ยง 364-kk. Condition of Participation. 1. Notwithstanding any provision
of law to the contrary, in addition to the requirements for
participation in the medical assistance program as may be required to be
met by nursing facilities and assisted living programs, such facilities
and programs, adult homes and enriched housing programs receiving
payment under this chapter shall enter into arrangements with social
services districts to admit, on a priority basis, a number of
individuals eligible to have medical assistance paid on their behalf who
are otherwise appropriate for nursing facility or other long-term
residential care, as described in this section, and whose health and
safety reasonably cannot be maintained in their own homes by the
provision of personal care services, home health services, or other home
and community-based services, as determined by the local social services
official pursuant to standards promulgated by the department pursuant to
section three hundred sixty-seven-m of this chapter.
2. The department shall by regulation establish a method or formula
for determining a fair and equitable distribution of priority admissions
under this section in order that all providers of nursing home and
long-term residential care services share the responsibility for
accepting placements required under subdivision one hereof, and accept
such placements, and that no one provider of nursing facility or
long-term residential care, group or classification thereof is required
to accept a number of such placements as would jeopardize the
profitability or viability of such provider, group of providers or
classification of providers, or as would otherwise unduly burden or
impair the operation, character or continuation of such provider, group
of providers, or classification of provider.
3. The commissioners of health and social services shall monitor the
implementation of this section and, on or before March first, nineteen
hundred ninety-six, report to the governor and legislature on such
implementation and the effects thereof and shall include recommendations
for continuation or other modifications to the provisions of this
section.
Structure New York Laws
Article 5 - Assistance and Care
Title 11 - Medical Assistance for Needy Persons
363-A - Federal Aid; State Plan.
363-D - Provider Compliance Program.
363-E - Medicaid Plan, Applications for Waivers and Plan Amendments; Public Disclosure.
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-K - Provision of Prenatal Care Services.
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.
366-A - Applications for Assistance; Investigations; Reconsideration.
366-B - Penalties for Fraudulent Practices.
366-C - Treatment of Income and Resources of Institutionalized Persons.
366-D - Medical Assistance Provider; Prohibited Practices.
366-E - Certified Home Health Agency Medicare Billing.
366-F - Persons Acting in Concert With a Medical Assistance Provider; Prohibited Practices.
366-G - Newborn Enrollment for Medical Assistance.
366-H - Automated System; Established.
366-I - Long-Term Care Financing Demonstration Program.
367 - Authorization for Hospital Care.
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*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.
368-B - State Reimbursement to Local Health Districts; Chargebacks.
368-C - Audit of State Rates of Payment to Providers of Health Care Services.
368-E - Reimbursement to Counties for Pre-School Children With Handicapping Conditions.
368-F - Reimbursement of Costs Under the Early Intervention Program.