Section 368-E. Reimbursement to counties for pre-school children with handicapping conditions  


Latest version.
  • 1. The department of health shall review claims
      for expenditures made by counties and the city of New York  for  medical
      care,  services  and  supplies which are furnished to preschool children
      with handicapping conditions or such  preschool  children  suspected  of
      having  handicapping  conditions,  as  such  children are defined in the
      education law. If approved by the department, payment for  such  medical
      care,   services   and   supplies  which  would  otherwise  qualify  for
      reimbursement under this title and which  are  furnished  in  accordance
      with  this title and the regulations of the department to such children,
      shall be made in  accordance  with  the  department's  approved  medical
      assistance  fee  schedules  by  payment  to  such  county  or city which
      furnished the care, services or supplies either directly or by contract.
      Notwithstanding any  provisions  of  law,  rule  or  regulation  to  the
      contrary,  any  clinic or diagnostic and treatment center licensed under
      article twenty-eight of the public health law, which  as  determined  by
      the  state  education  department, in conjunction with the department of
      health, has a less than  arms  length  relationship  with  the  provider
      approved  under  section  forty-four  hundred  ten  of the education law
      shall, subject to the approval of the department and based on  standards
      developed  by  the  department,  be  authorized  to directly submit such
      claims for medical assistance, services or supplies so furnished for any
      period beginning on or after July first, nineteen hundred  ninety-seven.
      The  actual  full  cost  of  the  individualized education program (IEP)
      related services incurred by the clinic shall be  reported  on  the  New
      York  State  Consolidated  Fiscal  Report  in  the education law section
      forty-four hundred ten program cost  center  in  which  the  student  is
      placed  and  the associated medical assistance revenue shall be reported
      in the same manner.
        2. Claims for payment under this section shall be made  in  such  form
      and  manner,  at  such times, and for such periods as the department may
      require.
        The provisions of this section shall be of no force and effect  unless
      all  necessary  approvals  under  federal  law  and regulation have been
      obtained to receive federal financial  participation  in  the  costs  of
      health care services provided pursuant to this section.