N.Y. Comp. Codes R. & Regs. Tit. 10 §§ 47-2.5 - Selection of contractors

(a) Process. Contractors shall be selected based on the criteria described in subdivisions (b) and (c) of this section to the extent funds are available for contracts; however, a practitioner who is not eligible to enroll in the medical assistance program as a Medicaid provider or who is under suspension, exclusion or involuntary withdrawal from participation in the medical assistance program shall not be eligible for a contract under this Part.

(b) Preference. Preference shall be given to practitioners in the following categories in the order of listing:

(1) An additional service obstetric practitioner who has had a contract, satisfactorily met the contract's terms and conditions, and is requesting a second contract.

(2) A new pediatric practitioner who has a new pediatric practitioner contract, satisfactorily met the contract's terms and conditions, and is requesting a second contract.

(3) An additional service obstetric practitioner applying for an initial contract.

(4) A new pediatric practitioner applying for an initial contract.

(5) A disproportionate share obstetric practitioner applying for an initial or additional contract.

(c) Selection criteria. If funds available for the program are not sufficient to cover all eligible applicants within a category listed in subdivision (b) of this section, then applicants within that category shall be reviewed competitively using the following criteria:

(1) the extent of the practitioner's potential contribution towards increasing covered services available to the target population;

(2) the need for covered services to the target population in the designated area or location;

(3) in the case of an obstetric practitioner, the extent of participation in the New York State Department of Health Prenatal Care Assistance Program;

(4) the extent of participation in a Medicaid managed care program if there is a New York State Department of Social Services approved program in the social services district; and

(5) the demonstrated commitment of the applicant to serve the target population and the education, training or other experience of the applicant to provide obstetric or pediatric services to the target population.

Notes

N.Y. Comp. Codes R. & Regs. Tit. 10 §§ 47-2.5