ยง 365-b. Local medical plans: professional directors. 1. A local
social services medical plan shall be developed and maintained by each
social services district under the guidance or direction of a
professional director. Such plan shall conform to the regulations of the
department and shall be submitted to the department and the state
department of health for review, certification and approval pursuant to
the regulations of the department and this title.
2. The commissioner of social services of each social services
district shall appoint a person, possessing the qualifications
established by the public health and health planning council and
promulgated by the department pursuant to section three hundred
sixty-four of this title, to serve on a full or part-time basis. Each
professional director shall serve under the general direction of the
commissioner of social services and shall have the responsibility for
supervising the program of medical assistance for needy persons in his
social services district, pursuant to the regulations of the department.
The state commissioner of health may authorize two or more social
services districts to appoint the same person to serve as professional
director in each of such districts.
3. In addition to any other duty or responsibility which may be
assigned or delegated pursuant to law or regulation, each professional
director shall be responsible for monitoring the professional
activities, directly related to the program, of providers practicing in
his social services district, and shall take all steps required or
authorized by law or regulation to ensure that such activities are in
compliance with the provisions of this chapter, the public health law
and regulations promulgated thereunder, and do not violate the
provisions of section sixty-five hundred nine of the education law or
regulations promulgated pursuant thereto.
4. For purposes of this section "provider" shall mean any person
receiving payment under this title.
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.