2023 New York Laws › SOS - Social Services › Article 5 - Assistance and Care › Title 11 - Medical Assistance for Needy Persons › 364-D - Medical Assistance Research and Demonstration Projects.

* §  364-d. Medical assistance research and demonstration projects. 1.
The department is authorized to sponsor, conduct and participate in  the
following  research  and  demonstration  projects:  "Eldercare: A Social
Health Maintenance Organization", "New York  State  Alcoholism  Services
Demonstration",  and  "Physician Reimbursement and Continuing Care Under
Medicaid",  for  the  purpose  of  testing   the   use   of   innovative
administrative techniques, new reimbursement methods, and changes in the
scope  of  benefits,  so  as  to promote a more efficient utilization of
health resources and  the  containment  of  medical  assistance  program
costs.  Such  demonstration  projects  may  be  conducted in one or more
social services districts or portions of such districts.
2. (a) Social services districts shall be required to  participate  in
the  operation  of  such  research  and  demonstration  projects  as the
department may approve. Social services districts shall  cooperate  with
the  department  in the conduct of such projects whenever the department
shall request or require such participation or cooperation.
(b) Notwithstanding any inconsistent provision of law to the contrary,
expenditures made in connection with any research demonstration  project
undertaken  pursuant  to the provisions of this section shall be subject
to state reimbursement under section three hundred sixty-eight-a of this
title.
3. The research and demonstration projects undertaken pursuant to  the
provisions  of  this  section  shall limit the individuals participating
thereunder to those persons with respect  to  whom  the  department  has
determined that there is a reasonable expectation that the total cost of
benefits  under  such  project  would  be  less  than  the total cost of
benefits for such individual if the research and  demonstration  program
were not in effect.
4.  Notwithstanding  any inconsistent provision of this chapter or any
other law to the contrary, the commissioner may, subject to the approval
of the director of the budget, approve any or all of  the  research  and
demonstration projects specified in subdivision one of this section, and
apply  for the appropriate waivers under federal law and regulation, and
may waive any of the provisions of this chapter, when such action  would
be likely to assist in promoting the objectives of this title.
5.  (a) For each project undertaken pursuant to the provisions of this
section, the department shall submit an interim report and final  report
to  the  governor  and  the legislature. The interim report shall be due
eighteen months after the  date  of  approval  of  the  project  by  the
department;  the  final  report  shall  be  due at the conclusion of the
project.
(b) Such reports shall include a listing of the accomplishments of the
research and demonstration project, and shall evaluate the progress made
in achieving the objectives of the project.
6. This section shall be effective with respect to each such  project,
other  than  the  "New  York  State  Alcoholism  Services  Demonstration
Project", if and as long as,  federal  participation  is  available  for
expenditures  made for such research and demonstration project conducted
pursuant to the provisions of this section.
* NB Expired July 22, 1986 -- Eldercare: A Social  Health  Maintenance
Organization expired April 9, 2007 per chapter 58 of 2007 Part C § 6.