reglab/statecodes huggingface dataset:
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter - APPENDICES › Appendix 5-A

Current through Register Vol. 46, No. 28, July 10, 2024
RECOMMENDED STANDARDS FOR WATER WORKS, 2012 EDITION
"Recommended Standards for Water Works, 2012 edition" reported
				by the Water Supply Committee of the Great Lakes-Upper Mississippi River Board
				of State and Provincial Public Health and Environmental Managers. Available
				online at
http://10statesstandards.com/
and
				is available for viewing at the Department of State, One Commerce Plaza, 99
				Washington Avenue, Albany, NY 12231 and the Bureau of Water Supply Protection,
				Department of Health, Corning Tower, Empire State Plaza, Albany, NY
				12237.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter - APPENDICES › Appendix 74-A

Current through Register Vol. 46, No. 28, July 10, 2024
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tions for the control of such developments. Regulations adopted
				by a county or city board of health may include, but not be limited to,
				establishment of such requirements as it may deem necessary to guarantee the
				installation of such water supply and sewage facilities in accordance with the
				plans heretofore or hereinafter approved by the county or city department of
				health or any approved revision or revisions thereof.
2. Nothing contained in sections one thousand one hundred
				fifteen to one thousand one hundred eighteen of this chapter, inclusive, shall
				be construed to delegate the general powers of the water resources commission
				not to impair nor to deprive such commission of its powers and functions as now
				provided by law.
1119 Realty Subdivisions: Filing Fees to Accompany
				Plans.
1. At the time of submitting a plan for approval as required by
				this article, a filing fee computed at the rate of three dollars and fifty
				cents per lot shall be paid to the department or to the city, county or
				part-county health district wherein such plans are filed.
2. The department, or the city, county or part-county health
				district, shall not review or approve any such subdivision map submitted for
				approval after this section takes effect until such fee, as herein provided,
				has been received by it.
3. If any plan submitted to the department, or to a city,
				county or part-county health district, cannot be approved, such plan and the
				filing fee shall be returned to the person who submitted the plan with a
				summary of the reasons for disapproval.
1120 Realty Subdivisions: Regulation by Commissioner. The
				Commissioner may from time to time establish by rule or regulation standards
				for subdivisions necessary to effect the purposes of this title and not
				inconsistent with regulations of a city, county or part-county department of
				health having jurisdiction, now or hereafter adopted pursuant to law. In the
				event of and to the extent of such inconsistency, the standards established by
				the commissioner shall be deemed inapplicable.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter - APPENDICES › Appendix 75-C - INDIVIDUAL ONSITE WATER SUPPLY SYSTEMS - STATEWIDE WATER QUALITY STANDARDS

Current through Register Vol. 46, No. 28, July 10, 2024
TABLE 1
The standards in Table 1 shall not be exceeded:
Contaminant
Standard (1)
Coliform Bacteria
Any positive result (2)
Lead
0.015 mg/l
Nitrates
10 mg/l as Nitrogen
Nitrites
1 mg/l as Nitrogen
Turbidity
5 NTU (3)
Arsenic
0.010 mg/l
(2) A "positive" result means that coliform bacteria are
				present; a "negative" result means that coliform bacteria are absent or are not
				present.
(3) NTU means Nephelometric Turbidity Units.
TABLE 2
Exceeding the following standards may necessitate (1)
				installation and maintenance of water treatment devices, or (2) limited daily
				consumption of water by certain persons:
Contaminant
Standard (1)
Iron
0.3 mg/l (2)
Manganese
0.3 mg/l (2)
Iron plus manganese
0.5 mg/l (2)
Hardness
150 mg/l as CaCO3 (2)
Alkalinity
100 mg/l as CaCO3 (2)
pH
6.5 - 8.5 (3)
Sodium
No designated limit (4)
(2) If standards are exceeded options for treatment should be
				evaluated.
(3) If pH values are outside of this range (i.e., less than 6.5
				or greater than 8.5) options for treatment should be evaluated.
(4) Water containing more than 20 mg/l of sodium should not be
				used for drinking by people on severely restricted sodium diets. Water
				containing more than 270 mg/l of sodium should not be used for drinking by
				people on moderately restricted sodium diets.
Statutory Authority: Public Health Law,
				  201(1)(1)
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter - APPENDICES › Appendix C-2

