N.Y. Comp. Codes R. & Regs. tit. 14, § 620.4
(a) The development of a comprehensive service delivery system to meet the needs of persons with developmental disabilities begins with the identification of those needs and the types of programs with the service capability to meet such needs. This shall be done through joint planning efforts on a county, regional and statewide basis by OPWDD, local governmental units and local health systems agencies. The local governmental units and local health systems agencies shall be given the opportunity to review operational planning documents developed by OPWDD, and to make recommendations to the commissioner.
(2) OPWDD shall develop a proposal for an ideal service/program mix to meet the needs of the identified population and provide this information to the following planning bodies on no less than a triennial basis:
(5) Appropriate operational planning documents, reflecting specific program development needs, shall be reviewed by the appropriate local governmental units and health systems agencies which shall be given the opportunity to comment upon such documents prior to actualization. It is at this time in the planning process that both the local governmental units and the health systems agencies are to consider and comment upon: