reglab/housing_qa huggingface dataset:
NY Soc Serv L § 366-H (2021)
2021 New York Laws SOS - Social Services Article 5 - Assistance and Care Title 11 - Medical Assistance for Needy Persons 366-H - Automated System; Established.

§   366-h.   Automated   system;   established.   Notwithstanding  any   inconsistent provision of law or regulation, the commissioner of  health   shall,  as  soon as practicable, establish an automated system to ensure   that persons who meet the criteria for  receipt  of  medical  assistance   benefits under paragraph (a) or (c) of subdivision four of section three   hundred  sixty-six  of  this  title shall remain enrolled in the medical   assistance program without interruption and  receive  the  benefits  set   forth  according  to paragraph (a) or (c) of subdivision four of section   three hundred sixty-six of this title. Pending  implementation  of  such   automated  system,  such  commissioner  shall,  in consultation with the   office of temporary and disability assistance,  undertake  and  continue   efforts  to  educate  local  departments  of  social  services about the   measures they must take to ensure that medical assistance  benefits  are   provided to persons eligible for such benefits under subdivision four of   section three hundred sixty-six of this title.
NY Soc Serv L § 367 (2021)
2021 New York Laws SOS - Social Services Article 5 - Assistance and Care Title 11 - Medical Assistance for Needy Persons 367 - Authorization for Hospital Care.

§  367.   Authorization for hospital care.  1.  Except as permitted by   the regulations of the department, so far  as  practicable,  no  patient   shall  be  admitted to a hospital as a public charge under this title or   this chapter without the prior  authorization  of  the  social  services   official  responsible  for  authorizing  such  care.    If  a patient is   admitted without prior authorization of the appropriate social  services   official and the hospital has reason to believe that the patient will be   unable  to  pay  for  his care, and is or may be eligible for care under   this title or this chapter, it may send a notice containing a report  of   the  facts  of  the  case  to  such  social  services official who shall   promptly advise the patient or his representative of his right to  apply   for  medical  assistance  and, if eligible, to have the cost of his care   paid for under this chapter.   If the identity of  the  social  services   official  responsible  for  authorizing  such  care  is not known by the   hospital, such notice shall be sent to the commissioner  of  the  social   services  district  in  which  the hospital is located who shall make an   investigation  to  determine  which  social  services  district  may  be   responsible  for  authorizing  such  care  and appropriately notify such   district, which shall advise such patient or his representative  of  his   right  to  apply,  and if eligible to have the cost of his care paid for   under this chapter.  The cost of care of an eligible patient shall be  a   charge  against  a  social services district only when authorized by the   commissioner of social services of such  district,  which  authorization   shall  not  be withheld from any patient eligible for such care pursuant   to this title and the regulations of the department.2.   Notwithstanding any inconsistent provision  of  law,  the  social   services official responsible for authorizing hospital or health related   services shall withhold payment for such services upon the certification   of the commissioner of health that payment for such care is unauthorized   under the medical assistance program.
NY Soc Serv L § 367-D (2021)
2021 New York Laws SOS - Social Services Article 5 - Assistance and Care Title 11 - Medical Assistance for Needy Persons 367-D - Personal Care Need Determination.

* §  367-d.  Personal  care need determination. The commissioner shall   annually determine the statewide need for personal care services for all   recipients except for those receiving personal care services pursuant to   section three hundred  sixty-seven-c  of  this  article  and  for  those   recipients  who  are  receiving  personal  care services and residing in   family care homes or community  residences  as  defined  in  subdivision   twenty-eight-a  of  section  1.03 of the mental hygiene law certified by   the office of mental health and the office  of  mental  retardation  and   developmental  disabilities.  In  determining such need the commissioner   shall consider such factors as the population  characteristics,  poverty   levels,  the  availability  of  informal  support  and other health care   resources,  related  demographic  data,  and  such  other  factors   the   commissioner  deems  pertinent  for  this purpose. The need for personal   care services, as used in this section, shall  be  expressed  in  hourly   units  of  service  and  the total number of personal care service units   established pursuant to this section shall be allocated to  each  social   services district on the same basis as the statewide need is determined.   Such  allocations  shall be in effect for the period April first through   March thirty-first of the following year and shall be made available  to   each  social services district prior to April first of each year, except   that  during  calendar  year   nineteen   hundred   eighty-three,   such   allocations  shall  be made available within thirty days after enactment   of this section but no earlier than April first. Within thirty  days  of   receipt  of  a  written request to the department made by a local social   services commissioner the department  shall  provide  all  documentation   used  as  the basis for determining aggregate statewide as well as their   individual district allocations determined pursuant to this section.* NB Expired March 31, 1985
NY Soc Serv L § 367-H (2021)
2021 New York Laws SOS - Social Services Article 5 - Assistance and Care Title 11 - Medical Assistance for Needy Persons 367-H - Payment for Assisted Living Programs.

§  367-h.  Payment  for  assisted  living  programs. 1. Subject to the   approval of the state director  of  the  budget,  the  commissioner  may   authorize  the  payment  of medical assistance funds for assisted living   programs, as  defined  in  section  four  hundred  sixty-one-l  of  this   chapter,  in  accordance  with  capitated  rates  of payment established   pursuant to subdivision six of section thirty-six  hundred  fourteen  of   the public health law.2.  No  assisted  living  program  shall cease providing services to a   medical assistance recipient solely because the cost of his or her  care   exceeds the amount of such capitated payments.3.  No  medical  assistance  payments  shall  be made pursuant to this   section while payments are also being  made  for  inpatient  care  in  a   residential  health  care  facility or hospital with respect to the same   person.4. This section shall  be  effective  if,  and  as  long  as,  federal   financial participation is available for medical assistance expenditures   made pursuant to it.
NY Soc Serv L § 367-P (2021)
2021 New York Laws SOS - Social Services Article 5 - Assistance and Care Title 11 - Medical Assistance for Needy Persons 367-P - Responsibilities of Local Districts for Personal Care Services, Home Care Services and Private Duty Nursing.

* §  367-p.  Responsibilities  of  local  districts  for personal care services, home care services and private duty nursing.  Consistent  with the  provisions  of  section  three hundred sixty-seven-n of this title, local  social  services  district  responsibilities  for  personal  care services,  home care services and private duty nursing shall include the following:  (a) local districts with programs which place  individuals  discharged from  hospitals  solely into certified home health agencies shall ensure that those individuals are reviewed for possible placement into personal care services within two weeks of discharge and, if appropriate,  placed into personal care services within four weeks thereof;  (b)  each  local  district shall, by September first, nineteen hundred ninety-five, review that plan of  care  for  every  recipient  receiving personal  care  on a continuous basis pursuant to sections three hundred sixty-seven-k and three hundred sixty-seven-l of this title;  (c) each local district shall ensure access  to  a  consumer  directed personal  assistance  program operated pursuant to section three hundred sixty-five-f of this title is available in the district to allow persons receiving home care pursuant to this title to directly arrange  and  pay for such care; and  (d)  local  districts  shall not restrict, and shall not be restricted from approving, the provision of private duty nursing as an  alternative to  nursing  services provided by a home health agency where appropriate and cost-effective pursuant to section three hundred sixty-seven-l.   * NB There are 2 § 367-p's
NY Soc Serv L § 367-P-2 (2021)
2021 New York Laws SOS - Social Services Article 5 - Assistance and Care Title 11 - Medical Assistance for Needy Persons 367-P*2 - Payment for Limited Home Care Services Agencies.

* §  367-p.  Payment  for  limited  home  care  services  agencies. 1.   Notwithstanding any law to the contrary, the commissioner shall, subject   to the approval of the  director  of  the  budget,  establish  rates  of   payment  for  services  provided by limited home care services agencies,   licensed by the department of  health  pursuant  to  section  thirty-six   hundred  five  of the public health law, to eligible individuals who are   residents of adult homes and enriched housing programs certified by  the   department  in  accordance  with article seven of this chapter. Services   for which reimbursement shall be available are  personal  care  services   provided   directly  by  the  agency  and  authorized  and  provided  in   accordance with the rules and regulations of  the  department;  and  the   administration  of medications and application of sterile dressings by a   registered nurse provided, however, that the services provided  by  such   agency  are  not  services  that  must  be provided to residents of such   facilities pursuant to article seven of this chapter.2. Notwithstanding any law  to  the  contrary,  a  limited  home  care   services agency licensed by the department of health shall be reimbursed   at a rate that is significantly less than the current costs of providing   such  services through a personal care provider or certified home health   agency in the same service area.3. For purposes of this  section,  an  eligible  individual  means  an   individual  who is eligible for medical assistance, as determined by the   appropriate social services district, which  has  also  determined  that   such   individual  has  a  medical  need  for  services  and  that  such   individual's needs can safely and appropriately be met  by  the  limited   home care services agency in the adult home or enriched housing program.4.  Prior  to authorizing payment for services provided to an eligible   individual by a limited  home  care  services  agency,  the  appropriate   social  services district must determine that the service proposed to be   provided by  such  agency  is  cost-effective  in  comparison  to  other   available  and  appropriate  service  delivery  options available in the   district.5. The commissioner of health shall establish  rates  of  payment  for   services  provided  pursuant  to  this  section  by  November fifteenth,   nineteen hundred ninety-seven.* NB Expires June 30, 2023* NB There are 2 § 367-p's
NY Soc Serv L § 367-T (2021)
2021 New York Laws SOS - Social Services Article 5 - Assistance and Care Title 11 - Medical Assistance for Needy Persons 367-T - Payment for Emergency Physician Services.