Current through Register Vol. 46, No. 28, July 10, 2024
(cf. §
								400.18[b])
Uniform Bill Elements
SPARCS Hospital Identification Number
Patient Control Number (Admission Number)
Patient Sex
Patient Birthdate
Source of Admission
Admission Date/Start of Care Date
Admission Hour
Statement Covers From Date
Statement Covers Thru Date
Patient Status/Disposition
Discharge Hour
Medical Record Number
Discharge Date
Type of Alternate Care Required
Patient's Residence Address
Patient's Residence City, County, State, and Zip Code
Source of Payment Code
Policy Number
Insurance Group Number
Payor Covered Days
Payor Non-Covered Days
Provider Number
Payor Alternate Level of Care Days
Payor Leave of Absence Days
Accident Type
Accident Type Date
Blood Furnished
Blood Charge
Special Program--Disability
Special Program--Family Planning
Special Program--Physically Handicapped Children
Special Program--Special Funding Project
Surplus, Catastrophic, or Recurring Monthly Income Code
Surplus, Catastrophic, or Recurring Monthly Income
				Amount
Workers Compensation/No Fault Indicator
SPARCS Accommodation Code
Accommodation Rate
Accommodation Days
Accommodation Total Non-Covered Charges
Ancillary Revenue Code
Ancillary Total Charges
Ancillary Total Non-Covered Charges
Principal Procedure Code
Other Diagnosis Codes (14 occurrences)
Principal Procedure Code
Principal Procedure Date
Other Procedure Codes (14 occurrences)
Other Procedure Dates (14 occurrences)
Admitting Diagnosis Code
External Cause of Injury Code
Procedure Coding Method Used
State Attending Physician License Number
State Operating Physician License Number
State Other Physician License Number
DRG Billed
Type of Bill
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter - APPENDICES › Appendix C-3

Current through Register Vol. 46, No. 28, July 10, 2024
(cf. §
								400.18[c])
Uniform Discharge Abstract Elements
Birthweight, Admit Weight or Readmit Weight as
Appropriate for Neonates
Mother's Medical Record Number for Newborn
Prehospital Care Report Number
Patient's Race
Patient's Ethnicity
Scheduled/Unscheduled Admission
Other Diagnosis Indicators (14 occurences)
Method of Anesthesia
New Diagnosis After Administration of Anesthesia
Indicators (14 occurrences)
Place of Injury Code
Exempt Unit Indicator
Placement of Bed Indicator
Expected Primary Reimbursement
Expected Reimbursement Other 1
Expected Reimbursment Other 2
Total Acute Certified Days Used
(cf. §
								400.18[c])
*Uniform Discharge Abstract Elements
1. Coding Method
2. Medical Record Number
3. Admitting Number
4. Admit Date
5. Admit Hour
6. Admit Status
7. ZIP Code
8. County Code
9. Age
10. Sex
11. Race
12. Birthweight, Admit Weight or Readmit
			 Weight, as Appropriate, for Neonates
13. SPARCS Hospital Identification
			 Number
14. License Number of
			 Attending Physician
15. License
			 Number of Operating Physician
16.
			 License Number of Other Physician
17. Admitting Diagnosis Code
18. Principal Diagnosis Code
19. Principal Procedure Code
20. Date of Principal Procedure
21. Other Diagnosis Code (8
			 occurrences)
22. Other Procedure
			 Code (5 occurrences)
23. Other
			 Procedure Date (5 occurrences)
24.
			 Length of Stay Indicator
25.
			 Discharge Date
26. Discharge
			 Hour
27. Disposition of
			 Patient
28. Type Alternate Care
			 Required
29. Date Alternate Care
			 Required
30. Transfer
			 Status
31. Primary
			 Reimbursement
32. Secondary
			 Reimbursement
33. Total Acute
			 Certified Days Used
34. Transaction
			 Code
35. Leave of Absences
			 Days
36. Certified Alternate Care
			 Days
37. Admitting Source
38. Ethnicity
39. Date of Birth
40. Exempt Unit Indicator
41. Mother's Medical Record Number
42. Cause of Injury
43. Place of Injury
44. Other Diagnosis Code Indicator (8
			 occurrences)
45. Prehospital Care
			 Report Number
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter - APPENDICES › Appendix C-5

