N.Y. Comp. Codes R. & Regs. tit. 18 § 517.2

Current through Register Vol. 46, No. 43, October 23, 2024

Section 517.2 - Definitions

The terms defined in Part 515 of this Title have the same meanings in this Part and, in addition, as used in this Part, the following terms shall have the following meanings:

(a) Facility shall mean:

(1) any medical facility, hospital, nursing home, residential care facility, home health agency, health maintenance organization and diagnostic and treatment center as defined in the Public Health Law; or

(2) any program or facility for which the Office of Mental Retardation and Developmental Disabilities establishes fees or rates of payment under the medical assistance program and which is not operated by such Office.

(b) Draft audit report and final audit report refer to the formal audit reports produced by the department after on on-site review of a provider's records and denominated as such on their face, as well as to those notices sent to providers advising them of overpayments detected through in-house claims reviews or other post-payment reviews of a provider's claims.

N.Y. Comp. Codes R. & Regs. Tit. 18 § 517.2