State Codes and Statutes

Statutes > New-york > Eld > Article-2 > Title-3 > 246

§ 246. Regulations. Program regulations shall:    1.  Provide for a process of determining and redetermining eligibility  for participation in this program including provisions for submission of  proof of income, age, and residency and information on existing complete  or partial coverage of prescription drug expenses under  a  third  party  assistance or insurance plan;    2.  Provide  for  a fair hearing process pursuant to an agreement with  the department of health  for  individuals  and  participating  provider  pharmacies to appeal determinations or actions of the contractors;    3. Establish procedures for the state to recover the value of benefits  or  payments  made  under  this  title,  if  any,  that  were  based  on  applications or claims submitted in violation of any provision  of  this  title; and    4.  Establish  procedures  to  ensure that all information obtained on  persons pursuant to paragraph (a) of  subdivision  two  of  section  two  hundred  forty-three  of  this title shall remain confidential and shall  not be disclosed to persons or agencies other  than  those  entitled  to  such  information  because  such  disclosure is necessary for the proper  administration of the program established pursuant to this title.

State Codes and Statutes

Statutes > New-york > Eld > Article-2 > Title-3 > 246

§ 246. Regulations. Program regulations shall:    1.  Provide for a process of determining and redetermining eligibility  for participation in this program including provisions for submission of  proof of income, age, and residency and information on existing complete  or partial coverage of prescription drug expenses under  a  third  party  assistance or insurance plan;    2.  Provide  for  a fair hearing process pursuant to an agreement with  the department of health  for  individuals  and  participating  provider  pharmacies to appeal determinations or actions of the contractors;    3. Establish procedures for the state to recover the value of benefits  or  payments  made  under  this  title,  if  any,  that  were  based  on  applications or claims submitted in violation of any provision  of  this  title; and    4.  Establish  procedures  to  ensure that all information obtained on  persons pursuant to paragraph (a) of  subdivision  two  of  section  two  hundred  forty-three  of  this title shall remain confidential and shall  not be disclosed to persons or agencies other  than  those  entitled  to  such  information  because  such  disclosure is necessary for the proper  administration of the program established pursuant to this title.

State Codes and Statutes

State Codes and Statutes

Statutes > New-york > Eld > Article-2 > Title-3 > 246

§ 246. Regulations. Program regulations shall:    1.  Provide for a process of determining and redetermining eligibility  for participation in this program including provisions for submission of  proof of income, age, and residency and information on existing complete  or partial coverage of prescription drug expenses under  a  third  party  assistance or insurance plan;    2.  Provide  for  a fair hearing process pursuant to an agreement with  the department of health  for  individuals  and  participating  provider  pharmacies to appeal determinations or actions of the contractors;    3. Establish procedures for the state to recover the value of benefits  or  payments  made  under  this  title,  if  any,  that  were  based  on  applications or claims submitted in violation of any provision  of  this  title; and    4.  Establish  procedures  to  ensure that all information obtained on  persons pursuant to paragraph (a) of  subdivision  two  of  section  two  hundred  forty-three  of  this title shall remain confidential and shall  not be disclosed to persons or agencies other  than  those  entitled  to  such  information  because  such  disclosure is necessary for the proper  administration of the program established pursuant to this title.