New York regulations

Title 9 Part 9660

Executive Department

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2 sections

Compiled text through May 15, 2022Register checked through July 29, 2026/Vol. XLVIII, Issue 30 (2026-07-29)

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9 NYCRR 9660.1 - Referral of suspected fraud and abuse

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Dates and status
Compiling agency
Executive Department
Text status
Source receipt
Compiled text through
May 15, 2022
Register checked through
July 29, 2026/Vol. XLVIII, Issue 30 (2026-07-29)
Activity status
No later Register activity identified in this check.
Source snapshot
Jun 6, 2026

Whenever, in the conduct of a review and verification into the eligibility of an applicant or the recertification of a participant, the evaluation of utilization review reports or participant profiles, there is evidence of program fraud or abuse by an applicant or participant, the contractor shall promptly refer the matter to the executive director for review.

9 NYCRR 9660.2 - Fraud and abuse

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Dates and status
Compiling agency
Executive Department
Text status
Source receipt
Compiled text through
May 15, 2022
Register checked through
July 29, 2026/Vol. XLVIII, Issue 30 (2026-07-29)
Activity status
No later Register activity identified in this check.
Source snapshot
Jun 6, 2026
(a)The executive director shall maintain a statewide program for investigation and referral for prosecution of violations of State laws pertaining to fraud or abuse in the program.
(b)Where initial review of a contractor referral indicates substantial potential for criminal prosecution, the executive director shall refer the matter to the Attorney General or local prosecutive authority. Where initial review does not indicate substantial potential for criminal prosecution, the executive director shall conduct further review to determine whether or not a participant's participation in the program should be restricted or terminated.
(c)Where review indicates substantial evidence of abusive practices, the participant may be removed from the program or restricted to a single provider.

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