N.Y. Comp. Codes R. & Regs. tit. 10, § 766.2
(a) The governing authority shall ensure for each health care service provided that:
(7) any nursing or therapeutic service, procedure or treatment not previously provided in homes by the agency is first reviewed by the quality improvement committee as described in section 766.9 of this Part before being provided routinely. If the needs of a patient require such a service, procedure or treatment, it may be implemented prior to review by the quality improvement committee if: