Medical Provider Forensic Rape Examination Direct Reimbursement Claim Form - New York

Medical Provider Forensic Rape Examination Direct Reimbursement Claim Form is a legal document that was released by the New York State Office of Victim Services - a government authority operating within New York.

FAQ

Q: What is the Medical Provider Forensic Rape Examination Direct Reimbursement Claim Form?
A: The Medical Provider Forensic Rape Examination Direct Reimbursement Claim Form is a form used in New York to initiate the reimbursement process for medical providers who have performed rape examinations.

Q: Who is eligible to use the Medical Provider Forensic Rape Examination Direct Reimbursement Claim Form?
A: Medical providers who have conducted rape examinations in New York are eligible to use this form.

Q: What is the purpose of the form?
A: The form is used to apply for reimbursement for expenses related to conducting rape examinations.

Q: What expenses can be claimed through this form?
A: Expenses related to medical services, laboratory tests, and forensic laboratories can be claimed through this form.

Q: Are there any deadlines for submitting the form?
A: Yes, the form must be submitted within 90 days of the rape examination.

Q: Is there any cost to submit the form?
A: No, there is no cost to submit the form.

Q: How long does it take to receive reimbursement?
A: The reimbursement process can take several weeks to months.

Q: Who should I contact if I have questions about the form or the reimbursement process?
A: You can contact the Sexual Assault Forensic Examiner (SAFE) program in New York for any questions or concerns.