Except as otherwise provided, to be eligible for State
reimbursement, expenditures for public assistance, care and services, or for
any other activity which is subject to reimbursement by the department, must be
made within the time limits set forth in this section and must be included in a
claim submitted by the social services district to the department for the time
period in which such expenditures are claimed to have been made.
(a) Claims for expenditures which are subject
to reimbursement by the Federal government or entities other than the
department must be submitted to the department in sufficient time so that the
department can submit claims to the other claiming sources within the time
required by such sources. Claims submitted less than 40 days prior to the time
by which the department must submit claims for Federal reimbursement may be
considered to be submitted without sufficient time for the department to submit
such claims to other claiming sources.
(b) All claims for expenditures for which
Federal financial participation is available under the Social Security Act must
be submitted to the department so that such claim can be included in any claim
submissions by the department to the Secretary of the United States Department
of Health and Human Services within the two-year period which begins on the
first day of the calendar quarter immediately following the calendar quarter in
which such expenditures were made, except with respect to any expenditure
involving court-ordered retroactive payments on audit exceptions, or
adjustments to prior year costs, unless a waiver for good cause has been made
by such Secretary for the particular expenditures submitted.
(c) Except as otherwise provided within the
requirements for any particular activity, expenditures made by a social
services district may not be reimbursed if such costs are related to
expenditures, services, supplies or other costs incurred on behalf of a
recipient or an individual more than 12 months prior to the month in which the
claim for reimbursement is made, unless such costs are specifically approved by
the department.
(d) Claims which
are rejected will be reexamined only if resubmitted within six months following
the date of rejection, provided (1) the initial submittal was made in
accordance with the provisions of subdivision (a) of this section, and (2) the
costs or expenditures subject to reimbursement in the resubmitted claim are
submitted to the department in sufficient time so that the department can
submit such claims to any other claiming source within the time required by
such source.
(e) The provisions of
this section shall not prevent the department from approving and certifying a
claim for State reimbursement when in its judgment the claim has merit and, for
good cause, could not have been submitted within the time limits prescribed.
The provisions of this subdivision may not be interpreted to require the
department to approve such claim.