N.Y. Comp. Codes R. & Regs. tit. 10 § 85.13
For persons under the age of 21 years having conditions covered under the scope of the children and youth with special health care needs support services program, all determinations of coverability in this Part shall be made by the children and youth with special health care needs support services program county medical director, the county commissioner of health or the health services administration of the City of New York as the designee of the Commissioner of Health. Such designee may utilize any diagnosis and evaluation carried out in a center approved by the children and youth with special health care needs support services program as the second opinion upon which determination of coverability is made, or may require an additional second opinion
N.Y. Comp. Codes R. & Regs. Tit. 10 § 85.13