Section 2529. Prenatal care assistance program; eligibility  


Latest version.
  • 1.
      Determinations as to who is an  eligible  service  recipient  under  the
      program  shall  be  made  by  the  social  services district wherein the
      applicant resides.
        2. * (a) Any inconsistent provision of law notwithstanding, a pregnant
      woman shall be presumed to be an eligible service recipient beginning on
      the  date  that  a  qualified  provider  determines,  on  the  basis  of
      preliminary information, that the pregnant woman's household income does
      not exceed the applicable income level of eligibility.
        * NB Effective until April 1, 2010
        * (a)  Any  inconsistent  provision of law notwithstanding, a pregnant
      woman shall be presumed to be an eligible service recipient beginning on
      the  date  that  a  qualified  provider  determines,  on  the  basis  of
      preliminary  information, that the pregnant woman's net household income
      does not exceed the applicable income level of eligibility.  Subject  to
      the  approval of the federal Centers for Medicare and Medicaid Services,
      financial eligibility pursuant to this  subdivision  may  be  determined
      using an equivalent methodology based on the family's gross income.
        * NB Effective April 1, 2010
        (b)  Such  presumptive  eligibility shall continue through the earlier
      of:  the day on which eligibility is determined pursuant to this  title,
      or  in  the case of a pregnant woman who does not file an application by
      the last day of the month following the month  in  which  the  qualified
      provider  makes  a  preliminary determination, the last day of the month
      following  the  month  in  which  the   qualified   provider   makes   a
      determination.
        (c)   The  department  of  social  services  shall  provide  qualified
      providers with such forms as are necessary for a pregnant woman to apply
      and information on how to assist such women  in  completing  and  filing
      such  forms.  A qualified provider that determines that a pregnant woman
      is presumptively eligible shall notify the social services  district  in
      which  the  pregnant  woman  resides  of  the  determination within five
      working days after the date on which  such  determination  is  made  and
      shall inform the woman at the time the determination is made that she is
      required  to  make  application  within fourteen calendar days after the
      date on by the last day of the month following the month  in  which  the
      determination is made.
        (d)  Notwithstanding any other provision of law, prenatal care that is
      furnished to a pregnant woman during a presumptive eligibility period by
      a qualified provider shall be deemed as medical assistance for  purposes
      of   payment   and   state  reimbursement.  For  the  purposes  of  this
      subdivision,  the  commissioner  of  social  services  shall   establish
      criteria to be used in determining who may be a qualified provider.