§  367-t.  Payment  for  emergency physician services. Amounts payable   under this title for medical assistance for items and services  provided   to  eligible  persons  by qualified emergency physicians, provided in an   emergency room of an entity certified pursuant to  article  twenty-eight   of  the public health law to treat an emergency condition, as defined in   subdivision three of section forty-nine hundred  of  the  public  health   law, which are authorized pursuant to section three hundred sixty-five-a   of  this  title shall be no less than twenty-five dollars per visit. For   the purpose of this section eligible persons shall not  include  persons   provided items and services by the medicaid managed care program.
NY Soc Serv L § 367-U (2021)
2021 New York Laws SOS - Social Services Article 5 - Assistance and Care Title 11 - Medical Assistance for Needy Persons 367-U - Payment for Home Telehealth Services.

§  367-u.  Payment  for  home  telehealth  services. 1. Subject to the   approval of the state director  of  the  budget,  the  commissioner  may   authorize  the  payment  of  medical  assistance funds for demonstration   rates or fees established for home telehealth services provided pursuant   to subdivision three-c of section thirty-six  hundred  fourteen  of  the   public health law.2.  Subject to federal financial participation and the approval of the   director of the budget, the commissioner  shall  not  exclude  from  the   payment of medical assistance funds the delivery of health care services   through  telehealth,  as  defined  in  subdivision  four  of section two   thousand nine hundred ninety-nine-cc of  the  public  health  law.  Such   services   shall  meet  the  requirements  of  federal  law,  rules  and   regulations for the provision of medical  assistance  pursuant  to  this   title.
NY Soc Serv L § 368 (2021)
2021 New York Laws SOS - Social Services Article 5 - Assistance and Care Title 11 - Medical Assistance for Needy Persons 368 - Quarterly Estimates.

§ 368.  Quarterly estimates. Each public welfare district shall submit   to  the  department  quarterly estimates of its anticipated expenditures   for medical assistance for needy persons and administrative expenses not   less than thirty days before the first  day  of  each  of  the  quarters   beginning  on  the first day of the months of July, October, January and   April, in such form and together with  such  other  information  as  the   department may require.
NY Soc Serv L § 368-B (2021)
2021 New York Laws SOS - Social Services Article 5 - Assistance and Care Title 11 - Medical Assistance for Needy Persons 368-B - State Reimbursement to Local Health Districts; Chargebacks.

§  368-b.  State reimbursement to local health districts; chargebacks. 1.  Each approved local health district which  enters  into  a  contract with  the  department  of  health  pursuant  to  section  three  hundred sixty-four-a of this title shall submit to the department  of  health  a quarterly report of expenditures for administrative expenses incurred in the performance of such contract.  The department of health shall review such  expenditures  and,  upon  approval, shall submit the report to the department.  Upon receipt of such approved report, there shall  be  paid to each such district  (a)    the amount of federal funds, if any, properly received or to be received on account of such expenditures; and  (b)  fifty per centum of the amount expended for  such  administrative expenses,  after  first  deducting  therefrom any federal funds properly received or to be received on account thereof.   2.  The department of health shall submit a quarterly  report  to  the department  of expenditures for administrative expenses incurred by each of the state health districts in  the  performance  of  the  cooperative agreement entered into pursuant to section three hundred sixty-four-a of this  title.    Upon receipt of such report, the department shall deduct the amount of federal funds, if any, properly received or to be received on account of such expenditures from the total amounts reported for each such district   Fifty per centum of the  balance  shall  be  apportioned among  the public welfare districts served by such district in the ratio that the total expenditures by each such  public  welfare  district  for medical  assistance for needy persons for the quarter bears to the total expenditures by all such public welfare districts for such quarter.  The proportionate share shall be deducted from the next payment due each  of such   public  welfare  districts  pursuant  to  section  three  hundred sixty-eight-a of this title.
NY Soc Serv L § 368-C (2021)
2021 New York Laws SOS - Social Services Article 5 - Assistance and Care Title 11 - Medical Assistance for Needy Persons 368-C - Audit of State Rates of Payment to Providers of Health Care Services.

