N.Y. Comp. Codes R. & Regs. tit. 14 § 580.11

Current through Register Vol. 46, No. 41, October 9, 2024

Section 580.11 - Behavioral health organizations

The facility shall cooperate with designated regional behavioral health organizations. Such cooperation shall include, but not be limited to:

(a) notifying the appropriate behavioral health organization of an admission for a behavioral health condition for which coverage is provided by Medicaid on a fee-for-service basis to an individual who is not also enrolled in the Medicare program. Such notification shall be provided within 24 hours of such admission or, for an admission occurring on a Friday, Saturday, Sunday or public holiday, by 5:00 p.m. on the next business day following such admission. When Medicaid coverage cannot be determined at the time of admission, notification shall be provided as soon as practicably possible after confirmation of Medicaid eligibility, but in no event more than 24 hours after such confirmation or, for a confirmation made on a Friday, Saturday, Sunday or public holiday, later than 5:00 p.m. of the next business day following such confirmation;

(b) cooperating with concurrent review activities;

(c) ensuring that the discharge plan for such an individual includes consideration of physical health needs and services;

(d) notifying such behavioral health organization within 24 hours of the discharge of such an individual or, for a discharge occurring on a Friday, Saturday, Sunday or public holiday, by 5:00 p.m. on the next business day following such discharge;

(e) receiving and providing physical and mental health information, pursuant to section 33.13(d) of the Mental Hygiene Law; and

(f) seeking to obtain, as needed, such individual's consent to receive and provide information regarding such individual's substance use problems.

N.Y. Comp. Codes R. & Regs. Tit. 14 § 580.11