18 CRR-NY 513.2NY-CRR

STATE 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 E. MEDICAL CARE
ARTICLE 3. POLICIES AND STANDARDS GOVERNING PROVISION OF MEDICAL AND DENTAL CARE
PART 513. PRIOR APPROVAL OF MEDICAL, DENTAL AND REMEDIAL CARE
18 CRR-NY 513.2
18 CRR-NY 513.2
513.2 Procedure for obtaining prior approval.
(a) When prior approval of medical, dental and remedial care is required, the potential provider must request such approval from the Department of Health using the forms and procedures prescribed by the Department of Health.
(b) The provider manuals of this department detail the forms and procedures for obtaining prior approval. The manuals are provided free of charge to every provider at the time of enrollment in the MA program. Copies of the manuals may be obtained by writing Computer Sciences Corporation, Health and Administrative Services Division, 800 N. Pearl St., Albany, NY 12204. Copies may also be obtained from the Department of Social Services, 45 N. Pearl St., Albany, NY 12243.
(c) A recipient adversely affected by the Department of Health's determination on a request may obtain a fair hearing before an impartial hearing officer employed by this department in accordance with section 513.8 of this Part and Part 358 of this Title.
18 CRR-NY 513.2
Current through July 31, 2021
End of Document

IMPORTANT NOTE REGARDING CONTENT CURRENCY: JULY 31, 2023, 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 Admisnistrative Rules at [email protected]. See Help for additional information on the currency of this unofficial version of the NYS Rules.