New York Codes, Rules and Regulations
Chapter II - Regulations of the Department of Social Services
Subchapter E - Medical Care
Article 4 - Fees and Reimbursement
Part 535 - State Reimbursement For Payment To Dentists
Section 535.1 - Payment for dentists' services to hospitalized patients

Current through Register Vol. 45, No. 13, March 29, 2023

[Additional statutory authority: Social Services Law, §368-a ]

(a) Expenditures by social services districts for their payments to dentists for services rendered to a hospitalized patient shall be subject to State reimbursement as follows:

(1) only if such services are determined to be coverable benefits under the provisions of Part 505 of this Subchapter, by the State Commissioner of Health or his designee; or

(2) when the dentist has the responsibility for the care of the patient; or

(3) when the dentist's services are rendered as a consultant, surgical assistant, or for a special service, at the request of the attending dentist or physician responsible for the care of the patient.

(b) State reimbursement, however, shall not be available for compensation paid to a dentist for the care of hospitalized patients when such compensation has been included as an element of costs reflected in a hospital rate approved by the State Director of the Budget pursuant to section 2807 of the Public Health Law.

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