N.Y. Comp. Codes R. & Regs. Tit. 10 §§ 86-8.1

Current through Register Vol. 46, No. 51, December 18, 2024

Section 86-8.1 - Scope

(a) This Subpart shall govern Medicaid rates of payments for ambulatory care services provided in the following categories of facilities for the following periods:

(1) outpatient services provided by general hospitals on and after December 1, 2008;

(2) emergency department services provided by general hospitals on and after January 1, 2009;

(3) ambulatory surgery services provided by general hospitals on and after December 1, 2008;

(4) ambulatory services provided by diagnostic and treatment centers on and after September 1, 2009;

(5) ambulatory surgery services provided by free-standing ambulatory surgery centers on and after September 1, 2009; and

(6) hospital-based mental hygiene services on and after July 1, 2010, including:

(i) mental retardation clinics;

(ii) mental health clinics;

(iii) alcoholism and drug abuse clinics and outpatient rehabilitation; and

(iv) methadone clinics.

(b) Notwithstanding subdivision (a) of this section, the provisions of this Subpart shall not apply to the following:

(1) facilities whose Medicaid reimbursement is governed by subdivision 8 of section 2807 of the Public Health Law, except when the provisions of this Subpart are made applicable pursuant to paragraph (f) of such subdivision; and

(2) payments made on behalf of persons enrolled in Medicaid managed care or in the family health plus program.

N.Y. Comp. Codes R. & Regs. Tit. 10 §§ 86-8.1