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New York Codes, Rules and Regulations


Section 360-3.2 - Conditions of eligibility.

Effective Date


360-3.2 Conditions of eligibility. All applicants for and recipients

of MA must meet their requirements in this section to be eligible for

MA.

(a) Applicants/recipients must assign to the department:

(1) any rights to payment for medical care from a third party; and

(2) rights to support specified by a court or administrative order to

be used for medical care.

(b) An individual who has the legal authority to assign the rights of

a person eligible for MA to the support and payments listed in subdivi-

sion (a) of this section (an assignor), including a legally responsible

relative living with such person, must assign those rights to the State

and the social services district on behalf of the person.

(c) Applicants for and recipients of MA must cooperate in good faith

with the State and social services officials in establishing the pater-

nity of a child born out of wedlock; in efforts to locate any absent

parent or putative father; in establishing, modifying, and enforcing

orders of support; and in obtaining support payments or any other

payments or property due such person and due each child, unless the

applicant or recipient is found by the social services district or an

appropriate designee to have good cause for refusing to cooperate in

accordance with the provisions of subdivision (f) of this section.

However, women must not be required as a condition of eligibility for MA

to cooperate during pregnancy, during the 60-day period beginning on the

last day of the pregnancy, or during the remainder of the calendar month

in which such 60th day occurs. The term cooperate includes the follow-

ing:

(1) completing the child support enforcement referral form and, at a

minimum, providing verifiable information on the form sufficient to

identify and locate the absent parent or putative father, including:

(i) the full name and social security number of the absent parent or

putative father; or

(ii) the full name of the absent parent or putative father and at

least two of the following concerning such parent or father:

(a) date of birth;

(b) residential and, if different, mailing address;

(c) telephone number; and

(d) name and address of employer; or

(iii) the full name and any additional information equivalent to the

information contained in subparagraph (i) or (ii) of this paragraph that

leads to the absent parent's or putative father's identity and location;

(2) appearing at the local child support enforcement unit, as neces-

sary, to provide the child support enforcement referral form and such

oral or written information or documentary evidence, known to be

possessed by or reasonably obtainable by the applicant or recipient,

that is relevant to achieving the objectives of this subdivision;

(3) appearing as a witness at court or other hearings or proceedings

necessary to achieve the objectives of this subdivision;

(4) providing information or attesting to the lack of information

under penalty of perjury;

(5) submitting the child and herself or himself to genetic tests,

pursuant to judicial order or administrative direction; and

(6) after an assignment of medical support under this subdivision has

been made, paying to the support collection unit any payments received

from the absent parent which are covered by that assignment.

(d) When an applicant or recipient fails, absent good cause, to

provide verifiable information on the child support enforcement referral

form sufficient to identify and locate the absent parent or putative

father as required by subdivision (c) of this section, the local child

support enforcement unit must determine whether the applicant or recipi-

ent has cooperated in good faith to establish the paternity of the child

and to establish, modify and enforce a support order for the child

pursuant to section 347.5 of this Title.

(e) MA cases must be reported to the local child support enforcement

unit within two working days of continuing assistance following the 60

day period which begins on the last day of pregnancy, except in the case

of an applicant or recipient found, pursuant to paragraph (1) of subdi-

vision (f) of this section, to have good cause for refusing to cooperate

in establishing the paternity of a child and in establishing, modifying

and enforcing a support order for the child. Such cases must be reported

to the local child support enforcement unit, as specified in paragraph

(3) of subdivision (f) of this section.

(f) Good cause for refusing to cooperate.

(1) Claiming good cause for refusing to cooperate.

(i) Opportunity to claim good cause. An applicant for or recipient of

MA will have the opportunity to claim good cause for refusing to cooper-

ate as specified by subdivision (c) of this section.

(ii) Notification to the applicant or recipient. The MA applicant or

recipient shall be notified of the right to claim good cause as an

exception to the cooperation requirement and of all the requirements

applicable to a good cause determination.

(a) Such notice shall be in writing in a form prescribed by the

Department of Health.

(b) The social services district worker or an appropriate designee and

the applicant or recipient shall sign and date a copy of the notice. A

copy of the notice shall be given to the applicant or recipient, and a

signed copy shall be filed in the MA case record.

