Article 3 - Maintenance Assistance Reimbursement Claiming

Doc Status: 
Complete

Part 620 - PUBLIC ASSISTANCE AND CARE REIMBURSEMENT CLAIMING

Doc Status: 
Complete
Statutory Authority: 
Social Services Law, Sections 20, 34, 153, 193

Section 620.1 - Reimbursement for public assistance and care.

Section 620.1 Reimbursement for public assistance and care. (a) Expenditures for recipients of public assistance and care, or for other purposes for which reimbursement is available pursuant to State law, shall be claimed for reimbursement in accordance with the rules and regulations applicable to the program or activity under which the expenditures are subject to reimbursement. If expenditures are attributable to more than one program or activity, they shall be allocated or distributed in accordance with the principles of cost allocation and redistribution of reimbursement set forth in Part 602 of this Title.

(b) Except as otherwise provided by the Social Services Law, expenditures made by social services districts for public assistance and care and its administration shall be subject to reimbursement by the State. Each district may claim:

(1) the amount of Federal funds, if any, properly received or to be received on account of such expenditures;

(2) the full cost of assistance and care provided State charges, after first deducting any Federal funds properly received or to be received on account thereof; and

(3) fifty percent of any remaining balance.

 

Doc Status: 
Complete

Section 620.2 - Allocation of expenditures for public assistance and care.

620.2 Allocation of expenditures for public assistance and care. Expenditures directly chargeable to particular public assistance and care programs or activities shall be claimed on formats prescribed by the department, except that costs required to be allocated or distributed by regulation or direction of the department shall be claimed as required for those costs or items. Except as otherwise required by departmental regulation or directive, costs that must be allocated or distributed to particular programs or activities include:

(a) eligibility determination costs;

(b) training costs;

(c) management systems establishment and maintenance costs;

(d) other administrative salary and related personnel expenditures;

(e) contractual personnel expenditures;

(f) other nonsalary administrative costs; and

(g) other costs not directly chargeable to particular programs or activities.

 

Doc Status: 
Complete

Section 620.3 - Conditions for claiming for public assistance and care programs.

620.3 Conditions for claiming for public assistance and care programs. Public assistance and care or other benefits provided pursuant to programs and activities not specifically described in department regulations for purposes of claiming reimbursement shall be claimed in accordance with instructions and directions of the department in relation to that particular program or activity. The following provisions shall apply to specific programs or activities:

(a) Burial costs for indigent deceased persons. (1) The term burial costs includes all reasonable expenditures incident to the proper burial of a deceased indigent person, including such items as the purchase of burial plot, clothing, transportation of the body to place of burial, mortician services, and the preparation and the closing of the grave.

(i) A claim for burial cost reimbursement for a State or local charge shall not be made for any expenditures in excess of $250 for expenditures made prior to October 1, 1986, $400 for expenditures made between October 1, 1986 and April 1, 1987, and $900 for expenditures made after April 1, 1987.

(ii) Subject to the limitations described in this paragraph, the amount that may be included in a claim for State reimbursement, where assets are or become available to be applied toward the burial costs, shall be determined as follows:

(a) the full amount of the burial costs, if no part of the proceeds from said assets are applied toward such costs; or

(b) the difference between $500, or the actual amount of the burial costs, whichever is less, and the amount of the proceeds from said assets which were or are to be applied toward such costs.

(2) The amount paid by the district or agency for burial may be deducted as a prior claim before distribution of the remainder of a recovery collection is made against assistance and care granted subject to the following limitations:

(i) Where reimbursement for the cost of burial has not previously been claimed, the amount deducted shall be limited to $500 or the amount of the agency burial payment, whichever is less.

(ii) Where reimbursement has been claimed on a portion of the amount paid for burial pursuant to the provisions governing claims for State aid, the amount deducted shall be limited to whichever of the following amounts is lower:

(a) the difference between $500 and the amount on which reimbursement was claimed; or

(b) the difference between the cost of burial (if such cost is less than $500) and the amount on which reimbursement was claimed.

(b) Veteran assistance. All provisions relating to reimbursement by the State for home relief expenditures made by districts pursuant to Part 621 of this Title shall apply with the same force and effect to veteran assistance.

(c) Public institutional care for adults. (1) Public homes. Cost of care of adults receiving care in a public home pursuant to title 5 of article 5 of the Social Services Law, including care in an approved public home infirmary, shall be claimed only for persons other than recipients of supplemental security income (SSI) benefits and shall be claimed pursuant to this subdivision only to the extent that such costs cannot be appropriately claimed against any other applicable program or activity. Applicable costs of infirmary care shall be claimed from the program of medical assistance for needy persons (MA). For those residents of a public home who have the income or resources to pay for their care, the per diem costs related to these individuals shall be claimed as expenditures and funds applied to the cost of the care must be claimed as refunds.

(2) Adult shelters, lodging houses and outreach centers. (i) Costs of temporary care of adults in publicly operated lodging houses, shelters and outreach centers operated as part of a social services district adult shelter program may be claimed pursuant to this subdivision only to the extent that they cannot be appropriately claimed against any other applicable program or activity.

(ii) For purposes of this paragraph, the term outreach center means a program operated directly by, or under contract with, a social services district which provides any of the services set forth in Part 491 of this Title which are required to be provided by shelters operated by a social services district.

(3) Costs. (i) The cost of public institutional care of adults does not include the operation and maintenance of a farm, but the value of commodities consumed in the operation of the public home may be included as costs of care.

(ii) Care in a public home (including an approved public home infirmary) may be provided by a district in a public home maintained by such district, or by contract for the provision of care in a public home maintained by another social services district. This contract provision does not apply to temporary care of adults in publicly operated lodging houses or shelters.

