reglab/housing_qa huggingface dataset:
NY Soc Serv L § 364-M (2021)
2021 New York Laws SOS - Social Services Article 5 - Assistance and Care Title 11 - Medical Assistance for Needy Persons 364-M - Statewide Patient Centered Medical Home Program.

* §  364-m.  Statewide  patient  centered medical home program. 1. The commissioner of health is authorized to certify certain  clinicians  and clinics  as  health  care  homes in order to improve health outcomes and efficiency through patient care continuity and  coordination  of  health services.  These  providers  will  be eligible for enhanced payments for services provided to: recipients eligible for Medicaid  fee-for-service; enrollees eligible for Medicaid managed care; enrollees eligible for and enrolled  in Family Health Plus organizations pursuant to title eleven-D of this article ("Family Health Plus"); and enrollees eligible  for  and enrolled  in Child Health Plus. As used in this section "clinic" means a general hospital providing outpatient care or a diagnostic and treatment center, licensed under article twenty-eight of the public health law.   2. By December first, two thousand nine, the  commissioner  of  health shall  develop  and  implement  standards  of  certification for patient centered medical homes for Medicaid fee-for-service and Medicaid managed care, Family Health Plus and Child Health Plus programs.  In  developing such  standards, the commissioner of health shall: (a) consider existing standards   developed   by   national   accrediting   and   professional organizations;  and  (b)  consult  with national and local organizations working on medical home models, physicians, hospitals,  clinics,  health plans and consumers and their representatives.   3.  To  maintain  their  certification, patient centered medical homes must:  (a) renew their certification at a frequency  determined  by  the commissioner of health; and (b) provide data to the department of health and  to  health  plans  in  which  the patient is enrolled to permit the commissioner of health  to  evaluate  the  impact  of  patient  centered medical homes on quality, outcomes and cost.   4.  Subject  to  the  availability  of  funding  and federal financial participation, the commissioner of health is authorized:  (a) To pay enhanced rates of payment to clinics  and  clinicians  that are certified as patient centered medical homes under this section. Such enhancements  may  be  tiered based on the level of standard achieved by the clinician or clinic; and  (b) To pay additional amounts for patient centered medical homes  that meet specific process or outcome standards specified by the commissioner of health.   5.  By December thirty-first, two thousand twelve, the commissioner of health shall report to the governor and the legislature on the impact of the statewide patient centered medical home program on quality, cost and outcomes for enrollees in  Medicaid  fee-for-service,  Medicaid  managed care, Family Health Plus and Child Health Plus.   * NB Repealed April 1, 2022
NY Soc Serv L § 364-N (2021)
2021 New York Laws SOS - Social Services Article 5 - Assistance and Care Title 11 - Medical Assistance for Needy Persons 364-N - Diabetes and Chronic Disease Self-Management Pilot Program.

§  364-n.  Diabetes and chronic disease self-management pilot program.   The commissioner of health may establish a diabetes and chronic  disease   self-management  pilot program in one or more counties or regions of the   state for the purpose of improving  clinical  outcomes.  Payments  under   such  program  may be made for education, consultation, and peer support   services for persons with chronic health conditions, as defined  by  the   commissioner,  to be eligible to receive such services. The commissioner   is authorized to establish fees for such counseling services, subject to   the approval of  the  director  of  the  division  of  the  budget.  The   provisions  of  this  section shall not take effect unless all necessary   approvals under federal law and regulation have been obtained to receive   federal financial participation for the costs of services provided under   this section.
NY Soc Serv L § 365-B (2021)
2021 New York Laws SOS - Social Services Article 5 - Assistance and Care Title 11 - Medical Assistance for Needy Persons 365-B - Local Medical Plans: Professional Directors.