§  368-c.  Audit of state rates of payment to providers of health care   services. 1. The commissioner may conduct, or have conducted,  an  audit   of   financial   and   statistical  reports  used  for  the  purpose  of   establishing rates of payment  or  fees  made  in  accordance  with  the   medical assistance program.2. The commissioner shall implement audit procedures and activities to   enable  the  identification  of  the  appropriate  rates of payment made   through the medical assistance  program.  Furthermore  the  commissioner   shall conduct an annual review of financial and statistical reports with   respect  to  residential  health  care  facilities certified pursuant to   article twenty-eight  of  the  public  health  law.  Where  such  review   indicates  substantial  noncompliance,  as  defined in regulation by the   commissioner, with the requirements of the  medical  assistance  program   the  commissioner  shall  conduct  or  have  conducted an on-site audit.   Provided further however, that at least once every four fiscal years  an   on-site audit shall be conducted.3.  To  allow  for  the  recomputation  of  affected  fees or rates of   payment, the commissioner shall, as appropriate, supply  audit  findings   to  the  governmental  agency  or corporation organized and operating in   accordance with article forty-three of the insurance law responsible for   the promulgation of fees or rates of reimbursement.4. The commissioner shall enter into interagency  agreements,  subject   to  the  approval  of  the  director  of  the  budget,  to delineate the   respective responsibilities of the  department  and  other  governmental   agencies with respect to this section.5.  The  commissioner  is  authorized  to  promulgate  regulations  to   implement the provisions of this section.
NY Soc Serv L § 368-F (2021)
2021 New York Laws SOS - Social Services Article 5 - Assistance and Care Title 11 - Medical Assistance for Needy Persons 368-F - Reimbursement of Costs Under the Early Intervention Program.

§  368-f. Reimbursement of costs under the early intervention program.   1. The department shall review claims for expenditures  made  by  or  on   behalf  of social services districts for the administration of the early   intervention  program  as  established  under  title  II-A  of   article   twenty-five  of  the  public  health law. If approved by the department,   payment for such expenditures, which were made in accordance  with  this   title and the regulations of the department, shall be made by payment to   such  district,  which  incurred  the expenditure, either directly or by   contract, of the amount of any federal funds properly received or to  be   received on account of such expenditures.2.  Claims  for  payment under this section shall be made in such form   and manner, at such times, and for such periods as  the  department  may   require.3.  The  department's  liability  for  payment for such administrative   expenditures made by or on behalf of districts under this section  shall   be  limited  solely  to  payment of the federal funds received, or to be   received,  on  account  of  such  expenditures.  In  the  event  of  any   subsequent  disallowances  or  recoupment  of  such  funds  by a federal   governmental  agency,  upon  notification  by  the   commissioner,   the   comptroller  shall  withhold  or cause to be withheld the amount of such   disallowance or recoupment from any moneys otherwise due  the  district,   as state aid pursuant to any provision of law, and the comptroller shall   transfer  such amount to the credit of the department of social services   medical assistance administration program - local assistance account.
NY Soc Serv L § 369-K (2021)
2021 New York Laws SOS - Social Services Article 5 - Assistance and Care Title 11-B - Health Insurance Continuation Program for Persons With AIDS 369-K - Definitions.

§ 369-k. Definitions.  As used in this section:1. "Health insurance" shall mean insurance or an employee benefit plan   against  sickness,  ailment  or  bodily  injury  of the employee and, if   covered, his or her dependents, other than (i) insurance or an  employee   benefit  plan  providing disability benefits; or (ii) medical assistance   benefits received under title eleven of this article.2. "Health insurance costs" means the premiums or  contributions  paid   for health insurance by or on behalf of a person with AIDS.3.  "Household"  means  the  person  with  AIDS  and all other persons   residing in the same dwelling for whom such person would be  responsible   pursuant  to  section  one hundred one of this chapter, or for whom such   person has assumed responsibility.4. "Persons with AIDS" means  persons  who  are  diagnosed  as  having   acquired   immune   deficiency   syndrome   (AIDS)  or  who  have  human   immunodeficiency virus (HIV)-related illness, as defined  in  regulation   by the state department of health.5.  "Poverty  line" means the federal income official poverty line (as   defined and annually revised by the federal  office  of  management  and   budget).6.  "Program"  means  the  health  insurance  continuation program for   persons with AIDS established by section three hundred  sixty-nine-l  of   this article.
NY Soc Serv L § 369-L (2021)
2021 New York Laws SOS - Social Services Article 5 - Assistance and Care Title 11-B - Health Insurance Continuation Program for Persons With AIDS 369-L - Establishment of Program.

§  369-l.  Establishment  of  program.  1. There is hereby established   within  the  department  of  social  services   the   health   insurance   continuation program for persons with AIDS.2.   Notwithstanding   any   inconsistent   provision   of   law,  the   commissioner, subject to the approval of the director of the budget, may   apply for appropriate waivers under federal law and regulation  or  take   other  actions to secure federal financial participation in the costs of   the program; may waive or modify  any  provisions  of  this  chapter  or   regulation  of the department to implement this title; or may promulgate   such regulations as necessary to implement this title.