New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XIV - Office for People With Developmental Disabilities › Part 690 - Day Treatment Services to Persons with Developmental Disabilities › Section 690.1 - Background and applicability

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The
				Federal Social Security Act authorizes Federal financial participation to an
				approved State plan for Medicaid services authorizing payment for the costs of
				medical and remedial care for persons whose income and resources are
				insufficient to meet the costs of such services.
(b) The Medical Assistance Program in New
				York State is administered by the Department of Social Services in cooperation
				with the New York State Department of Health, the Education Department, and the
				Office for People With Developmental Disabilities (hereinafter referred to as
				OPWDD).
(c) This Part establishes
				the programmatic, administrative and funding standards for the certification
				and operation of day treatment facilities or services (see glossary) for
				persons with developmental disabilities (see glossary). The certification and
				recertification of day treatment facilities also requires demonstrated
				substantial compliance with Parts 624, 633, and 635 of this Title.
(d) For meeting the needs of persons (see
				glossary) with developmental disabilities, day treatment is intended to be a
				planned combination of diagnostic, treatment and habilitative services provided
				to persons with developmental disabilities in need of a broad range of
				clinically supported and structured habilitation services.
(1) Persons provided day treatment services
				in a free-standing certified site or approved satellite (see glossary) site,
				will attend for periods in excess of three hours if reimbursement is to be
				claimed. A reimbursable half-day visit covers a period of three to five hours.
				A full-day reimbursable visit covers a period of five hours or more.
(2) Persons who attend a certified day
				treatment facility which is collocated on the same site as a day training or
				sheltered program (
a.k.a.,
"collocated day treatment"; see
				also section
				635-7.1(a)(8)
				and (9)(ii)  (
d
) of this
				Title), for the purposes of receiving needed active treatment based,
				pre-vocational/independent living activities, shall participate for periods of
				at least 90 minutes as the minimum unit of service.
(3) Day treatment facilities may vary widely
				in the services offered, the level of disability of persons served, the
				staffing plan, the program goals and the types and numbers of cooperative
				agency relationships. However, at its very essence, is the direct and
				meaningful involvement of the person as service recipient, and his/her parent,
				guardian or correspondent/advocate (as applicable), in the program planning and
				review process.
(4) A day treatment
				facility is eligible to participate as a provider in the Medical Assistance
				Program only if the provider is certified as a day treatment facility by OPWDD
				to provide services based at a specific inspected and certified site. Said
				requirement shall not preclude operation of a satellite site, if the
				location(s) of said satellite(s) have been inspected, meet the appropriate
				physical plant requirements, and are listed on the primary facility's operating
				certificate.