N.Y. Comp. Codes R. & Regs. tit. 14 § 635-4.1

Current through Register Vol. 46, No. 25, June 18, 2024

Section 635-4.1 - Applicability and definitions

(a) This Subpart shall apply to all providers which provide one or more of the services listed in paragraph (b)(2) of this section.

(b)Definitions applicable to this Subpart.

(1) Provider for the purposes of this Subpart, provider shall mean an individual, corporation, partnership or other organization which provides one or more of the services listed in paragraph (2) of this subdivision. Provider shall not mean OPWDD or its local administrative units.

(2) Services for the purposes of this Subpart, services shall mean ICF/DD services (Intermediate Care Facilities for Persons with Developmental Disabilities), Comprehensive Health Home Care Management, Basic HCBS Plan Support, Crisis Services for Individuals with Intellectual and/or Developmental Disabilities, day treatment services, clinic treatment facilities (see Part 679 of this Title), and all HCBS waiver services.

(3) Region for the purposes of this Subpart, region shall mean any one of the three geographic regions which OPWDD considers in the applicable facility-specific and/or service-specific reimbursement methodology(ies), which are:

(i) Region I (NYC) is New York City and includes the counties of New York, Bronx, Kings, Queens and Richmond.

(ii) Region II (NYC Suburban) includes the counties of Putnam, Rockland, Nassau, Suffolk and Westchester.

(iii) Region III (Upstate New York) includes all other counties in New York State.

N.Y. Comp. Codes R. & Regs. Tit. 14 § 635-4.1

Amended New York State Register October 28, 2015/Volume XXXVII, Issue 43, eff.11/1/2015

Amended New York State Register April 20, 2016/Volume XXXVIII, Issue 16, eff.4/20/2016

Amended New York State Register September 21, 2016/Volume XXXVIII, Issue 38, eff. 9/21/2016

Amended New York State Register October 21, 2020/Volume XLII, Issue 42, eff. 10/21/2020