Laws of New York (Last Updated: November 21, 2014) |
PBH Public Health |
Article 25. MATERNAL AND CHILD HEALTH |
Title 2. PRENATAL CARE |
Section 2529. Prenatal care assistance program; eligibility
Latest version.
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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.