N.Y. Comp. Codes R. & Regs. tit. 14 § 822.6
Current through Register Vol. 46, No. 45, November 2, 2024
Section 822.6 - Standards pertaining to Medicaid reimbursement(a) For purposes of Medicaid billing, a claim may be submitted for services delivered to a patient, collateral person, or significant other (regardless of whether such significant other is connected to a current patient with a diagnosed substance use disorder). (b) Only services delivered by an Office-certified or authorized program are eligible for Medicaid reimbursement under this Part. (c) The content and/or outcome of all services must be fully documented in the patient record consistent with this Part. (d) In order to qualify for reimbursement, each service must be documented as a covered Medicaid service in accordance with the following: (1) the service must meet the standards established in this Part; (2) the service must meet the standards established in Part 841 of this Title; (3) the service must be provided by appropriate staff as required in this Part. (e) The following services alone do not constitute a service eligible for Medicaid reimbursement: (2) educational and vocational services; (3) recreational and social activity services; (4) group meetings, workshops or seminars that are primarily informational or organizational;N.Y. Comp. Codes R. & Regs. Tit. 14 § 822.6
Adopted New York State Register December 9, 2015/Volume XXXVII, Issue 49, eff. 11/20/2015Amended New York State Register December 6, 2017/Volume XXXIX, Issue 49, eff. 12/6/2017Adopted New York State Register March 27, 2019/Volume XLI, Issue 13, eff. 3/27/2019Amended New York State Register January 27, 2021/Volume XLIII, Issue 04, eff. 1/27/2021Amended New York State Register September 14, 2022/Volume XLIV, Issue 37, eff. 10/1/2022