N.Y. Comp. Codes R. & Regs. tit. 9, § 9850.7
(b) The request for hearing shall be in writing and shall be delivered or mailed to the appropriate official of the Office of Administrative Hearings. It shall specify by number and date the final audit report which is to be the subject of the hearing and shall include the following additional information:
(c) When a timely request for a hearing has been made, a hearing shall be held, except when the request has been withdrawn or abandoned by the provider.
(d) Upon receipt of a request for a hearing, the Office of Administrative Hearings shall forward a copy of the request to the executive director, and:
(4) include in a notice of hearing a statement: