§ 364-D — Medical assistance research and demonstration projects

* § 364-d. Medical assistance research and demonstration projects. 1.\nThe department is authorized to sponsor, conduct and participate in the\nfollowing research and demonstration projects: "Eldercare: A Social\nHealth Maintenance Organization", "New York State Alcoholism Services\nDemonstration", and "Physician Reimbursement and Continuing Care Under\nMedicaid", for the purpose of testing the use of innovative\nadministrative techniques, new reimbursement methods, and changes in the\nscope of benefits, so as to promote a more efficient utilization of\nhealth resources and the containment of medical assistance program\ncosts. Such demonstration projects may be conducted in one or more\nsocial services districts or portions of such districts.\n 2. (a) Social services districts shall be required to participate in\nthe operation of such research and demonstration projects as the\ndepartment may approve. Social services districts shall cooperate with\nthe department in the conduct of such projects whenever the department\nshall request or require such participation or cooperation.\n (b) Notwithstanding any inconsistent provision of law to the contrary,\nexpenditures made in connection with any research demonstration project\nundertaken pursuant to the provisions of this section shall be subject\nto state reimbursement under section three hundred sixty-eight-a of this\ntitle.\n 3. The research and demonstration projects undertaken pursuant to the\nprovisions of this section shall limit the individuals participating\nthereunder to those persons with respect to whom the department has\ndetermined that there is a reasonable expectation that the total cost of\nbenefits under such project would be less than the total cost of\nbenefits for such individual if the research and demonstration program\nwere not in effect.\n 4. Notwithstanding any inconsistent provision of this chapter or any\nother law to the contrary, the commissioner may, subject to the approval\nof the director of the budget, approve any or all of the research and\ndemonstration projects specified in subdivision one of this section, and\napply for the appropriate waivers under federal law and regulation, and\nmay waive any of the provisions of this chapter, when such action would\nbe likely to assist in promoting the objectives of this title.\n 5. (a) For each project undertaken pursuant to the provisions of this\nsection, the department shall submit an interim report and final report\nto the governor and the legislature. The interim report shall be due\neighteen months after the date of approval of the project by the\ndepartment; the final report shall be due at the conclusion of the\nproject.\n (b) Such reports shall include a listing of the accomplishments of the\nresearch and demonstration project, and shall evaluate the progress made\nin achieving the objectives of the project.\n 6. This section shall be effective with respect to each such project,\nother than the "New York State Alcoholism Services Demonstration\nProject", if and as long as, federal participation is available for\nexpenditures made for such research and demonstration project conducted\npursuant to the provisions of this section.\n * NB Expired July 22, 1986 -- Eldercare: A Social Health Maintenance\nOrganization expired April 9, 2007 per chapter 58 of 2007 Part C § 6.\n