(iii) Requirements upon applicant or recipient. An applicant for or

recipient of MA who refuses to cooperate, and who claims to have good

cause for refusing to cooperate, has the burden of establishing the

existence of a good cause circumstance and will be required to:

(a) specify the circumstances that the applicant or recipient believes

provide sufficient good cause for not cooperating;

(b) corroborate the good cause circumstances in accordance with

subparagraph (vii) of this paragraph; and

(c) if requested, provide sufficient information (such as the putative

father or absent parent's name and address, if known) to permit an

investigation pursuant to clause (g) of subparagraph (iv) of this para-

graph. If the applicant or recipient does not meet the above require-

ments, the social services district worker or an appropriate designee

shall on that basis determine that good cause does not exist.

(iv) Circumstances under which cooperation is against the best inter-

ests of the child. Cooperation in establishing paternity or seeking

support shall be deemed to be against the best interest of the child

only if:

(a) the applicant's or recipient's cooperation in establishing pater-

nity or securing support is reasonably anticipated to result in:

(1) physical harm to the child for whom support is to be sought;

(2) emotional harm to the child for whom support is to be sought;

(3) physical harm to the parent or caretaker relative with whom the

child is living which reduces such person's capacity to care for the

child adequately;

(4) emotional harm to the parent or caretaker relative with whom the

child is living of such nature or degree that it reduces such person's

capacity to care for the child adequately;

(b) the child for whom support is sought was conceived as a result of

incest or forcible rape; or

(c) legal proceedings for the adoption of the child are pending before

a court of competent jurisdiction; or

(d) the applicant or recipient is currently being assisted by a public

or licensed private social agency to resolve the issue of whether to

keep the child or relinquish him or her for adoption, and discussions

have not gone on for more than three months.

(v) Physical harm and emotional harm defined. Physical harm and

emotional harm must be of a serious nature in order to justify finding

of good cause. A finding of good cause for emotional harm may only be

based on a demonstration of an emotional impairment that substantially

affects the individual's functioning.

(vi) Special considerations related to emotional harm.

(a) For every good cause determination which is based in whole or in

part on the anticipation of emotional harm to the child, the parent or

the caretaker relative, the social services district worker or an appro-

priate designee shall consider the following:

(1) the present emotional state of the individual subject to emotional

harm;

(2) the emotional health history of the individual subject to

emotional harm;

(3) the intensity and probable duration of the emotional upset;

(4) the degree of cooperation to be required; and

(5) the extent of the involvement of the child in the paternity estab-

lishment or support enforcement activity to be undertaken.

(b) The findings with respect to the above factors shall be documented

in the MA case record.

(vii) Proof of good cause claim.

(a) The good cause determination will be based on corroborative

evidence supplied by the applicant or recipient only after the social

services district worker or an appropriate designee has examined the

evidence and found it actually verifies the good cause claim.

(b) The applicant or recipient who claims good cause must provide

corroborative evidence within 20 days from the day the claim was made.

If the social services district worker or an appropriate designee deter-

mines that the applicant or recipient requires additional time because

of the difficulty of obtaining the corroborative evidence, upon supervi-

sory approval, the worker or designee shall allow a reasonable addi-

tional period of time.

(c) Good cause may be corroborated with the following types of

evidence:

(1) birth certificates or medical or law enforcement records which

indicate that the child was conceived as the result of incest or forci-

ble rape;

(2) court documents or other records which indicate that legal

proceedings for adoption are pending before a court of competent juris-

diction;

(3) court, medical, criminal, child protective services, social

services, psychological, or law enforcement records which indicate that

the putative father or absent parent might inflict physical or emotional

harm on the child or caretaker relative;

(4) medical records which indicate emotional health history and pres-

ent emotional health status of the caretaker relative or the child for

whom support would be sought, or written statements from a mental health

professional licensed to practice in New York, indicating a diagnosis or

prognosis concerning the emotional health of the caretaker relative or

the child for whom support would be sought;

(5) a written statement from a public or licensed private social agen-

cy that the applicant or recipient is being assisted by the agency to

resolve the issue of whether to keep the child or relinquish him or her

for adoption; and

(6) sworn statements from individuals, other than the applicant or

recipient, with knowledge of the circumstances which provide the basis

for good cause claim.

(d) If after examining the corroborative evidence submitted by the

applicant or recipient, the social services district worker or an appro-

priate designee determines that additional corroborative evidence is

needed to permit a good cause determination, the worker or designee

will:

(1) promptly notify the applicant or recipient that additional corro-

borative evidence is needed; and

(2) specify the type of document needed.

