N.Y. Social Services Law Section 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.

Source: Section 364-D — Medical assistance research and demonstration projects, https://www.­nysenate.­gov/legislation/laws/SOS/364-D (updated Sep. 22, 2014; accessed Dec. 21, 2024).

363
Declaration of objects
363‑A
Federal aid
363‑B
Agreements for federal determination of eligibility of aged, blind and disabled persons for medical assistance
363‑C
Medicaid management
363‑D
Provider compliance program
363‑E
Medicaid plan, applications for waivers and plan amendments
363‑F
Electronic visit verification for personal care and home health providers
364
Responsibility for standards
364‑A
Cooperation of state departments
364‑B
Residential and medical care placement demonstration projects
364‑C
National long term care channeling demonstration project
364‑D
Medical assistance research and demonstration projects
364‑E
Aid to families with dependent children homemaker/home health aide demonstration projects
364‑F
Primary care case management programs
364‑G
Medical assistance capitation rate demonstration project
364‑H
Foster family care demonstration programs for elderly or disabled persons
364‑I
Medical assistance presumptive eligibility program
364‑J
Managed care programs
364‑J‑2
Transitional supplemental payments
364‑JJ
Special advisory review panel on Medicaid managed care
364‑KK
Condition of Participation
364‑M
Statewide patient centered medical home program
364‑N
Diabetes and chronic disease self-management pilot program
365
Responsibility for assistance
365‑A
Character and adequacy of assistance
365‑B
Local medical plans: professional directors
365‑C
Medical advisory committee
365‑D
Medicaid evidence based benefit review advisory committee
365‑E
Optional or continued membership in entities offering comprehensive health services plans
365‑F
Consumer directed personal assistance program
365‑G
Utilization review for certain care, services and supplies
365‑H
Provision and reimbursement of transportation costs
365‑J
Advisory opinions
365‑K
Provision of prenatal care services
365‑L
Health homes
365‑M
Administration and management of behavioral health services
365‑N
Department of health assumption of program administration
365‑O
Provision and coverage of services for living organ donors
365‑P
Doulas for Medicaid
366
Eligibility
366‑A
Applications for assistance
366‑B
Penalties for fraudulent practices
366‑C
Treatment of income and resources of institutionalized persons
366‑D
Medical assistance provider
366‑E
Certified home health agency medicare billing
366‑F
Persons acting in concert with a medical assistance provider
366‑G
Newborn enrollment for medical assistance
366‑H
Automated system
366‑I
Long-term care financing demonstration program
367
Authorization for hospital care
367‑A
Payments
367‑B
Medical assistance information and payment system
367‑C
Payment for long term home health care programs
367‑D
Personal care need determination
367‑E
Payment for AIDS home care programs
367‑F
Partnership for long term care program
367‑G
Authorization and provision of personal emergency response services
367‑H
Payment for assisted living programs
367‑I
Personal care services provider assessments
367‑O
Health insurance demonstration programs
367‑P
Responsibilities of local districts for personal care services, home care services and private duty nursing
367‑P*2
Payment for limited home care services agencies
367‑Q
Personal care services worker recruitment and retention program
367‑R
Private duty nursing services worker recruitment and retention program
367‑S
Long term care demonstration program
367‑S*2
Emergency medical transportation services
367‑T
Payment for emergency physician services
367‑U
Payment for home telehealth services
367‑V
County long-term care financing demonstration program
367‑W
Health care and mental hygiene worker bonuses
367‑X
Payment for violence prevention programs
367‑Y
Reimbursement for treatment in place and transportation to alternative health care settings
368
Quarterly estimates
368‑A
State reimbursement
368‑B
State reimbursement to local health districts
368‑C
Audit of state rates of payment to providers of health care services
368‑D
Reimbursement to public school districts and state operated/state supported schools which operate pursuant to article eighty-five, eighty...
368‑E
Reimbursement to counties for pre-school children with handicapping conditions
368‑F
Reimbursement of costs under the early intervention program
369
Application of other provisions

Accessed:
Dec. 21, 2024

Last modified:
Sep. 22, 2014

§ 364-D’s source at nysenate​.gov

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