§  365-b.  Local  medical  plans:  professional  directors. 1. A local   social services medical plan shall be developed and maintained  by  each   social   services   district  under  the  guidance  or  direction  of  a   professional director. Such plan shall conform to the regulations of the   department and shall be  submitted  to  the  department  and  the  state   department  of health for review, certification and approval pursuant to   the regulations of the department and this title.2. The  commissioner  of  social  services  of  each  social  services   district   shall   appoint   a  person,  possessing  the  qualifications   established by  the  public  health  and  health  planning  council  and   promulgated   by  the  department  pursuant  to  section  three  hundred   sixty-four of this title, to serve on a full or  part-time  basis.  Each   professional  director  shall  serve  under the general direction of the   commissioner of social services and shall have  the  responsibility  for   supervising  the  program of medical assistance for needy persons in his   social services district, pursuant to the regulations of the department.   The state commissioner of  health  may  authorize  two  or  more  social   services  districts  to appoint the same person to serve as professional   director in each of such districts.3. In addition to any  other  duty  or  responsibility  which  may  be   assigned  or  delegated pursuant to law or regulation, each professional   director  shall  be  responsible   for   monitoring   the   professional   activities,  directly related to the program, of providers practicing in   his social services district, and  shall  take  all  steps  required  or   authorized  by  law  or regulation to ensure that such activities are in   compliance with the provisions of this chapter, the  public  health  law   and   regulations   promulgated  thereunder,  and  do  not  violate  the   provisions of section sixty-five hundred nine of the  education  law  or   regulations promulgated pursuant thereto.4.  For  purposes  of  this  section  "provider" shall mean any person   receiving payment under this title.
NY Soc Serv L § 365-C (2021)
2021 New York Laws SOS - Social Services Article 5 - Assistance and Care Title 11 - Medical Assistance for Needy Persons 365-C - Medical Advisory Committee.

§ 365-c.  Medical advisory committee. 1.  A medical advisory committee   is  hereby  established  to  consist  of  twenty  members  who  shall be   appointed by the governor, by and with the advice  and  consent  of  the   senate,  for the following terms: seven shall be appointed for a term to   expire on May thirty-first, nineteen hundred seventy-four:  seven  shall   be  appointed for a term to expire on May thirty-first, nineteen hundred   seventy-five: and six shall be appointed for a term  to  expire  on  May   thirty-first,   nineteen   hundred  seventy-six.     Thereafter  members   appointed upon expiration of a term of office shall be appointed  for  a   term  of three years.  Vacancies caused by death, resignation or refusal   to act or by removal from the state shall be filled  for  the  unexpired   term  only.      At  least seven members of such committee shall be duly   licensed physicians.  The governor shall designate a chairman from among   the members of the medical advisory committee, to serve as such  at  the   pleasure  of  the  governor.    In appointing the members of the medical   advisory  committee,  the   governor   shall   give   consideration   to   professional    qualifications   and   experience   and   to   achieving   representation of the professions  of  medicine,  osteopathy,  podiatry,   mental health, social work, dentistry, optometry, chiropractic, physical   therapy,  pharmacy,  nursing,  hospital  and  health  administration and   education for the health professions, of public and private agencies  in   the  field  of  medical  assistance,  and of recipients and consumers of   medical assistance for needy persons.2.  The medical advisory committee shall advise the commissioner  with   respect  to  health  and medical care services provided pursuant to this   title.3.  The medical advisory committee shall meet at least  once  a  year.   Special  meetings  may be called by the chairman, and shall be called by   him at the request of the governor or the commissioner.4.  No member of the medical advisory committee shall be  disqualified   from holding any other public office or employment, nor shall he forfeit   any  such  office  or  employment by reason of his employment hereunder,   notwithstanding the provisions of any general,  special  or  local  law,   ordinance or charter.5.    The  members  of the medical advisory committee shall receive no   compensation for their services, but shall be allowed their  actual  and   necessary   expenses   incurred  in  the  performance  of  their  duties   hereunder.
NY Soc Serv L § 365-E (2021)
2021 New York Laws SOS - Social Services Article 5 - Assistance and Care Title 11 - Medical Assistance for Needy Persons 365-E - Optional or Continued Membership in Entities Offering Comprehensive Health Services Plans.