(e) Upon request, the social services district worker or an appropri-

ate designee will:

(1) advise the applicant or recipient how to obtain the necessary

documents; and

(2) make a reasonable effort to obtain any specific documents which

the applicant or recipient is not reasonably able to obtain without

assistance.

(f) Where a claim is based on the applicant's or recipient's antic-

ipation of physical harm as specified and defined in subparagraphs (iv)

and (v) of this paragraph, and corroborative evidence is not submitted

in support of the claim:

(1) the social services district worker or an appropriate designee

will investigate the good cause claim when the worker or designee

believes that the claim is credible without corroborative evidence, and

corroborative evidence is not available;

(2) good cause will be found if the claimant's sworn statement and the

investigation which is conducted satisfy the social services district

worker or an appropriate designee that the applicant or recipient has

good cause for refusing to cooperate; and

(3) a determination that good cause exists will be reviewed and

approved or disapproved by supervisory personnel and the findings will

be recorded in the MA case record.

(g) The good cause claim may be further verified if the applicant's or

recipient's statement of the claim required by this subparagraph,

together with the corroborative evidence, does not provide sufficient

basis for making a determination. When the social services district

worker or an appropriate designee determines that it is necessary, the

worker or designee may conduct an investigation of good cause claims to

determine that good cause does or does not exist.

(h) If the social services district worker or an appropriate designee

conducts an investigation of a good cause claim, the worker or designee

will:

(1) contact the absent parent or putative father from whom support

would be sought if such contact is determined to be necessary to estab-

lish the good cause claim; and

(2) prior to making such necessary contact, notify the applicant or

recipient to enable the applicant or recipient to:

(i) present additional corroborative evidence or information so that

contact with the parent or putative father becomes unnecessary; or

(ii) withdraw the application for assistance or have the case closed;

or

(iii) have the good cause claim denied.

(2) Participation by the child support enforcement unit.

(i) Prior to making a final determination of good cause for refusing

to cooperate, the social services district worker or an appropriate

designee shall:

(a) afford the local child support enforcement unit the opportunity to

review and comment on the findings and basis for the proposed determi-

nation; and

(b) consider any recommendation fromm the child support enforcement

unit.

(ii) The worker or designee shall give the local child support

enforcement unit the opportunity to participate in any hearing that

results from an applicant's or recipient's appeal of any action of the

Department of Health under this subdivision.

(3) Notice to the local child support enforcement unit. The social

services district worker or an appropriate designee shall promptly

report to the local child support enforcement unit:

(i) all cases in which good cause has been claimed and a determination

is pending;

(ii) all cases in which there is a good cause for refusal to cooperate

and the basis for the determination and whether or not child support

enforcement may proceed without the participation of the caretaker relative; and

(iii) all cases in which it has been determined there is not good

cause for refusal to cooperate.

(4) Granting or continuation of assistance. MA shall not be denied,

delayed or discontinued pending a determination of good cause for

refusal to cooperate if the applicant or recipient has complied with the

requirement of this subdivision to furnish corroborative evidence and

information.

(5) Periodic review of good cause determination. The social services

district worker or an appropriate designee shall:

(i) periodically review, not less frequently than at each redetermi-

nation of eligibility, those cases in which the agency or an appropriate

designee has determined that good cause exists based on a circumstance

that is subject to change;

(ii) determine if circumstances have changed to the extent that good

cause no longer exists. If so, the worker or designee shall rescind the

findings; and

(iii) give prompt notification to the child support enforcement unit

of every change in determination of good cause, as required by subpara-

graphs (i) and (ii) of this paragraph.

(6) Recordkeeping. Social services districts shall maintain records of

the activities under this subdivision as prescribed by the Department of

Health.

(7) Enforcement without the caretaker's cooperation.

(i) If a determination of good cause is made on the basis of the

circumstances specified above, a determination shall also be made of

whether or not child support enforcement could proceed without risk to

the child or caretaker relative if the enforcement or collection activ-

ities did not involve their participation.

(ii) This determination shall be in writing, contain the agency's or

its designee's finding and basis for determination, and be entered into

the MA case record.

(iii) if the social services district worker or an appropriate desig-

nee excuses cooperation but determines that the child support enforce-

ment unit may proceed to establish paternity or enforce support, the

worker or designee shall notify the applicant or recipient to enable

such individual to withdraw his or her application for assistance or

have the case closed.

