N.Y. Social Services Law § 364-d: Medical assistance research and demonstration projects

* § 364-d. Medical assistance research and demonstration projects. 1.

The department is authorized to sponsor, conduct and participate in the

following research and demonstration projects: "Eldercare: A Social

Health Maintenance Organization", "New York State Alcoholism Services

Demonstration", and "Physician Reimbursement and Continuing Care Under

Medicaid", for the purpose of testing the use of innovative

administrative techniques, new reimbursement methods, and changes in the

scope of benefits, so as to promote a more efficient utilization of

health resources and the containment of medical assistance program

costs. Such demonstration projects may be conducted in one or more

social services districts or portions of such districts.

2. (a) Social services districts shall be required to participate in

the operation of such research and demonstration projects as the

department may approve. Social services districts shall cooperate with

the department in the conduct of such projects whenever the department

shall request or require such participation or cooperation.

(b) Notwithstanding any inconsistent provision of law to the contrary,

expenditures made in connection with any research demonstration project

undertaken pursuant to the provisions of this section shall be subject

to state reimbursement under section three hundred sixty-eight-a of this

title.

3. The research and demonstration projects undertaken pursuant to the

provisions of this section shall limit the individuals participating

thereunder to those persons with respect to whom the department has

determined that there is a reasonable expectation that the total cost of

benefits under such project would be less than the total cost of

benefits for such individual if the research and demonstration program

were not in effect.

4. Notwithstanding any inconsistent provision of this chapter or any

other law to the contrary, the commissioner may, subject to the approval

of the director of the budget, approve any or all of the research and

demonstration projects specified in subdivision one of this section, and

apply for the appropriate waivers under federal law and regulation, and

may waive any of the provisions of this chapter, when such action would

be likely to assist in promoting the objectives of this title.

5. (a) For each project undertaken pursuant to the provisions of this

section, the department shall submit an interim report and final report

to the governor and the legislature. The interim report shall be due

eighteen months after the date of approval of the project by the

department; the final report shall be due at the conclusion of the

project.

(b) Such reports shall include a listing of the accomplishments of the

research and demonstration project, and shall evaluate the progress made

in achieving the objectives of the project.

6. This section shall be effective with respect to each such project,

other than the "New York State Alcoholism Services Demonstration

Project", if and as long as, federal participation is available for

expenditures made for such research and demonstration project conducted

pursuant to the provisions of this section.

* NB Expired July 22, 1986 -- Eldercare: A Social Health Maintenance

Organization expired April 9, 2007 per chapter 58 of 2007 Part C § 6.