Current through Register Vol. 46, No. 28, July 10, 2024
(cf. section
				400.18[h])
Emergency Service Data elements to be submitted under section
				400.18(h) shall
				include but shall not be limited to the following:
DATA ELEMENT
Submitter Name
Processing Data
SPARCS Identification Number
Patient Control Number
Patient Sex
Patient Birth Date
Admission Date/Start of Care
Admission Hour
Statement Covers Period - From Date
Statement Covers Period - Thru Date
Discharge Hour
Medical Record Number
New York State Patient Status or Disposition
Patient's Race
Patient's Ethnicity
Patient Residence Address - Address Line 1
Patient Residence Address - Address Line 2
Patient's City
Patient's County Code
Patient's State
Patient's Postal Service Zip Code and Extension Code
Unique Personal Identifier
Source of Payment Information
Group Definition
Source of Payment Code
Payor Identification
Provider Identification Number
Type of Bill
Occurrence Information Group Definition
Occurrence Information - Accident Related Codes &
				Dates
Condition Information Group Definition
Condition Information - Homeless Patients
Value Information Group Definition
Value Information - Accident Hour
Ancillary Services Information Group Def. Ver. 5 & 6
Ancillary Revenue Code
Ancillary Total Charges
Ancillary Total Non-Covered Charges
Procedure Code - CPT-4 and Modifiers
Principal/Primary Diagnosis Code
Other Diagnosis Information Group Definition
Other Diagnosis Code 1-14
Principal Procedure Code
Principal Procedure Date
Other Procedure Information Group Definition
Other Procedure Code 1-14
Other Procedure Date 1-14
Admitting Diagnosis/Patient's Reason for Visit
External Cause-of-Injury Code
Place of Injury Code
Attending/Emergency Department Physician State License
				Number
Operating/Emergency Department Physician State License
				Number
Other Physician/Emergency Department State License
				Number
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter IV - Health Information Systems › Part 300 - Statewide Health Information Network for New York (SHIN-NY) › Section 300.1 - Definitions

Current through Register Vol. 46, No. 28, July 10, 2024
For the purposes of this Part, these terms shall have the
				  following meanings:
(a)
"Statewide Health Information Network for New York"
or
"SHIN-NY"
means the technical infrastructure and the
				supportive policies and agreements that:
(i)
				make possible the electronic exchange of clinical information among SHIN-NY
				participants for authorized purposes to improve the quality, coordination and
				efficiency of patient care, reduce medical errors and carry out public health
				and health oversight activities, while protecting patient privacy and ensuring
				data security; and
(ii) enable
				widespread, non-duplicative interoperability among disparate health information
				systems, including electronic health records, personal health records, health
				care claims, payment and other administrative data, and public health
				information systems, while protecting patient privacy and ensuring data
				security.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter IV - Health Information Systems › Part 300 - Statewide Health Information Network for New York (SHIN-NY) › Section 300.2 - Establishing the SHIN-NY

Current through Register Vol. 46, No. 28, July 10, 2024
The New York State Department of Health shall:
(a) oversee the implementation and ongoing
				operation of the SHIN-NY;
(b)
				implement the infrastructure and services to support the private and secure
				exchange of health information among SHIN-NY participants;
(c) provide, either directly or through
				contract, statewide data infrastructure and any other SHIN-NY services that the
				New York State Department of Health deems necessary to effectuate the purposes
				of this Part;
(d) administer the
				statewide collaboration process and facilitate the development, regular review
				and amendment of SHIN-NY policy guidance;
(e) perform regular audits, either directly
				or through contract, of qualified entity and SHIN-NY participant functions and
				activities as necessary to ensure the quality, security and confidentiality of
				data in the SHIN-NY;
(f) provide,
				either directly or through contract, strategic leadership on the use of the
				statewide data infrastructure to ensure health information exchange services
				are efficiently deployed in the SHIN-NY to support:
(1) the exchange of data among SHIN-NY
				participants;
(2) the matching of
				patient demographic information submitted by SHIN-NY participants;
(3) a statewide provider directory;
(4) a statewide consent management system;
				and
(5) aggregation of data from
				SHIN-NY participants in a statewide repository;
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter IV - Health Information Systems › Part 300 - Statewide Health Information Network for New York (SHIN-NY) › Section 300.3 - Statewide collaboration process and SHIN-NY policy guidance

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
SHIN-NY
				policy guidance.
The New York State Department of Health shall establish
				SHIN-NY policy guidance as set forth below:
(1) The New York State Department of Health
				shall establish a statewide collaboration process, which may include the
				designation of committees, representing qualified entities, SHIN-NY
				participants, relevant stakeholders, and healthcare consumers to make
				recommendations on SHIN-NY policy guidance and standards.
(2) Policy committee agendas, meeting
				minutes, white papers and recommendations shall be made publicly
				available.
(3) The New York State
				Department of Health shall consider SHIN-NY policy guidance recommendations
				made through the statewide collaboration process and may accept or reject
				SHIN-NY policy guidance recommendations at its sole discretion.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter IV - Health Information Systems › Part 300 - Statewide Health Information Network for New York (SHIN-NY) › Section 300.4 - Qualified entities