§  365-e.  Optional  or  continued  membership  in  entities  offering   comprehensive health services plans. 1. In  accordance  with  applicable   federal requirements and subject to the approval of the commissioner and   the  director  of the budget, a district shall offer to persons eligible   for  medical  assistance  the  option  of  membership  in   any   health   maintenance  organization  or  other  entity  which  is  certified under   article forty-four of the public health  law  or  licensed  pursuant  to   article  nine-C of the insurance law or otherwise authorized by law, and   which offers comprehensive health services  plans  to  persons  residing   within  the  social  services  district  unless  granted a waiver by the   commissioner on the grounds that  the  organization  or  entity  is  not   geographically  accessible  so  as  to  provide  medical  assistance  to   eligible recipients who reside within  the  district  or  that  the  per   recipient  capitation  rate  is above the expected average per recipient   fee-for-service cost within  the  local  district  or  that  the  health   maintenance  organization  or  other  entity  refuses  to  enter  into a   contract with the district.2. Nothwithstanding any inconsistent provision of  law,  persons  who,   prior  to  becoming  eligible  for medical assistance, are enrolled in a   health maintenance organization or other entity offering a comprehensive   health services plan shall be offered  the  option  of  continuing  that   enrollment.3.  The  commissioner  shall  offer  to social services districts such   technical assistance as may be appropriate to assist in the  development   of contracts between the districts and such entities.
NY Soc Serv L § 365-K (2021)
2021 New York Laws SOS - Social Services Article 5 - Assistance and Care Title 11 - Medical Assistance for Needy Persons 365-K - Provision of Prenatal Care Services.

§  365-k.  Provision  of  prenatal  care services. 1. The commissioner   shall establish standards and guidelines for the provision  of  prenatal   care services under the medical assistance program. In establishing such   standards  and  guidelines,  the  commissioner  shall consider generally   accepted standards of professional practice, including, but not  limited   to,  standards  issued  by  the  American  College  of Obstetricians and   Gynecologists and the American Academy of Pediatrics, and shall  consult   with prenatal care providers and other interested parties.2.  For  purposes  of  this  title,  "prenatal  care provider" means a   medical care facility or public  or  private  not-for-profit  agency  or   organization,   physician,  licensed  nurse  practitioner,  or  licensed   midwife practicing  on  an  individual  or  group  basis  that  provides   prenatal  care  or  managed  care  plan  that  contracts  with  prenatal   providers.
NY Soc Serv L § 366-B (2021)
2021 New York Laws SOS - Social Services Article 5 - Assistance and Care Title 11 - Medical Assistance for Needy Persons 366-B - Penalties for Fraudulent Practices.

§  366-b.    Penalties  for  fraudulent practices. 1.   Any person who   knowingly  makes  a  false  statement  or  representation,  or  who   by   deliberate  concealment  of  any  material  fact, or by impersonation or   other fraudulent device, obtains or attempts to obtain or aids or  abets   any  person  to  obtain  medical assistance to which he is not entitled,   shall be guilty of a class A misdemeanor, unless such act constitutes  a   violation  of  a provision of the penal law of the state of New York, in   which case he shall be punished in accordance with the  penalties  fixed   by such law.2.   Any person who, with intent to defraud, presents for allowance or   payment any  false  or  fraudulent  claim  for  furnishing  services  or   merchandise,  or  knowingly submits false information for the purpose of   obtaining greater compensation than that to which he is legally entitled   for furnishing services  or  merchandise,  or  knowingly  submits  false   information  for  the  purpose of obtaining authorization for furnishing   services or merchandise under this title, shall be guilty of a  class  A   misdemeanor,  unless  such act constitutes a violation of a provision of   the penal law of the state of New  York,  in  which  case  he  shall  be   punished in accordance with the penalties fixed by such law.
NY Soc Serv L § 366-D (2021)
2021 New York Laws SOS - Social Services Article 5 - Assistance and Care Title 11 - Medical Assistance for Needy Persons 366-D - Medical Assistance Provider; Prohibited Practices.

