N.Y. Social Services Law Section 367-Y
Reimbursement for treatment in place and transportation to alternative health care settings


1.

Notwithstanding any provision of law to the contrary, any provision of this title providing for reimbursement of transportation costs for an ambulance service shall also apply where, instead of providing transportation to a general hospital, such ambulance service when responding to an emergency call:

(a)

Administers treatment in place, including but not limited to telehealth visits approved by Medicaid for reimbursement when deemed necessary; and/or (b) Transports an individual to an alternative health care setting.

2.

For the purposes of this section, the following terms shall have the following meanings:

(a)

“Alternative health care setting” means the following facilities or institutions approved by Medicaid for reimbursement and accepting Medicaid recipients:

(i)

a crisis stabilization center or certified community behavioral health clinic operating pursuant to article thirty-six of the mental hygiene law;

(ii)

a facility under section 7.17 of the mental hygiene law;

(iii)

a facility providing addiction disorder services or behavioral health services, as such terms are defined by section 1.03 of the mental hygiene law;

(iv)

a diagnostic and treatment center established pursuant to article twenty-eight of the public health law, or an upgraded diagnostic and treatment center designated as such pursuant to Public Health Law § 2956 (Designation of upgraded diagnostic and treatment centers)section twenty-nine hundred fifty-six of the public health law;

(v)

a federally qualified health center; or

(vi)

an urgent care center, which for the purposes of this section shall mean a facility that provides episodic care related to an acute illness or minor traumas that are not life-threatening or permanently disabling.

(b)

“Ambulance service” shall have the same meaning as defined by Public Health Law § 3001 (Definitions)section three thousand one of the public health law.

(c)

“General hospital” shall have the same meaning as defined by Public Health Law § 2801 (Definitions)section twenty-eight hundred one of the public health law.

(d)

“Treatment in place” means the administration of emergency medical services, as defined by Public Health Law § 3001 (Definitions)section three thousand one of the public health law, by an employee or volunteer of an ambulance service. Such services shall be consistent with protocols promulgated pursuant to article thirty of the public health law.

3.

This section shall be effective if, and as long as, federal financial participation is available therefor.

4.

Nothing in this section shall be deemed to allow a person to provide any service for which a license, registration, certification or other authorization under title eight of the education law is required and which the person does not possess.

Source: Section 367-Y — Reimbursement for treatment in place and transportation to alternative health care settings, https://www.­nysenate.­gov/legislation/laws/SOS/367-Y (updated Oct. 4, 2024; 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:
Oct. 4, 2024

§ 367-Y’s source at nysenate​.gov

Link Style