18 CRR-NY 635.5NY-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 F. FINANCE; CLAIMS FOR REIMBURSEMENT BY SOCIAL SERVICES DISTRICTS
ARTICLE 4. SUPPLEMENTARY ASSISTANCE REIMBURSEMENT CLAIMING
PART 635. MEDICAL ASSISTANCE REIMBURSEMENT CLAIMING
18 CRR-NY 635.5
18 CRR-NY 635.5
635.5 Federal participation in payments for MA.
(a) Payments for medical care, services and supplies shall not be eligible for Federal participation if the recipient was not eligible for MA in the period during which care, services and supplies were received.
(b) The determination of eligibility for Federal participation in the cost of medical care, services and/or supplies rendered to recipients shall be made by the local social services districts prior to submission of any claim for reimbursement.
(c)
(1) Federal reimbursement for expenditures allocable to medical services provided by or in private child-caring institutions and agencies is available on the basis of a per capita, per diem rate established by the department, based upon medical cost reports submitted by such instructions and agencies.
(2) Federal reimbursement is also available for expenditures made by local social services districts to hospitals for hospital care provided to children placed in private nonmedical institutions or agencies.
18 CRR-NY 635.5
Current through July 31, 2021
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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.