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Each
				qualified entity shall:
(1) maintain and
				operate a network of SHIN-NY participants seeking to securely exchange patient
				information;
(2) connect to the
				statewide data infrastructure to allow SHIN-NY participants to exchange
				information with SHIN-NY participants of other qualified entities and with the
				New York State Department of Health or its designated contractor to support
				statewide reporting and analytics for public health activities and Medicaid
				purposes;
(3) submit to regular
				audits of qualified entity functions and activities by the New York State
				Department of Health or its designated contractor as necessary to ensure the
				quality, security, and confidentiality of data in the SHIN-NY;
(4) ensure that data from SHIN-NY
				participants is only made available through the SHIN-NY in accordance with
				applicable law;
(5) enter into
				agreements, including the statewide common participation agreement, with
				SHIN-NY participants that supply patient information to, or access patient
				information from, the qualified entity. A qualified entity must be the
business associate
, as defined in
				42 USC §
											17921, of any SHIN-NY participant that
				supplies patient information and is a health care provider, and must be a
				qualified service organization of any SHIN-NY participant that supplies patient
				information and is an alcohol or drug abuse program required to comply with
				Federal regulations regarding the confidentiality of alcohol and substance
				abuse patient records;
(6) allow
				participation of all health care providers in the geographical area served by
				the qualified entity that are seeking to become SHIN-NY participants, list the
				names of such SHIN-NY participants on its website, and make such information
				available at the request of patients;
(7) submit data, including patient
				information, using the statewide data infrastructure, to the New York State
				Department of Health or its designated contractor, according to specifications
				provided by the New York State Department of Health;
(8) submit reports on health care provider
				participation and usage, system performance and data quality, in a format
				determined by the New York State Department of Health;
(9) adopt policies and procedures to provide
				patients with access to their own patient information that is accessible
				directly from the qualified entity, except as prohibited by law;
(10) implement policies and procedures to
				provide patients with information identifying SHIN-NY participants that have
				obtained access to their patient information using the qualified entity, except
				as otherwise prohibited by law.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter IV - Health Information Systems › Part 300 - Statewide Health Information Network for New York (SHIN-NY) › Section 300.5 - Sharing of patient information

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
General standard.
SHIN-NY participants may only exchange patient
				information as authorized by law and consistent with their statewide common
				participation agreements. Under section 18(6) of the Public Health Law,
				individuals who work for a qualified entity or the entity that facilitates
				SHIN-NY participants' connection to the statewide data infrastructure are
				deemed personnel under contract with a health care provider that is a SHIN-NY
				participant. As such, a SHIN-NY participant may disclose to such a qualified
				entity necessary patient information without a written authorization from the
				patient of the SHIN-NY participant. SHIN-NY participants may, but shall not be
				required to, provide patients the option to withhold patient information,
				including minor consent patient information, from the SHIN-NY. Except as set
				forth in paragraph (b)(2) or subdivision (c) of this section, a qualified
				entity shall only allow access to patient information by SHIN-NY participants
				with a written authorization from:
(1) the
				patient; or
(2) when the patient
				lacks capacity to consent, from:
(i) another
				qualified person under section 18 of the Public Health Law;
(ii) a person with power of attorney whom the
				patient has authorized to access records relating to the provision of health
				care under General Obligations Law article 5, title 15; or
(iii) a person authorized pursuant to law to
				consent to health care for the individual.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter IV - Health Information Systems › Part 300 - Statewide Health Information Network for New York (SHIN-NY) › Section 300.6 - Participation of health care facilities

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Health care facilities as defined in
				section 18(c)(1) of the Public Health Law, including those who hold themselves
				out as urgent care providers must become SHIN-NY participants in order to
				connect to the SHIN-NY through a qualified entity, and must allow private and
				secure bi-directional access to patient information by other SHIN-NY
				participants authorized by law to access such patient information. As used in
				this subdivision, bi-directional access means that a SHIN-NY participant has
				the technical capacity to upload its patient information to the qualified
				entity so that it is accessible to other SHIN-NY participants authorized to
				access the patient information and that the SHIN-NY participant has the
				technical capacity to access the patient information of other SHINNY
				participants from the qualified entity when authorized to do so, consistent
				with the SHIN-NY policy guidance under subdivision (b) of section
				300.3 of this Part.
(b) All health care facilities required to
				become SHIN-NY participants pursuant to subdivision (a) of this section must
				supply patient information to the statewide data infrastructure.
(c) The New York State Department of Health
				may waive the requirements of subdivisions (a) or (b) of this section for
				health care facilities that demonstrate, to the satisfaction of the New York
				State Department of Health:
(1) economic
				hardship;
(2) technological
				limitations or practical limitations to the full use of certified electronic
				health record technology that are not reasonably within control of the health
				care provider;
(3) other
				exceptional circumstances demonstrated by the health care provider to the New
				York State Department of Health as the Commissioner may deem appropriate;
				or
(4) the facility has the
				technical capacity for private and secure bi-directional access, executes a
				statewide common participation agreement, connects to the SHIN-NY and supplies
				patient information to the statewide data infrastructure in accordance with
				this Part and the SHIN-NY policy guidance. As used in this paragraph,
				bi-directional access means that a SHIN-NY participant has the technical
				capacity to upload its patient information to the SHIN-NY so that it is
				accessible to other SHIN-NY participants authorized to access the patient
				information and that the SHINNY participant has the technical capacity to
				access the patient information of other SHIN-NY participants when authorized to
				do so, consistent with the SHIN-NY policy guidance under subdivision (b) of
				section 300.3 of this Part.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter IV - Health Information Systems › Part 350 - All Payer Database (APD) › Section 350.1 - Definitions