§   366-d.  Medical  assistance  provider;  prohibited  practices.  1. Definitions. As used in  this  section,  "medical  assistance  provider" means  any  person,  firm,  partnership,  group, association, fiduciary, employer or representative thereof or other  entity  who  is  furnishing care,  services  or  supplies under title eleven of article five of this chapter.   2.  No medical assistance provider shall:  (a)   solicit, receive, accept or  agree  to  receive  or  accept  any payment  or  other  consideration in any form from another person to the extent such payment  or  other  consideration  is  given:  (i)  for  the referral  of  services  for  which payment is made under title eleven of article five of this chapter; or (ii) to purchase, lease  or  order  any good,  facility,  service  or item for which payment is made under title eleven of article five of this chapter; or  (b)  offer, agree to give or give any payment or  other  consideration in  any  form  to  another  person  to  the extent such payment or other consideration is given: (i) for  the  referral  of  services  for  which payment  is  made under title eleven of article five of this chapter; or (ii) to purchase, lease or order any good, facility, service or item for which payment is made  under  title  eleven  of  article  five  of  this chapter;  (c)  as  used  in  this section "person"   shall have the meaning  set forth in subdivision seven of section 10.00 of the penal law.  (d) this subdivision shall not  apply  to  any  activity  specifically exempt by federal statute or federal regulations promulgated thereunder.   3. Any medical assistance provider who violates the provisions of this section is guilty of a misdemeanor punishable by:  (a) a term of imprisonment in accordance with the penal law; or  (b)  a  fine  of  not less than five hundred dollars nor more than ten thousand dollars; or  (c) if  the  defendant  has  obtained  money  or  property  through  a violation  of the provisions of this section, a fine in an amount, fixed by the court, not to exceed double the amount of  the  defendant's  gain from  a  violation  of such provisions. In such event, the provisions of subdivision three of section 80.00 of the penal law shall be  applicable to the sentence; or  (d) both the imprisonment and the fine.   4. Any medical assistance provider who violates the provisions of this section  and  thereby obtains money or property having a value in excess of seven thousand five hundred dollars shall be  guilty  of  a  class  E felony.
NY Soc Serv L § 366-E (2021)
2021 New York Laws SOS - Social Services Article 5 - Assistance and Care Title 11 - Medical Assistance for Needy Persons 366-E - Certified Home Health Agency Medicare Billing.

§  366-e. Certified home health agency medicare billing. (a) Certified home health agencies shall bill under title XVIII of the federal  social security  act  for  services  provided to all patients eligible for such program who, as  defined  by  federal  law  and  regulations,  are:  (i) homebound; (ii) receiving skilled services; and (iii) are receiving such services  on an intermittent basis. The department, in consultation with the department of health and representatives of  certified  home  health agencies  with  demonstrated  ability  to maximize medicare revenue, may promulgate regulations to implement this subdivision. Nothing  contained herein  shall be construed to prohibit agencies from billing for medical assistance reimbursement for eligible services provided to such patients which are not covered under title XVIII of the federal  social  security act meeting the standards established by the department pursuant to this section.    Patient cases that meet the criteria established pursuant to this subdivision, where coverage has been denied under  title  XVIII  of the  federal  social  security  act  for  the cost of care provided by a certified home health agency shall be referred  by  such  agency  to  an organization pursuant to subdivision (b) of this section.  (b)  The  commissioner  shall  enter  into  agreements with persons or entities to provide for representation of persons meeting  the  criteria specified  in  subdivision  (a)  of  this  section  who have been denied reimbursement, under title XVIII of the federal social security act, for services provided by a certified home health agency.
NY Soc Serv L § 366-F (2021)
2021 New York Laws SOS - Social Services Article 5 - Assistance and Care Title 11 - Medical Assistance for Needy Persons 366-F - Persons Acting in Concert With a Medical Assistance Provider; Prohibited Practices.

