N.Y. Public Health Law § 2530: Nurse-family partnership

§ 2530. Nurse-family partnership. 1. The commissioner is authorized to

establish, subject to federal financial participation and within amounts

appropriated therefor, the nurse-family partnership program, a Medicaid

program subject to title eleven of article five of the social services

law, aimed at improving the health of eligible participants.

2. As used in this section, the following terms shall have the

following meanings:

(a) "Eligible participant" means a person enrolled in medical

assistance under title eleven of article five of the social services law

who is a pregnant woman who will be a first-time mother; and her

newborn, either or both of whom is at risk for poor outcomes.

"Participant" means an eligible participant who is participating in the

nurse-family partnership program.

(b) "Nurse-family partnership program" or "program" means the

nurse-family partnership program established under this section.

(c) "Nurse-family partnership provider" or "provider" means a county

health department, including the health department of the city of New

York, or an entity in contract with such a health department to provide

services under the program or an entity that contracts directly with the

commissioner to provide services under this program.

(d) "Case management services" means services that assist a

participant in gaining access to needed medical, social, educational,

and other services, including: an assessment to determine service needs;

development of a care plan based on the assessment; referral to medical,

social, educational and other providers; and monitoring and other

follow-up activities to ensure that the care plan is effectively

implemented and addresses the assessed needs.

3. The nurse-family partnership program is a nurse home-visiting

program in which a nurse-family partnership provider provides case

management and nursing services (primarily nurse home visits to

participants) to eligible participants up to the child's second

birthday. Participation in the program shall be voluntary for eligible

participants.

4. A nurse-family partnership provider shall be approved by a

nationally-recognized organization involved with nurse-family

partnership programs, designated by the commissioner, and shall meet

such other criteria as established by the commissioner.

5. The commissioner may establish the nurse-family partnership program

in one or more social services districts and may establish program

enrollment limits based on analysis of need and available

appropriations.

6. Nurse-family partnership program services provided by a provider to

an eligible participant under this section shall be deemed to be medical

assistance services under title eleven of article five of the social

services law. The commissioner may establish, subject to the approval of

the director of the division of the budget, rates of payment to

nurse-family partnership providers for providing nurse-family

partnership program services.

7. The commissioner shall submit all appropriate amendments to the

state plan for medical assistance and shall submit applications for

waivers of the federal social security act as shall be necessary to

obtain federal financial participation in the costs of services provided

pursuant to this section.