New York Codes, Rules and Regulations › Title 18 - DEPARTMENT OF SOCIAL SERVICES › Chapter II - Regulations of the Department of Social Services › Subchapter F - Finance; Claims for Reimbursement by Social Services Districts › Article 4 - Supplementary Assistance Reimbursement Claiming › Part 633 - Services For Recipients And Others; Reimbursement Claiming › Section 633.1 - Reimbursement for services

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
			 Reimbursement for services provided to recipients of assistance and care or
			 other eligible individuals shall be claimed on schedules and formats prescribed
			 by the department and in accordance with instructions of the department.
			 Amounts subject to reimbursement pursuant to title XX of the Federal Social
			 Security Act (Title XX services) or which may be claimed under other programs
			 for which there is Federal participation shall be claimed in a manner that
			 results in the greatest proportion of Federal participation or alternatively
			 shall be claimed in a manner that does not increase the amount of State
			 reimbursement which would be available if Federal participation were also
			 available.
(b) Expenditures made by
			 social services districts for services provided to recipients of assistance and
			 care or other eligible individuals shall be subject to reimbursement by the
			 State in accordance with the provisions of sections 153, 258, 370-b and
			 409-d (5)  of the Social
			 Services Law. Such claims shall be submitted in a manner that results in the
			 greatest proportion of Federal participation. Such claims shall be made in
			 accordance with department instructions or directions, including the following:
(1) Except as otherwise specifically provided
			 by law, expenditures for services made by or on behalf of, or directly related
			 to the operations of a social services district may, if approved by the
			 department, be subject to reimbursement by the State, if and so long as such
			 expenditures are subject to Federal reimbursement and only to the extent of
			 such Federal reimbursement.
(2) No
			 cash assistance paid to a recipient of services, an individual eligible to
			 receive services or a representative of such individual shall be claimed for
			 reimbursement as services unless such direct payment is authorized by law,
			 regulation or department directive or order.
(3) Amounts spent in excess of any
			 expenditure ceiling for services funded pursuant to title XX of the Social
			 Security Act shall be reported but not claimed as State reimbursement. However,
			 reimbursement is available with respect to any expenditures for protective or
			 preventive services authorized by law, notwithstanding that expenditures for
			 such services exceed a social services district's expenditure ceiling. Such
			 reimbursement shall be available only to the extent that a social services
			 district has exhausted its entitlement to or is ineligible for funds
			 appropriated or apportioned for such services and any other services authorized
			 by law in accordance with instructions of the department.
(4) Reimbursement from the department shall
			 not be available to a social services district with respect to any services for
			 which State aid or reimbursement may be paid pursuant to the provisions of a
			 law outside the provisions of Social Services Law.
(5) Services subject to reimbursement under
			 this Part shall not include any services which are required to be furnished as
			 medical assistance pursuant to the Social Services Law.
(6) Amounts that may be claimed for services
			 expenditures for which there is an equal or greater proportion of Federal
			 participation available from another program or activity not subject to a
			 funding ceiling or limit shall not be claimed for reimbursement under this
			 Part.
(7) Services which may be
			 provided to persons who are under care in private or public institutions or
			 facilities shall be furnished only in institutions and facilities which are
			 operated in compliance with applicable provisions of law and
			 regulation.
(8) Any other
			 expenditures designated as expenditures for services shall be claimed in
			 accordance with instructions and directions of the department.