(iv) In the process of making a determination under this paragraph,

the social services district worker or an appropriate designee shall

afford the child support enforcement unity the opportunity to review and

comment on the findings and basis for the proposed determination, and

consider any recommendation from the child support enforcement unit.

(8) Final determination of good cause for refusal to cooperate.

(i) The social services district worker or an appropriate designee

will make the final determination that good cause does or does not

exist. Such determination shall:

(a) be in writing;

(b) contain the findings and basis for the determination; and

(c) be entered in the MA case record.

(ii) The determination shall be made within 30 days form the day the

good cause claim is made.

(iii) The social services district worker or an appropriate designee

may exceed the 30 day period when the case record documents that addi-

tional time is needed because the information required to verify the

claim cannot be obtained within 30 days or the claimant did not provide

corroborative evidence within 20 days.

(iv) If the social services district worker or an appropriate designee

determines good cause does not exist:

(a) the applicant or recipient will be so notified and afforded the

opportunity to cooperate, withdraw the application for assistance, or

have the case closed; and

(b) continued refusal to cooperate will result in sanctioning the

applicant or recipient.

(g) Applicants/recipients must assign to the State and the social

services district any rights that they or their dependent family members

included in the application have under any health insurance policy or

group health plan.

(h) An employed applicant/recipient who is eligible for MA without

having to reduce excess income in accordance with section 360-4.8 (c) of

this Part must enroll in any group health insurance plan offered by the

employer where no employee contribution is required. If an employee

contribution is required, such an applicant/recipient must enroll only

if the social services district decides to pay the premiums pursuant to

section 360-7.5(g) of this Part. The MA eligibility of only the

employed applicant/recipient will be affected by his/her failure to

follow the requirements of this subdivision.

(i) Applicants/recipients must cooperate with the State and the social

services district in identifying any third party who may be liable to

pay for medical care. The applicant/recipient must provide information

to assist the State and the social services district in pursuing any

such third party. Exceptions may be made if the applicant/recipient has

good cause for refusing to cooperate.

(j) Citizenship and immigration status. (1) Definitions. (i) Qualified immigrants.

The term qualified immigrant includes the following categories of aliens:

(a) refugees admitted under section 207 of the Immigration and Nationality Act;

(b) asylees granted asylum under section 208 of the Immigration and Nationality Act;

(c) aliens whose deportation was withheld under section 241(b)(3) or 243(h) of the Immigration and Nationality Act;

(d) Cuban and Haitian entrants (as defined in section 501(e) of the Refugee Education Assistance Act of 1980), including all Cuban or Haitian parolees;

(e) aliens admitted into the United States as Amerasian immigrants as described in section 402(a)(2)(A)(v) of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (8 U.S.C. Section 1612(a)(2)(A)(v));

(f) aliens lawfully admitted for permanent residence in the United States;

(g) aliens paroled into the United States under section 212(d)(5) of the Immigration and Nationality Act for a period of at least one year, except Cuban or Haitian parolees;

(h) aliens granted conditional entry into the United States under section 203(a)(7) of the Immigration and Nationality Act;

(i) battered spouses and dependents meeting the criteria of section 431(c) of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (8 U.S.C. Section 1641(c));

(j) aliens on active duty, other than active duty for training, in the United States Armed Forces or who are veterans who have received a discharge characterized as honorable and not on account of alienage, or the spouse, unremarried surviving spouse or unmarried dependent child of any such alien;

(k) Canadian born Native Americans;

(l) Native Americans belonging to a federally recognized tribe who were born outside the United States; and

(m) victims of a severe form of trafficking under section 107(b) of the Trafficking Victims Protection Act of 2000 (P.L. 106-386).