Current through Register Vol. 46, No. 28, July 10, 2024
For the purposes of this Part, these terms shall have the
				  following meanings:
(a) All Payer
				Database" or "APD" means the health care database maintained by the Department
				or its contractor that contains APD data.
(b) "APD data" means covered person data,
				claims data, and any other such data contained within standard transactions for
				Electronic Data Interchange (EDI) of health care data adopted by the X12
				standards organization, the National Council for Prescription Drug Programs
				(NCPDP) standards organization, any other organizations designated by the
				federal Department and Human Services to develop and maintain standard
				transactions for EDI of health care data, as provided in sect ion 1320d-2 of
				Title 42 of the United States Code (USC) or any other federal law, or any other
				format designated by the Department for the collection of such data.
(c) "Claims data" means:
(1) Benefits and coverage data - data
				specifying the benefits and coverage available to a covered person, such as
				cost-sharing provisions and coverage limitations and exceptions;
(2) Health care provider network data - data
				related to the health care provider and service networks associated with
				third-party health care payer plans and products, such as the services offered,
				panel size, licensing/certification, National Provider Identifier(s),
				demographics, locations, accessibility, office hours, languages spoken, and
				contact information;
(3)
				Post-adjudicated claims data - data related to health care claims, including
				payment data, that has been adjudicated by a third-party health care payer,
				such as the data included in the X12 Post Adjudicated Claims Data Reporting and
				the NCPDP Post Adjudication Standard transactions; and
(4) Other health care payment data, such as
				value based payment in- formation, as determined by the Department.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter IV - Health Information Systems › Part 350 - All Payer Database (APD) › Section 350.2 - APD data submission

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
				Third-party health care payers shall submit complete, accurate, and timely APD
				data to the Department, pursuant to the submission specifications.
(b) The Department shall consult with the
				Department of Financial Services and third-party health care payers before
				issuing any submission specifications.
(c) The Department shall set a compliance
				date of at least 120 days from the date that new or revised submission
				specifications are issued.
(d)
				Third-party health care payers shall submit APD data in a n electronic,
				computer-readable format through a secure electronic network of the Department
				or its designated administrator on a monthly basis, or more frequently, as
				specified in the submission specifications.
(e) Third-party health care payers shall
				submit at least 95 percent of APD data within 60 days from the end of the month
				that the adjudicated claims were paid.
(f) Third-party health care payers shall
				submit 100 percent of APD data within 180 days from the end of the month of the
				adjudicated claims being submitted for payment.
(g) The Department may audit APD data
				submitted by third-party health care payers to evaluate the quality,
				timeliness, and completeness of the data. The Department may issue an audit
				report or statement of deficiencies listing any inadequacies or inconsistencies
				in the APD data submitted and requiring corrective actions. Any third-party
				health care payer that receives an audit report or statement of deficiencies
				shall submit a plan of correction to the Department within 30 days from the
				date of receipt of the audit report or statement of deficiencies. Third-party
				heath care payers shall be in full compliance with APD data submission
				specifications and the plan of correction within 90 days from the date of
				submission of the plan of correction.
(h) A third-party health care payer may
				submit a written request to the Department for an extension, variance, or
				waiver of APD data submission specifications requirements. The written request
				shall include: the specific requirement to be extended, varied, or waived; an
				explanation of the reason or cause; the methodology proposed to eliminate the
				need for future extension, variance, or waiver; and the time frame required to
				come into compliance. The Department shall respond to such requests as soon as
				practicable.
(i) Any third-party
				health care payer that violates this section shall be liable pursuant to the
				provisions of the Public Health Law, including, but not limited to, sections
				12 and
				12-d of the
				Public Health Law, and applicable sections of New York State Insurance Law and
				regulations.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter IV - Health Information Systems › Part 350 - All Payer Database (APD) › Section 350.3 - APD data release

