18 CRR-NY 521.1NY-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 521. PROVIDER COMPLIANCE PROGRAMS
18 CRR-NY 521.1
18 CRR-NY 521.1
521.1 General requirements and scope.
To be eligible to receive medical assistance payments for care, services, or supplies, or to be eligible to submit claims for care, services, or supplies for or on behalf of another person, the following persons shall adopt and implement effective compliance programs:
(a) persons subject to the provisions of article 28 or 36 of the Public Health Law;
(b) persons subject to the provisions of article 16 or 31 of the Mental Hygiene Law; or
(c) other persons, providers or affiliates who provide care, services or supplies under the Medical Assistance Program or persons who submit claims for care, services, or supplies for or on behalf of another person for which the Medical Assistance Program is or should be reasonably expected by a provider to be a substantial portion of their business operations.
18 CRR-NY 521.1
Current through July 31, 2021
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