(ii) Permanently Residing Under Color of Law (PRUCOL). The term PRUCOL alien means an alien who is residing in the United States with the knowledge and permission or acquiescence of the federal immigration agency and whose departure from the U.S. such agency does not contemplate enforcing. An alien will be considered as one whose departure the federal immigration agency does not contemplate enforcing if, based on all the facts and circumstances in a particular case, it appears that the federal immigration agency is otherwise permitting the alien to reside in the United States indefinitely or it is the policy or practice of such agency not to enforce the departure of aliens in a particular category. The following categories of aliens are PRUCOL:

(a) aliens paroled into the United States pursuant to section 212(d)(5) of the Immigration and Nationality Act for less than one year;

(b) aliens residing in the United States pursuant to an Order of Supervision;

(c) deportable aliens residing in the United States pursuant to an indefinite stay of deportation;

(d) aliens residing in the United States pursuant to an indefinite voluntary departure;

(e) aliens on whose behalf an immediate relative petition has been approved, and members of their families covered by the petition, who are entitled to voluntary departure and whose departure the federal immigration agency does not contemplate enforcing;

(f) aliens who have filed an application for adjustment to lawful permanent resident status pursuant to section 245 of the Immigration and Nationality Act, whose application the federal immigration agency has accepted as properly filed or has granted, and whose departure the federal immigration agency does not contemplate enforcing;

(g) aliens granted stays of deportation by court order, statute or regulation or by individual determination of the federal immigration agency pursuant to section 243 of the Immigration and Nationality Act, whose departure the federal immigration agency does not contemplate enforcing;

(h) aliens granted voluntary departure status pursuant to section 242(b) of the Immigration and Nationality Act whose departure the federal immigration agency does not contemplate enforcing;

(i) aliens granted deferred action status;

(j) aliens who entered and have continuously resided in the United States since before January 1, 1972;

(k) aliens granted suspension of deportation pursuant to section 244 of the Immigration and Nationality Act whose departure the federal immigration agency does not contemplate enforcing; and

(l) any other alien living in the United States with the knowledge and permission or acquiescence of the federal immigration agency and whose departure such agency does not contemplate enforcing.

(iii) Emergency medical condition. The term emergency medical condition means a medical condition (including emergency labor and delivery) manifesting itself by acute symptoms of sufficient severity (including severe pain) such that the absence of immediate medical attention could reasonably be expected to result in:

(a) placing the person’s health in serious jeopardy;

(b) serious impairment to bodily functions; or

(c) serious dysfunction of any bodily organ or part.

(2) Eligibility for Medical Assistance. (i) The following persons, if otherwise eligible, are eligible for medical assistance:

(a) citizens, qualified immigrants and PRUCOL aliens;

(b) any alien who, on August 4, 1997, resided in a residential health care facility licensed by the department or in a residential facility licensed, operated or funded by the office of mental health or the office of mental retardation and developmental disabilities, and was in receipt of a medical assistance authorization based on a finding that such alien was PRUCOL; and

(c) any alien who, on August 4, 1997, was diagnosed as having acquired immune deficiency syndrome, as defined in subdivision one of section two thousand seven hundred eighty of the public health law, and was in receipt of a medical assistance authorization based on a finding that such alien was PRUCOL.

(ii) Aliens other than those specified in subparagraph (i) of this paragraph, if otherwise eligible, are eligible for medical assistance only for care and services (not including care and services related to an organ transplant procedure) necessary for the treatment of an emergency medical condition. Nothing in this subparagraph shall be interpreted as affecting the eligibility for pre-natal care benefits for aliens otherwise eligible for such benefits.

(3) Other requirements. (i) Except as provided in subparagraph (ii) of this paragraph, an applicant for, or recipient of, medical assistance must provide:

(a) evidence of his or her citizenship or status as a qualified immigrant or PRUCOL alien; and

(b) a social security number or documentation that such person has applied for a social security number.

(ii) The requirements of subparagraph (i) of this paragraph do not apply to the following persons:

(a) aliens seeking medical assistance for the treatment of an emergency medical condition; and

(b) pregnant women for the duration of the pregnancy and the sixty day period that begins on the last day of the pregnancy and including, but not exceeding, the last day of the month in which the sixty day post-partum period ends.

(k) Applicants/recipients must be residents of New York State. The

applicant's/recipient's state of residence is responsible for providing

medical assistance. Residency requirements are listed in this subdivi-

sion. Exceptions to the residency requirements are found in section

360-3.6 of this Part.

(1) Placements in institutions by other states. (i) A person placed in

a New York State institution by another state, or by a public or private

organization contracting with the other state for such purposes, is a

resident of the state arranging or making the placement.

(ii) A person placed in an out-of-state institution by an agency of

New York State, or by a public or private organization contracting with

New York State for such purposes, is a resident of New York State.

(iii) A competent individual who leaves an institution in which he/she

has been placed by another state is a resident of the state where he/she

is physically located.

(2) Persons receiving State supplementary payments. Any person receiv-

ing a State supplementary payment under the SSI program is a resident of

New York State if the payment is made on behalf of New York State.

