18 CRR-NY 535.2NY-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 4. FEES AND REIMBURSEMENT
PART 535. STATE REIMBURSEMENT FOR PAYMENT TO DENTISTS
18 CRR-NY 535.2
18 CRR-NY 535.2
535.2 Definitions.
[Additional statutory authority: Social Welfare Law, ยง 368-a] When used in this Part, unless otherwise expressly stated or unless the context or subject matter requires a different interpretation, the terms hereinafter set forth shall be interpreted in accordance with the definitions herein provided.
(a) Reimbursement means State reimbursement.
(b) Maximum reimbursable allowance means that portion of the expenditures for any dental service or procedure which shall be subject to reimbursement.
(c) Dentist includes periodontist, endodontist and oral surgeon.
(d) Attending dentist means that dentist who is primarily and continuously responsible for the service or procedures rendered to a patient.
(e) Consultation means advice and counsel from an accredited specialist called in by the attending dentist in regard to the further handling of the case by the attending dentist.
(f) Referral shall mean the transfer of a patient from one dentist to another for definitive treatment.
(g) Anesthesia time means that time elapsing from the beginning of the administration of the anesthetic agent until the anesthetist is no longer in personal attendance.
(h) the notation T means one time unit for each 15 minutes of anesthesia time during in-hospital oral surgery.
(i) By report means that the maximum reimbursable allowance is determined on an individual basis in consideration of the nature, extent and need for the procedure or service, the time, skill and equipment necessary therefor, and such other factors as may be pertinent.
18 CRR-NY 535.2
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.