New York Codes Rules Regulations (Last Updated: March 27,2024) |
TITLE 10. Department of Health |
Chapter II. Administrative Rules and Regulations |
Subchapter L. Hospitals and Related Facilities |
Part 85. Medical Assistance Benefits |
Continuing Stay Reviews in Residential Health Care Facilities |
Sec. 85.17. Notification of Department of Social Services
Latest version.
- When a determination is made pursuant to paragraph (f)(1), (2) or (3) of section 85.16 of this Part, the area office shall notify the appropriate social services district official of the determination and forward a copy of the patient review forms (PRI and SCREEN), and the utilization review agent physician's statement of the change in the patient's or resident's medical condition or other circumstances justifying the transfer. The social services district office shall notify the patient or resident, the patient's or resident's attending physician, the facility administrator, and the patient's or resident's next of kin or designated representative, of the adverse decision and the patient's or resident's fair hearing rights.