(a) is under the age of eighteen; or

(b) is under the age of twenty-one, entered foster care prior to his/her eighteenth birthday and remains in care, and who:

(i) is a member of an Indian tribe, or

(ii) is eligible for membership in an Indian tribe, or

(iii) is the biological child of a member of an Indian tribe and is residing on or is domiciled within an Indian reservation. * 37. "Comprehensive psychiatric emergency program" shall have the meaning defined in section 1.03 of the mental hygiene law. * NB Repealed July 1, 2020 38. When used in this chapter, the following terms shall have the following meanings, unless otherwise expressly stated or unless the context or subject matter requires a different interpretation:

(a) "Medicaid" or "medical assistance" means title eleven of article five of this chapter and the program thereunder.

(b) "Family health plus" means title eleven-D of article five of this chapter and the program thereunder.

(c) "Child health plus" means title one-A of article twenty-five of the public health law and the program thereunder.

(d) "Medicaid managed care" means Medicaid provided under section three hundred sixty-four-j of this chapter.

(e) "Medicaid fee-for-service" means Medicaid provided other than under Medicaid managed care.

(f) "Verification organization" means an entity, operating in a manner consistent with applicable federal and state confidentiality and privacy laws and regulations, which uses electronic means including but not limited to contemporaneous telephone verification or contemporaneous verified electronic data to verify whether a service or item was provided to an eligible medicaid recipient. For each service or item the verification organization shall capture:

(i) the identity of the individual providing services or items to the medicaid recipient;

(ii) the identity of the Medicaid recipient; and

(iii) the date, time, duration, location and type of service or item. A list of verification organizations shall be jointly developed by the department of health and the office of the medicaid inspector general.

(g) "Exception report" means an electronic report containing all the data fields in paragraph (f) of this subdivision for conflicts between services or items on the basis of the identity of the person providing the service or item to the medicaid recipient, the identity of the medicaid recipient, and/or time, date, duration or location of service;

(h) "Conflict report" means an electronic report containing all of the data fields in paragraph (f) of this subdivision detailing incongruities in services or items between scheduling and/or location of service when compared to a duty roster.

(i) "Participating provider" means a certified home health agency, long term home health agency or personal care provider with total medicaid reimbursements, including reimbursements through the managed care program established pursuant to section three hundred sixty-four-j of this chapter, exceeding fifteen million dollars per calendar year.