(3) Persons receiving title IV-E foster care maintenance payments.

Any person receiving foster care maintenance payments under title IV-E

of the Social Security Act and living in New York State is a resident of

the State, regardless of which state is making the payments.

(4) Persons on whose behalf a title IV-E adoption assistance agreement

is in effect. Any person on whose behalf an adoption assistance agree-

ment is in effect under title IV-E of the Social Security Act is a resi-

dent of New York State if he/she is living in the State. This provision

applies regardless of which state has the agreement in effect and

regardless of whether adoption assistance payments are provided under

the agreement or are being made pursuant to title IV-E.

(5) Persons age 21 and over. (i) Any person not residing in an insti-

tution is a resident of New York State if he/she is living in the State

and:

(a) intends to remain permanently or indefinitely; or

(b) is unable to state intent; or

(c) entered the State to take a job or to seek employment.

(ii) An institutionalized person who became unable to state intent

before age 21 is a resident of New York State if:

(a) the parents reside in separate states, and the parent applying for

MA on the person's behalf is a resident of the State or was a resident

of the State at the time of placement; or

(b) parental rights have been terminated, a legal guardian has been

appointed, and the legal guardian applying for MA on the person's behalf

is a resident of the State or was a resident of the State at the time of

placement; or

(c) the parent or legal guardian applying on the person's behalf is a

New York State resident and the person is institutionalized in New York

State; or

(d) the person has been abandoned by his/her parents, has no legal

guardian, is institutionalized in New York State, and the party applying

on the person's behalf is a State resident.

(iii) Any person institutionalized in New York State who becomes

unable to state intent at or after age 21 is a resident of New York

State unless another state made the placement.

(iv) Any other person institutionalized in New York State is a State

resident if he/she intends to remain in the State permanently or indefi-

nitely.

(6) Persons under age 21. (i) Any person who is married or emancipated

from his/her parents and who is capable of stating intent, is a State

resident if he/she is living in the State and intends to remain perma-

nently or indefinitely.

(ii) Any noninstitutionalized person who is living in the State and

whose MA eligibility is based on blindness or disability is a State

resident.

(iii) Any other noninstitutionalized person is a State resident if:

(a) the person is living in the State on other than a temporary basis;

or

(b) the person's caretaker, as defined by Federal and State law, is

living in the State, is not receiving assistance from another state, and

entered this State to take or seek employment.

(iv) Any institutionalized person who is neither married nor emanci-

pated is a State resident if:

(a) the parent applying for MA on the person's behalf is a State resi-

dent or was a State resident at the time of placement; or

(b) parental rights have been terminated, a legal guardian has been

appointed, and the legal guardian applying for MA on the person's behalf

is a resident of the State or was a State resident at the time of place-

ment; or

(c) the person has been abandoned by his/her parents, has no legal

guardian, is institutionalized in New York State, and the party applying

for MA on the person's behalf is a State resident.

(7) Prohibitions. (1) A person cannot be denied MA because he/she has

not resided in the State for a specified period.

(ii) A person cannot be denied MA because he/she does not reside in a

permanent dwelling or does not have a fixed home or mailing address.

(iii) An institutionalized person who meets the residency requirements

of this subdivision cannot be denied MA because he/she did not establish

residence in the State before entering the institution.

(iv) A person cannot be denied MA or have MA terminated because of a

temporary absence from the State if he/she intends to return when the

purpose of the absence is accomplished, unless another state has deter-

mined the person to be a resident of that state for medical assistance

purposes.

(8) Interstate agreements. Notwithstanding any inconsistent provisions

of this subdivision, the department may enter into interstate agree-

ments, consistent with Federal law and regulations, to set forth rules

and procedures to resolve cases of disputed residence. The application

of such rules and procedures cannot result in a person losing residence

in both states.

(l) Applicants/recipients whose MA identification cards must contain a photo

image, pursuant to the requirements of section 360-6.2(b) of this Part, must

submit to a photo imaging process in connection with the creation of such

identification cards.

(m) Applicants/recipients whose MA identification cards must contain a photo

image, pursuant to the requirements of section 360-6.2(b) of this Part, other

than applicants for or recipients of health care services under Title 11-D of

the Social Services Law, must establish their identities by means of finger

images in accordance with the automated finger imaging system described in Part

384 of this Title.