10 CRR-NY 47-2.5NY-CRR
STATE COMPILATION OF CODES, RULES AND REGULATIONS OF THE STATE OF NEW YORK
TITLE 10. DEPARTMENT OF HEALTH
CHAPTER II. ADMINISTRATIVE RULES AND REGULATIONS
SUBCHAPTER B. STATE AID AND FUNDING
PART 47. NEW YORK STATE HEALTH SERVICE CORPS/OBSTETRIC AND PEDIATRIC PRACTITIONER INCENTIVE DEMONSTRATION PROGRAM
SUBPART 47-2. OBSTETRIC AND PEDIATRIC PRACTITIONER INCENTIVE DEMONSTRATION PROGRAM
10 CRR-NY 47-2.5
10 CRR-NY 47-2.5
47-2.5 Selection of contractors.
(a) Process.
Contractors shall be selected based on the criteria described in subdivisions (b) and (c) of this section to the extent funds are available for contracts; however, a practitioner who is not eligible to enroll in the medical assistance program as a Medicaid provider or who is under suspension, exclusion or involuntary withdrawal from participation in the medical assistance program shall not be eligible for a contract under this Part.
(b) Preference.
Preference shall be given to practitioners in the following categories in the order of listing:
(1) An additional service obstetric practitioner who has had a contract, satisfactorily met the contract's terms and conditions, and is requesting a second contract.
(2) A new pediatric practitioner who has a new pediatric practitioner contract, satisfactorily met the contract's terms and conditions, and is requesting a second contract.
(3) An additional service obstetric practitioner applying for an initial contract.
(4) A new pediatric practitioner applying for an initial contract.
(5) A disproportionate share obstetric practitioner applying for an initial or additional contract.
(c) Selection criteria.
If funds available for the program are not sufficient to cover all eligible applicants within a category listed in subdivision (b) of this section, then applicants within that category shall be reviewed competitively using the following criteria:
(1) the extent of the practitioner's potential contribution towards increasing covered services available to the target population;
(2) the need for covered services to the target population in the designated area or location;
(3) in the case of an obstetric practitioner, the extent of participation in the New York State Department of Health Prenatal Care Assistance Program;
(4) the extent of participation in a Medicaid managed care program if there is a New York State Department of Social Services approved program in the social services district; and
(5) the demonstrated commitment of the applicant to serve the target population and the education, training or other experience of the applicant to provide obstetric or pediatric services to the target population.
10 CRR-NY 47-2.5
Current through May 31, 2021
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IMPORTANT NOTE REGARDING CONTENT CURRENCY: The "Current through" date indicated immediately above is the date of the most recently produced official NYCRR supplement covering this rule section. For later updates to this section, if any, please: consult editions of the NYS Register published after this date; or contact the NYS Department of State Division of Administrative Rules at [email protected]. See Help for additional information on the currency of this unofficial version of NYS Rules.