(iii) Reimbursement is available for the costs of operating outreach centers which are operated directly by a social services district if such centers are operated with the department's prior written approval. Reimbursement is also available for the costs of operating outreach centers which have contracted with a social services district to provide services on behalf of such district if such centers are operated with the department's prior written approval.

(d) Assistance for aged, blind and disabled persons. Costs claimed for assistance to aged, blind and disabled persons shall be claimed in accordance with the provisions for the program or activity pursuant to which the assistance was rendered or shall be claimed in accordance with the provisions of the SSI program. Recoveries or other credit adjustments of amounts claimed as assistance for the aged, blind and disabled

(AABD) prior to 1974 shall be reported and reflected in accordance with Part 608 of this Title.

(e) Other programs or activities. Any program or activity for which reimbursement may be claimed or for which financial reporting is required and which is not specifically described in department regulations for purposes of claiming reimbursement may be claimed in any manner prescribed by the department or in any other manner, subject to the approval of the department, until and unless regulations promulgated by the department supersede the department's instructions for claiming reimbursement for such program or activity.

 

Doc Status: 
Complete

Part 621 - HOME RELIEF REIMBURSEMENT CLAIMING OTDA

This part is NOT maintained by the Department of Health. The following table of contents may not be current. For information and/or copies please contact: Office of Temporary & Disability Assistance 40 North Pearl Street Albany, New York 12243 (518) 473-1090
PART 621

HOME RELIEF REIMBURSEMENT CLAIMING

(Statutory authority: Social Services Law, Sections 131-a, 153, 153-c,
157, 158)
Sec.
621.1 Reimbursement for home relief
621.2 Conditions for reimbursement for home relief

Doc Status: 
Complete

Part 625 - ASSISTANCE FOR DEPENDENT CHILDREN REIMBURSEMENT CLAIMING - OTDA

This part is NOT maintained by the Department of Health. The following table of contents may not be current. For information and/or copies please contact: Office of Temporary & Disability Assistance 40 North Pearl Street Albany, New York 12243 (518) 473-1090
PART 625

ASSISTANCE FOR DEPENDENT CHILDREN REIMBURSEMENT CLAIMING

(Statutory authority: Social Services Law, Sections 131-a, 153, 349)
Sec.
625.1 Reimbursement for aid to dependent children (ADC)
625.2 Conditions for reimbursement of aid to dependent children (ADC)

Doc Status: 
Complete

Part 626 - FEDERALLY REIMBURSED AID TO DEPENDENT CHILDREN REIMBURSEMENT CLAIMING - OTDA

This part is NOT maintained by the Department of Health. The following table of contents may not be current. For information and/or copies please contact: Office of Temporary & Disability Assistance 40 North Pearl Street Albany, New York 12243 (518) 473-1090
PART 626

FEDERALLY REIMBURSED AID TO DEPENDENT CHILDREN REIMBURSEMENT CLAIMING
(Statutory authority: Social Services Law, Section 131-a, 153, 349, 358)
Sec.
626.1 Reimbursement for federally reimbursed aid to dependent children
(AFDC)
626.2 Conditions for reimbursement for federally reimbursed AFDC

Doc Status: 
Complete

Part 627 - CHILD SUPPORT ENFORCEMENT REIMBURSEMENT CLAIMING - OTDA

This part is NOT maintained by the Department of Health. The following table of contents may not be current. For information and/or copies please contact: Office of Temporary & Disability Assistance 40 North Pearl Street Albany, New York 12243 (518) 473-1090
PART 627

CHILD SUPPORT ENFORCEMENT REIMBURSEMENT CLAIMING

(Statutory authority: Social Services Law, Sections 111-d, 111-e, 111-f,
111-l, 131-a, 153, 349, 358)
Sec.
627.1 Reimbursement for child support enforcement
627.2 Conditions for reimbursement for child support enforcement

Doc Status: 
Complete

Part 628 - CHILD CARE AND FOSTER CARE REIMBURSEMENT CLAIMING - OTDA

This part is NOT maintained by the Department of Health. The following table of contents may not be current. For information and/or copies please contact: Office of Temporary & Disability Assistance 40 North Pearl Street Albany, New York 12243 (518) 473-1090
PART 628

CHILD CARE AND FOSTER CARE REIMBURSEMENT CLAIMING

(Statutory authority: Social Services Law, Sections 131, 153, 153-d, 153-e,
344, 358-a, 358-b, 398-a, 407, 409-b, 410-c, 432, 445, 456)
Sec.
628.1 Reimbursement for child care, including care foster care and
adoption assistance
628.2 Conditions for reimbursement for foster care
628.3 Classifications of child care reimbursement claiming

Doc Status: 
Complete

Part 629 - JOBS OPPORTUNITIES AND BASIC SKILLS TRAINING REIMBURSEMENT CLAIMING - OTDA

This part is NOT maintained by the Department of Health. The following table of contents may not be current. For information and/or copies please contact: Office of Temporary & Disability Assistance 40 North Pearl Street Albany, New York 12243 (518) 473-1090
PART 629

JOBS OPPORTUNITIES AND BASIC SKILLS TRAINING REIMBURSEMENT CLAIMING

(Statutory authority: Social Services Law, Sections 131, 131-a, 153, 158-b, 331, 366)
Sec.
629.1 Reimbursement for Jobs Opportunities and Basic Skills (JOBS)
training program
629.2 Conditions for reimbursement for JOBS training program activities
and related supportive services
629.3 Classifications of JOBS reimbursement claiming

Doc Status: 
Complete