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The
				Department shall implement quality control and validation processes to provide
				reasonable assurance that APD data released to the public is complete,
				accurate, and valid. The Department shall adhere to applicable State and
				federal laws, regulations, and policies on release of Medicare and Medicaid
				data.
(b) Upon reasonable assurance
				that subdivision (a) has been satisfied, the Department may release data in the
				following manner:
(1) De-identified and/or
				aggregated APD data of a public use nature may be posted to a consumer-facing
				website.
(2) APD data, including
				data with identifying data elements, may be released to a New York State agency
				or the federal government in a manner that appropriately safeguards the
				privacy, confidentiality, and security of the data.
(3) APD data, including data with identifying
				data elements, may be released to other data users that have met the
				Department's requirements for maintaining security, privacy, and
				confidentiality and have approved data use agreements with the
				Department.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter IV - Health Information Systems › Part 350 - All Payer Database (APD) › Section 350.4 - APD advisory group

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The
				Department may establish an advisory group to provide recommendations on any or
				all of the following areas: submission specifications, patient privacy and
				confidentiality, data release, data aggregation, and security.
(b) The Department may accept, reject, or
				amend recommendations, in whole or in part, from the advisory group.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter IV - Health Information Systems › Part 350 - All Payer Database (APD) › Section 350.5 - APD guidance

Current through Register Vol. 46, No. 28, July 10, 2024
The Department shall make guidance available on its website
				  that includes:
(a) APD submissions
				specifications, including the data standards used and the method for reporting
				to the Department. Submission specifications shall be developed with a goal of
				minimizing burden on health care providers and third-party health care payers,
				including utilization of nationally standardized file formats where available
				and feasible.
(b) APD data access
				and release policy, including security and usage requirements to become a data
				user; requirements for maintaining privacy, confidentiality, and security; and
				data release fee information. Data access and release requirements shall
				include restrictions on the release of any information that could be used,
				alone or in combination with other reasonably available information, to
				identify an individual who is a subject of the information, as well as
				procedures for request of identifying data elements, including the project
				application process established pursuant to subdivision (d) of section
				350.3 of this Part.
(c) Program operations policy, including
				program purpose, scope and objectives, and general governance.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter IV - Health Information Systems › Part 360 - Surge and Flex System › Section 360.4 - Clinical laboratory testing

Current through Register Vol. 46, No. 28, July 10, 2024
(a) In the event of
				a declared state disaster emergency, the Commissioner shall have all necessary
				authority to:
(1) Authorize clinical
				laboratories to operate temporary collecting stations to collect specimens from
				individuals.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 1 - General › Part 400 - All Facilities-General Requirements › Section 400.1 - Title and applicability

Current through Register Vol. 46, No. 28, July 10, 2024
(a) This
					 Subchapter shall be known and may be cited as "Medical Facilities--Minimum
					 Standards," and shall apply to medical facilities defined as hospitals within
					 article 28 of the Public Health Law. The standards within a particular article
					 shall constitute the minimum standards for the identified medical facility in
					 addition to those standards that may apply to such facilities as set forth in
					 Articles 1 and 3 of this Subchapter as applicable.
(b) During the period of a state disaster
					 emergency declared pursuant to section
					 28 of the
					 Executive Law, the State Commissioner of Health or their designee may suspend
					 or modify any provision, of parts thereof, of this Subchapter, that is not
					 otherwise required by state statute or federal law, if compliance with such
					 provisions, or parts thereof, would prevent, hinder, or delay action necessary
					 to cope with the state disaster emergency, or if necessary to assist or aid in
					 coping with such disaster. Such suspension or modifications may include any
					 modifications of regulation, exceptions, limitations or other conditions as the
					 Commissioner or their designee deems appropriate and necessary to respond to
					 the disaster emergency. Provided, further, that should the Governor declare a
					 state disaster emergency pursuant to section
					 28 of the
					 Executive Law, which suspends or otherwise modifies state statutes pursuant to
					 the Governor's authority under section
					 29-a of the
					 Executive Law, the Commissioner or their designee may suspend or modify any
					 provision of any regulation that is consistent with the statutory authority as
					 modified or suspended, for the period of such suspension or
					 modification.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 1 - General › Part 400 - All Facilities-General Requirements › Section 400.2 - Other laws, codes, rules and regulations

Current through Register Vol. 46, No. 28, July 10, 2024
Medical facilities issued operating certificates or
						certificates of approval shall comply with all pertinent Federal laws and
						regulations enacted pursuant thereto, applicable State law, including the
						Public Health Law and the Mental Hygiene Law and codes, rules and regulations
						having general application.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 1 - General › Part 400 - All Facilities-General Requirements › Section 400.3 - Inspection, reproduction and reports

