N.Y. Comp. Codes R. & Regs. Tit. 12 §§ 329-3.3

Current through Register Vol. 46, No. 45, November 2, 2024

Section 329-3.3 - Schedule of Rates for Rural Outpatient Clinics

(a) For the purposes of this section, Rural Outpatient Clinic means a medical clinic (i) which is located in a rural area that meets the definition of a Health Professional Shortage Area, as defined in section 254e of Title 42 of the U.S. Code; and (ii) and is listed at https://data.hrsa.gov/tools/shortage-area/hpsa-find as a facility located in New York State, offering primary care services in an area identified as rural or partially rural with a HPSA score of 15 to 26.

(b) The fee schedule for Rural Outpatient Clinic facility services shall be the fees for Clinics in the Upstate region on the date the service is rendered and as published on the New York State Department of Health website at: https://www.health.ny.gov/healthcare/medicaid/rates/apg/rates/hospital/hospbaserates5-2-15.htm and such fees shall be payable upon submission of proof of the Health Professional Shortage Area qualification set forth in subdivision (a) herein on the date of service.

(c) Such fees shall be in addition to fees payable pursuant to Subpart 329-1 of this Part (Medical Fee Schedule).

N.Y. Comp. Codes R. & Regs. Tit. 12 §§ 329-3.3

Adopted New York State Register May 1, 2019/Volume XLI, Issue 18, eff. 6/1/2019