18 CRR-NY 360-10.2NY-CRR

OFFICIAL COMPILATION OF CODES, RULES AND REGULATIONS OF THE STATE OF NEW YORK
TITLE 18. DEPARTMENT OF SOCIAL SERVICES
CHAPTER II. REGULATIONS OF THE DEPARTMENT OF SOCIAL SERVICES
SUBCHAPTER B. PUBLIC ASSISTANCE
ARTICLE 2. DETERMINATION OF ELIGIBILITY—CATEGORICAL
PART 360. MEDICAL ASSISTANCE
SUBPART 360-10. MEDICAID MANAGED CARE PROGRAMS
18 CRR-NY 360-10.2
18 CRR-NY 360-10.2
360-10.2 Scope.
This Subpart describes:
(a) individuals required to enroll in an MMCO;
(b) individuals exempt or excluded from enrollment in an MMCO;
(c) good cause reasons for permitting an enrollee to change or disenroll from an MMCO;
(d) good cause reasons for permitting an enrollee to change primary care providers (PCPs);
(e) the fair hearing rights for managed care enrollees;
(f) marketing/outreach requirements for MMCOs;
(g) MMCO unacceptable practices;
(h) MMCO sanctions and due process.
18 CRR-NY 360-10.2
Current through May 15, 2021
End of Document