New York Laws
Title 11 - Medical Assistance for Needy Persons
365-L - Health Homes.

(a) can demonstrate experience in the delivery of health, and mental
health and/or alcohol and substance abuse services and/or services to
persons with developmental disabilities, and the capacity to offer
integrated delivery of such services in each location approved by the
commissioner; and
(b) meet the standards established pursuant to subdivision one of this
section for providing and receiving payment for health home services;
provided, however, that an entity meeting the standards established
pursuant to subdivision one of this section shall not be required to be
an integrated service provider pursuant to this subdivision.
In establishing a single set of operating and reporting requirements
and a single set of construction and survey requirements for entities
described in this subdivision, the commissioners of the department of
health, the office of mental health, the office for people with
developmental disabilities, and the office of alcoholism and substance
abuse services are authorized to waive any regulatory requirements as
are necessary to avoid duplication of requirements and to allow the
integrated delivery of services in a rational and efficient manner.
8. (a) The commissioner of health is authorized to contract with one
or more entities to assist the state in implementing the provisions of

this section. Such entity or entities shall be the same entity or
entities chosen to assist in the implementation of the multipayor
patient centered medical home program pursuant to section twenty-nine
hundred fifty-nine-a of the public health law. Responsibilities of the
contractor shall include but not be limited to: developing
recommendations with respect to program policy, reimbursement, system
requirements, reporting requirements, evaluation protocols, and provider
and patient enrollment; providing technical assistance to potential
medical home and health home providers; data collection; data sharing;
program evaluation, and preparation of reports.
(b) Notwithstanding any inconsistent provision of sections one hundred
twelve and one hundred sixty-three of the state finance law, or section
one hundred forty-two of the economic development law, or any other law,
the commissioner of health is authorized to enter into a contract or
contracts under paragraph (a) of this subdivision without a competitive
bid or request for proposal process, provided, however, that:
(i) The department of health shall post on its website, for a period
of no less than thirty days:
(1) A description of the proposed services to be provided pursuant to
the contract or contracts;
(2) The criteria for selection of a contractor or contractors;
(3) The period of time during which a prospective contractor may seek
selection, which shall be no less than thirty days after such
information is first posted on the website; and
(4) The manner by which a prospective contractor may seek such
selection, which may include submission by electronic means;
(ii) All reasonable and responsive submissions that are received from
prospective contractors in timely fashion shall be reviewed by the
commissioner of health; and
(iii) The commissioner of health shall select such contractor or
contractors that, in his or her discretion, are best suited to serve the
purposes of this section.
9. The contract entered into by the commissioner of health prior to
January first, two thousand thirteen pursuant to subdivision eight of
this section may be amended or modified without the need for a
competitive bid or request for proposal process, and without regard to
the provisions of sections one hundred twelve and one hundred
sixty-three of the state finance law, section one hundred forty-two of
the economic development law, or any other provision of law, excepting
the responsible vendor requirements of the state finance law, including,
but not limited to, sections one hundred sixty-three and one hundred
thirty-nine-k of the state finance law, to allow the purchase of
additional personnel and services, subject to available funding, for the
limited purpose of assisting the department of health with implementing
the Balancing Incentive Program, the Fully Integrated Duals Advantage
Program, the Vital Access Provider Program, the Medicaid waiver
amendment associated with the public hospital transformation, the
addition of behavioral health services as a managed care plan benefit,
the delivery system reform incentive payment plan, activities to
facilitate the transition of vulnerable populations to managed care
and/or any workgroups required to be established by the chapter of the
laws of two thousand thirteen that added this subdivision. The
department is authorized to extend such contract for a period of one
year, without a competitive bid or request for proposal process, upon
determination that the existing contractor is qualified to continue to
provide such services; provided, however, that the department of health
shall submit a request for applications for such contract during the
time period specified in this subdivision and may terminate the contract

identified herein prior to expiration of the extension authorized by
this subdivision.

Structure New York Laws

New York Laws

SOS - Social Services

Article 5 - Assistance and Care

Title 11 - Medical Assistance for Needy Persons

363 - Declaration of Objects.

363-A - Federal Aid; State Plan.

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; Public Disclosure.

363-E*2 - Preclaim Review for Participating Providers of Medical Assistance Program Services and Items.

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.

366 - Eligibility.

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-A - Payments; Insurance.

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.

368 - Quarterly Estimates.

368-A - State Reimbursement.

368-B - State Reimbursement to Local Health Districts; Chargebacks.

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-Seven or Eig

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.