Page 99

UPDATED: AUGUST 1999

540

OTHER ELIGIBILITY REQUIREMENTS LIVING ARRANGEMENTS

MEDICAL FACILITIES

• a general or chronic disease hospital; an institution operated primarily for the care of the mentally disabled, for individuals under age 22 if the A/R turned age 21 while residing in the institution or is age 65 or over or under age 21; or the A/R is an FNP refugee or Cuban-Haitian entrant in which case s/he receives Medicaid (if otherwise eligible) for eight months following the date of entry; and,

• an ICF for the developmentally disabled.

Medicaid may be provided to inpatients in public, voluntary or proprietary hospitals in New York State which: are in possession of a valid operating certificate issued in accordance with the provisions of Article 28 of the Public Health Law; are enrolled in the New York State Medicaid program including possession of a provider agreement, and have in effect a hospital utilization review plan.

NOTE: Medicaid may be provided in a hospital located outside New York State if the hospital: is in compliance with such legislation and requirements established by the official agency in the state in which that care is received; has a Medicaid provider agreement; and is enrolled in the New York State Medicaid program.

(MRG)

loading…

Page 99

Official source

UPDATED: AUGUST 1999

540

OTHER ELIGIBILITY REQUIREMENTS LIVING ARRANGEMENTS

MEDICAL FACILITIES

• a general or chronic disease hospital; an institution operated primarily for the care of the mentally disabled, for individuals under age 22 if the A/R turned age 21 while residing in the institution or is age 65 or over or under age 21; or the A/R is an FNP refugee or Cuban-Haitian entrant in which case s/he receives Medicaid (if otherwise eligible) for eight months following the date of entry; and,

• an ICF for the developmentally disabled.

Medicaid may be provided to inpatients in public, voluntary or proprietary hospitals in New York State which: are in possession of a valid operating certificate issued in accordance with the provisions of Article 28 of the Public Health Law; are enrolled in the New York State Medicaid program including possession of a provider agreement, and have in effect a hospital utilization review plan.

NOTE: Medicaid may be provided in a hospital located outside New York State if the hospital: is in compliance with such legislation and requirements established by the official agency in the state in which that care is received; has a Medicaid provider agreement; and is enrolled in the New York State Medicaid program.

(MRG)