Current through Register Vol. 46, No. 28, July 10, 2024
(a) The commissioner or his authorized
					 representative may inspect, reproduce, require reproduction of or require
					 reports on:
(1) any medical facility record,
					 report or other written document or report to or from an inspecting,
					 accrediting or certifying body which he may require for the purpose of
					 conducting cost analyses and studies of standards and procedures relating to
					 operating certificates, or certificates of approval under the provisions of the
					 Public Health Law; and
(2) any
					 patient medical record, clinical log or other patient record which he may
					 require for the purpose of conducting medical audits under the provisions of
					 paragraph (j) of subdivision 1 of section
					 206 and
					 article 28 of the Public Health Law; and
(3) the disclosure of any interest in the
					 operation of a medical facility or any interest in the ownership of the
					 property interests in a medical facility which he may require for the purpose
					 of conducting an analysis of the operation of medical facilities and standards
					 and procedures relating to operating certificates under the provisions of the
					 Public Health Law; and
(4) such
					 other medical facility records as may be required.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 1 - General › Part 400 - All Facilities-General Requirements › Section 400.4 - Contracts

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Contracts to
					 perform any services for a medical facility issued an operating certificate or
					 certificate of approval shall:
(1) be in
					 writing, signed by an authorized representative of the facility and the person
					 or agency providing the service and dated;
(2) include each party's responsibilities,
					 functions, objectives, financial arrangements and charges;
(3) require compliance with all pertinent
					 provisions of this Chapter;
(4)
					 include the following language: "Notwithstanding any other provision in this
					 contract, the facility remains responsible for ensuring that any service
					 provided pursuant to this contract complies with all pertinent provisions of
					 Federal, State and local statutes, rules and regulations."
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 1 - General › Part 400 - All Facilities-General Requirements › Section 400.5 - Statements or bills for health services

Current through Register Vol. 46, No. 28, July 10, 2024
Statements or bills for patient health services rendered
						in a hospital or by a home health agency as defined in article 28 of the Public
						Health Law shall:
(a) indicate the
					 nature of the service for which a charge is being made;
(b) indicate that professional or other
					 services not provided by the hospital, or by the home health agency for which a
					 charge is not included, may be billed independently; and
(c) be rendered to a patient or the patient's
					 legal representative without charge.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 1 - General › Part 400 - All Facilities-General Requirements › Section 400.6 - Identification of personnel delivering health care services

Current through Register Vol. 46, No. 28, July 10, 2024
All employed personnel, including paraprofessionals and
						volunteers, who deliver health care services in a medical facility shall be
						clearly and readily identified as to professional function by means of an
						insignia or other device worn on his or her person.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 1 - General › Part 400 - All Facilities-General Requirements › Section 400.7 - Facility participation in title XVIII program

Current through Register Vol. 46, No. 28, July 10, 2024
Every facility that provides a service which is
						reimbursable under the provisions of title XVIII of the Social Security Act
						shall make application to be an approved provider of such services pursuant to
						such title. If approved, the facility shall participate in such program and
						make appropriate claims for payment in any instance in which a patient is
						eligible for benefits under such program.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 1 - General › Part 400 - All Facilities-General Requirements › Section 400.8 - Exception, construction standards

Current through Register Vol. 46, No. 28, July 10, 2024
The standards set forth in this Subchapter, to the extent
						they constitute construction standards, shall not apply. Medical facilities
						shall comply with the construction standards contained in Article 2 of
						Subchapter C of this Chapter (State Hospital Code).
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 1 - General › Part 400 - All Facilities-General Requirements › Section 400.9 - Transfer and affiliation agreements

Current through Register Vol. 46, No. 28, July 10, 2024
Effective January 1, 1970 the admission, discharge or
						transfer of any patient or resident from each facility having an operating
						certificate under the provisions of any Article of Subchapter C of this Chapter
						to a facility issued an operating certificate under any other Article of
						Subchapter C of this Chapter or to a certified home health agency shall conform
						to the following provisions:
(a) The
					 governing authority or operator of each such facility shall have in effect a
					 transfer and/or affiliation agreement acceptable to the department with:
(1) one or more facilities having a valid
					 operating certificate under Articles 2, 4 and 5 of this Subchapter and located
					 in or near the same community; and
(2) one or more home health agencies
					 certified by the department and serving a geographic area of coverage
					 appropriate to the area of coverage of this facility.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 1 - General › Part 400 - All Facilities-General Requirements › Section 400.10 - Health provider network access and reporting requirements

