the department.

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