§ 366-f. Persons acting in concert with a medical assistance provider; prohibited practices.   1.  No  person  acting  in  concert with a medical assistance provider shall, with intent to defraud:  (a) solicit, receive, accept or agree to receive or accept any payment or other consideration in any form from another  person  to  the  extent such  payment  or  other  consideration is given (i) for the referral of services for which payment is made under this title or (ii) to purchase, lease or order any good, facility, service or item for which payment  is made under this title; or  (b) offer, agree to give or give any payment or other consideration in any  form  to  another  person  to  the  extent  such  payment  or other consideration is given (i)  for  the  referral  of  services  for  which payment  is  made  under this title; or (ii) to purchase, lease or order any good, facility, service or item for which payment is made under this title;  (c) this subdivision shall not  apply  to  any  activity  specifically exempt by federal statute or federal regulations promulgated thereunder.   2.  As used in this section, "person" shall have the meaning set forth in subdivision seven of section 10.00 of the penal law.   3. A violation of the provisions of  this  section  is  a  misdemeanor punishable by:  (a) a term of imprisonment in accordance with the penal law; or  (b) a fine of not more than ten thousand dollars; or  (c)  if  the  defendant  has  obtained  money  or  property  through a violation of the provisions of this section, a fine in an amount,  fixed by  the  court,  not to exceed double the amount of the defendant's gain from a violation of such provisions. In such event,  the  provisions  of subdivision  three of section 80.00 of the penal law shall be applicable to the sentence; or  (d) both the imprisonment and the fine.   4. Any such person who violates the provisions  of  this  section  and thereby  obtains  money  or  property  having a value in excess of seven thousand five hundred dollars shall be guilty of a class E felony.
NY Soc Serv L § 366-G (2021)
2021 New York Laws SOS - Social Services Article 5 - Assistance and Care Title 11 - Medical Assistance for Needy Persons 366-G - Newborn Enrollment for Medical Assistance.

§  366-g.  Newborn enrollment for medical assistance. 1. Each hospital licensed under article twenty-eight  of  the  public  health  law  shall report  to  the department of health, or such other entity designated by the department of health, in such format as  the  department  of  health shall  provide,  each live birth of a child to a woman receiving medical assistance on the date of the birth. Such reports shall be  made  within five  business  days of the birth and shall include data identifying the mother and child.   2. Each hospital licensed under article  twenty-eight  of  the  public health  law,  upon discharge after delivery of a child, shall notify, in plain language and in such manner as  the  department  of  health  shall provide, each mother in receipt of medical assistance that such child is deemed  to  be  enrolled in the medical assistance program regardless of his or her receipt of a medical assistance identification card or client identification number or other proof of the child's eligibility, and may access care, services and supplies in accordance  with  this  title  and other applicable laws.   3.  The  commissioner  of health shall establish a procedure to ensure that every child born to a mother who is receiving medical assistance on the date of the child's birth is automatically enrolled in  the  medical assistance  program, assigned a client identification number, and issued an active medical assistance identification card, as soon  as  possible, but  in  no  event  later than ten business days from the receipt of the report required pursuant to subdivision one of this section.   4. (a)  Consistent  with  the  provisions  of  section  three  hundred sixty-six  of this title, a child under the age of one year whose mother is receiving medical assistance, or whose mother was  receiving  medical assistance  on  the  date  of  the  child's birth, who is presented to a medical  assistance  provider,  as  defined  in  section  three  hundred sixty-six-d  of  this title, for care, shall be deemed to be enrolled in the medical assistance program regardless of the issuance of  a  medical assistance  identification  card or client identification number to such child or other proof of the child's eligibility.  (b) A medical assistance provider that furnishes medical assistance as defined in section three hundred sixty-five-a of this title, to a  child described  in  paragraph  (a)  of this subdivision shall be eligible for medical assistance  reimbursement  for  such  assistance  regardless  of whether  the  child  has been issued a medical assistance identification card, client  identification  number  or  other  proof  of  eligibility. Reimbursement  under  this  section  shall  be  in  accordance  with the provisions of this title, including, as appropriate,  section  364-j  of this  title  and  all  other  applicable  laws,  rules,  regulations and administrative directions.