N.Y. Comp. Codes R. & Regs. tit. 10 § 85.14

Current through Register Vol. 46, No. 50, December 11, 2024

Section 85.14 - Definitions

The following definitions shall apply to sections 85.14 through 85.17 of this Part:

(a) Adverse finding shall mean a determination by the utilization review agent of a residential health care facility that a patient or resident who is receiving benefits under the medical assistance for the needy program requires a lower level of care than he is presently receiving.

(b) Multi-level facility shall mean a residential health care facility which provides both skilled nursing care and health-related care at its premises.

(c) The patient review forms and criteria for level of care shall mean the patient assessment criteria and standards promulgated and published by the Office of Health Systems Management (Patient Review Instrument [PRI] Patient Screening Instrument [SCREEN] and Criteria for Level of Care) as contained in subdivision (i) of section 86-2.30 and section 400.12 of this Title, except that such forms and criteria shall not apply for patients/residents who are younger than 16 years of age.

N.Y. Comp. Codes R. & Regs. Tit. 10 § 85.14