Section 404.3 - Applicability

Section 404.3 Applicability

(a) The provisions of this Part shall apply to providers seeking approval to provide integrated care services at a single outpatient site (host site). This includes: (i) locations licensed under Article 28 of the Public Health Law as diagnostic and treatment centers, extension clinics as defined in paragraph (g) of section 401.1 of Title 10 and general hospital outpatient programs as defined by this Part, (ii) substance use disorder outpatient services certified under MHL Article 32, and (iii) clinic treatment programs licensed under MHL Article 31.

(b)
The standards apply to providers certified or licensed by at least two of the said participating agencies or in the process of pursuing licensure or certification by the Department of Health, the Office of Mental Health, or the Office of Alcoholism and Substance Abuse Services.

(c)
The requirements of this Part shall be in addition to the requirements of the state agency that licensed or certified the proposed host site.

(d)
An integrated services provider shall continue to ensure documentation as required per 18 NYCRR sections 504.3, 517.3(b), 518.1(c), and 518.3(b).

(e)
Integrated services providers of mental health services shall continue to ensure compliance with 14 NYCRR Part 599.

(f)
Integrated services providers of substance use disorder services shall continue to ensure compliance with 18 NYCRR section 505.27.

(g)
With respect to billing for medical assistance, an integrated services provider shall continue to ensure compliance with 18 NYCRR sections 540.6(a) and 540.6(e).

Effective Date: 
Thursday, January 1, 2015
Doc Status: 
Complete