Sec. 86-8.1. Scope  


Latest version.
  • (a) This Subpart shall govern Medicaid rates of payments for ambulatory care services provided in the following categories of facilities for the following periods:
    (1) outpatient services provided by general hospitals on and after December 1, 2008;
    (2) emergency department services provided by general hospitals on and after January 1, 2009;
    (3) ambulatory surgery services provided by general hospitals on and after December 1, 2008;
    (4) ambulatory services provided by diagnostic and treatment centers on and after September 1, 2009;
    (5) ambulatory surgery services provided by free-standing ambulatory surgery centers on and after September 1, 2009; and
    (6) hospital-based mental hygiene services on and after July 1, 2010, including:
    (i) mental retardation clinics;
    (ii) mental health clinics;
    (iii) alcoholism and drug abuse clinics and outpatient rehabilitation; and
    (iv) methadone clinics.
    (b) Notwithstanding subdivision (a) of this section, the provisions of this Subpart shall not apply to the following:
    (1) facilities whose Medicaid reimbursement is governed by subdivision 8 of section 2807 of the Public Health Law, except when the provisions of this Subpart are made applicable pursuant to paragraph (f) of such subdivision; and
    (2) payments made on behalf of persons enrolled in Medicaid managed care or in the family health plus program.