Current through Register Vol. 46, No. 28, July 10, 2024
The operator of a facility shall obtain from the
						department's health provider network (HPN), HPN accounts for each facility he
						or she operates and ensure that sufficient, knowledgeable staff will be
						available to and shall maintain and keep current such accounts. At a minimum,
						24-hour, seven-day-a-week contacts for emergency communication and alerts must
						be designated by each facility in the HPN communications directory. A policy
						defining the facility's HPN coverage consistent with the facility's hours of
						operation, shall be created and reviewed by the facility no less than annually.
						Maintenance of each facility's HPN accounts shall consist of, at a minimum, the
						following:
(a) sufficient designation
					 of the facility's HPN coordinator(s) to allow for HPN individual user
					 application;
(b) designation by the
					 facility operator of sufficient staff users of the HPN accounts to ensure rapid
					 response to requests for information by the State and/or local Department of
					 Health;
(c) adherence to the
					 requirements of the HPN user contract; and
(d) current and complete updates of the
					 communications directory reflecting changes that include, but are not limited
					 to, general information and personnel role changes as soon as they occur, and
					 at a minimum, on a monthly basis.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 1 - General › Part 400 - All Facilities-General Requirements › Section 400.11 - Assessment of long-term care patients

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
(1) For
					 patients who require placement or continued stay in a nursing home or health-
					 related facility, the Hospital/Community PRI or the PRI, as appropriate, shall
					 be completed by a registered professional nurse who has successfully completed
					 a training program in patient case mix assessment approved by the department to
					 train individuals in the completion of the patient review form (PRI) as
					 contained in section
					 86-2.30(i) of
					 this Title, or the Hospital/Community patient review form (Hospital/Community
					 PRI) as contained in section
					 400.13 of this Part, and for
					 patients who require placement or continued stay in a nursing home or a
					 health-related facility, the SCREEN shall be completed by a professional with
					 demonstrated skills in assessing psychosocial situations, including but not
					 limited to social work and discharge planning professionals, who has
					 successfully completed a training program in patient case mix screening
					 approved by the department to train individuals in the completion of the
					 patient screening form (SCREEN), as contained in section
					 400.12 of this Part.
(2) Each general hospital shall have on staff
					 trained and qualified screener(s) and assessor(s) in such numbers as specified
					 in section
					 85.8(c)(1)(ii) of
					 this Title, who shall be responsible for and attest to the accuracy of
					 Hospital/Community PRI's, PRI's, and SCREEN's, as contained in sections
					 400.13,
					 86-2.30(i)  and
					 400.12 of this Title,
					 respectively. Each residential health care facility shall have on staff trained
					 and qualified screener(s) and assessor(s) who shall be responsible for and
					 attest to the accuracy of PRI's and SCREEN's.
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 1 - General › Part 400 - All Facilities-General Requirements › Section 400.12 - Level of care criteria

Current through Register Vol. 46, No. 28, July 10, 2024
(a)
New York State criteria for level of care.
(1) Minimum qualification for residential
					 health care facility care: The patient is qualified for residential health care
					 facility care and such care is consistent with all applicable Federal
					 requirements as documented on the patient screening instrument
					 (SCREEN).
(2) Skilled nursing
					 facility care.
Patients in the following resource utilization groups
						meet the requirements for skilled nursing facility level of care:
Special Care A
Special Care B
Heavy Rehabilitation A
Heavy Rehabilitation B
Clinically Complex A
Clinically Complex B
Clinically Complex C
Clinically Complex D
Severe Behavioral A
Severe Behavioral B
Severe Behavioral C
Reduced Physical Functioning A
Reduced Physical Functioning B
Reduced Physical Functioning C
Reduced Physical Functioning D
Reduced Physical Functioning E
The SCREEN Form DOH 695 shall be maintained by the
						department, in such form and format as prescribed by the department in
						compliance with Federal Law, and shall be accessible at:
http://www.health.state.ny.us/forms/
New York Codes, Rules and Regulations › Title 10 - DEPARTMENT OF HEALTH › Chapter V - Medical Facilities › Subchapter A - Medical Facilities-minimum Standards › Article 1 - General › Part 400 - All Facilities-General Requirements › Section 400.14 - Request for patient review instrument (PRI) data

Current through Register Vol. 46, No. 28, July 10, 2024
(a) For purposes of this section,
PRI
					 data
shall mean that data submitted by a residential health care
					 facility on the PRI forms submitted pursuant to section
					 86-2.30 of this Part.
(b) All requests for PRI data shall be
					 processed pursuant to section
					 400.18 of this Part.