Section 364-D. Medical assistance research and demonstration projects  


Latest version.
  • 1.
      The department is authorized to sponsor, conduct and participate in  the
      following  research  and  demonstration  projects:  "Eldercare: A Social
      Health Maintenance Organization", "New York  State  Alcoholism  Services
      Demonstration",  and  "Physician Reimbursement and Continuing Care Under
      Medicaid",  for  the  purpose  of  testing   the   use   of   innovative
      administrative techniques, new reimbursement methods, and changes in the
      scope  of  benefits,  so  as  to promote a more efficient utilization of
      health resources and  the  containment  of  medical  assistance  program
      costs.  Such  demonstration  projects  may  be  conducted in one or more
      social services districts or portions of such districts.
        2. (a) Social services districts shall be required to  participate  in
      the  operation  of  such  research  and  demonstration  projects  as the
      department may approve. Social services districts shall  cooperate  with
      the  department  in the conduct of such projects whenever the department
      shall request or require such participation or cooperation.
        (b) Notwithstanding any inconsistent provision of law to the contrary,
      expenditures made in connection with any research demonstration  project
      undertaken  pursuant  to the provisions of this section shall be subject
      to state reimbursement under section three hundred sixty-eight-a of this
      title.
        3. The research and demonstration projects undertaken pursuant to  the
      provisions  of  this  section  shall limit the individuals participating
      thereunder to those persons with respect  to  whom  the  department  has
      determined that there is a reasonable expectation that the total cost of
      benefits  under  such  project  would  be  less  than  the total cost of
      benefits for such individual if the research and  demonstration  program
      were not in effect.
        4.  Notwithstanding  any inconsistent provision of this chapter or any
      other law to the contrary, the commissioner may, subject to the approval
      of the director of the budget, approve any or all of  the  research  and
      demonstration projects specified in subdivision one of this section, and
      apply  for the appropriate waivers under federal law and regulation, and
      may waive any of the provisions of this chapter, when such action  would
      be likely to assist in promoting the objectives of this title.
        5.  (a) For each project undertaken pursuant to the provisions of this
      section, the department shall submit an interim report and final  report
      to  the  governor  and  the legislature. The interim report shall be due
      eighteen months after the  date  of  approval  of  the  project  by  the
      department;  the  final  report  shall  be  due at the conclusion of the
      project.
        (b) Such reports shall include a listing of the accomplishments of the
      research and demonstration project, and shall evaluate the progress made
      in achieving the objectives of the project.
        6. This section shall be effective with respect to each such  project,
      other  than  the  "New  York  State  Alcoholism  Services  Demonstration
      Project", if and as long as,  federal  participation  is  available  for
      expenditures  made for such research and demonstration project conducted
      pursuant to the provisions of this section.
        * NB Expired July 22, 1986 - Eldercare: A  Social  Health  Maintenance
      Organization  project  expires December 31, 2011 per chapter 659/97 §88,
      as amended.