New York State Health Care Reform Act (HCRA)
Correspondence and Notifications
Elections and Reporting
2020
- December 11, 2020 - Letter to Electing Payors and TPAs regarding 2021 Regional Covered Lives Assessment Rates
2019
- November 6, 2019 - Notice to Electing Payors regarding Covered Lives Enrollment Option for 2020
2018
- November 6, 2018 - Notice to Electing Payors regarding Covered Lives Enrollment Option for 2019
2017
- November 3, 2017 - Notice to Electing Payors regarding Covered Lives Enrollment Option for 2018
2016
- December 7, 2016 - Notice to Electing Payors regarding Covered Lives Enrollment Option for 2017
2015
- October 30, 2015 - Notice to Electing Payors regarding Covered Lives Enrollment Option for 2016
2014
- October 31, 2014 - Notice to Electing Payors regarding Covered Lives Enrollment Option for 2015
2013
- December 23, 2013 - Notice regarding Payor/TPA Reporting Changes
- October 31, 2013 - Notice to Electing Payors regarding Covered Lives Enrollment Option for 2013
- October 16, 2013 - Notice to Electing Payors, TPAs and Providers: The hcrapools.org website will allow the submission of the Annual 2013 Public Goods Pool report beginning on January 1, 2014. The January 2014 monthly report will be available for submission beginning on February 1, 2014.
The schedule of report and payment due dates are available under Schedule of Reporting Forms and Payment Due Dates. Please note that the schedule only includes due dates for January 2014 - June 2014. Once the due dates for July 2014 - December 2014 have been determined, an updated schedule will be posted.
If you have any questions concerning electronic filing, please contact the Electronic Filing Help Desk at (315)671-3800 or via email at webpools@hcrapools.org. - September 4, 2013 - Notice regarding Provider Reporting Changes
2012
- November 8, 2012 - Notice regarding Hurricane Sandy
- October 31, 2012 - Notice to Electing Payors regarding Covered Lives Enrollment Option for 2013
- September 25, 2012 - Notice to Electing Payors, TPAs and Providers: The hcrapools.org website will allow the submission of the Annual 2012 Public Goods Pool report beginning on January 1, 2013. The January 2013 monthly report will be available for submission beginning on February 1, 2013. The schedule of report and payment due dates are available under "Schedule of Reporting Forms and Payment Due Dates." If you have any questions concerning electronic filing, please contact the Electronic Filing Help Desk at (315)671-3800 or via email at webpools@hcrapools.org.
- May 18, 2012 - Notice to all Electing Providers/TPAs/Payors regarding Mandatory E-Certification as of July 1, 2012
2011
- November 2, 2011 - Notice to Electing Payors regarding Covered Lives Enrollment Option for 2012
- October 5, 2011 - Notice to Electing Payors, TPAs and Providers: The hcrapools.org website will allow the submission of the Annual 2011 Public Goods Pool report beginning on January 1, 2012. The January 2012 monthly report will be available for submission beginning on February 1, 2012. The schedule of report and payment due dates are available under "Schedule of Reporting Forms and Payment Due Dates." If you have any questions concerning electronic filing, please contact the Electronic Filing Help Desk at (315)671-3800 or via email at webpools@hcrapools.org.
2010
- November 1, 2010 - Notice to Electing Payors, TPAs and Providers: The hcrapools.org website will allow the submission of the Annual 2010 Public Goods Pool report beginning on January 1, 2011. The January 2011 monthly report will be available for submission beginning on February 1, 2011. The schedule of report and payment due dates are available under "Schedule of Reporting Forms and Payment Due Dates." If you have any questions concerning electronic filing, please contact the Electronic Filing Help Desk at (315)671-3800 or via email at webpools@hcrapools.org.
- October 26, 2010 - Notice to Electing Payors regarding Covered Lives Enrollment Option for 2011
2009
- October 30, 2009 - Notice to Electing Payors regarding Covered Lives Enrollment Option for 2010
- September 24, 2009 - Notice to Electing Payors, TPAs and Providers: The hcrapools.org website will allow the submission of the Annual 2009 Public Goods Pool report beginning on January 1, 2010. The January 2010 monthly report will be available for submission beginning on February 1, 2010. The schedule of report and payment due dates are available under "Schedule of Reporting Forms and Payment Due Dates." If you have any questions concerning electronic filing, please contact the Electronic Filing Help Desk at (315) 671-3800 or via e-mail at webpools@hcrapools.org.
- September 9, 2009 - IMPORTANT NOTICE TO ALL PAYORS, TPAs, and PROVIDERS: In an effort to disseminate information in a more timely manner, the HCRA program will, whenever possible, communicate information to Payors, TPAs, and Providers via email. It is very important to keep your email addresses current. If you do not have a current email address on file with us or if you need to edit your email address, this information can be completed through the "Maintain Email Addresses" option available on the Office of Pool Administration (OPA) website. Please be aware, if you have a "spam blocker" active on your PC, you will need to allow the OPA email address (hcrapools.org) to pass through to the intended recipient. If you need assistance with this, please contact the OPA at (315) 671-3800.
- July 10, 2009 - The HCRA forms page has been updated to reflect the revised DOH - 4399 Payor Election Application due to the statutory change enacted in the 2009- 2010 State Fiscal Year Budget. HMOs and insurers licensed outside New York State, authorized to write accident and health coverage with an expense incurred inpatient hospital component, now have a covered lives obligation effective April 1, 2009.
2008
- December 3, 2008 - Letter to Electing Monthly Payors regarding the end of month Covered Lives Enrollment Option. A DOH-4459, Covered Lives Enrollment Option form, is required if a monthly Payor chooses to report their covered lives enrollment as of the end of the month. This form has been added to the HCRA forms page.
- November 25, 2008 - Notice to Electing Payors, TPAs and Providers: The www.hcrapools.org website will allow the submission of the Annual 2008 Public Goods Pool report beginning on January 1, 2009. The January 2009 monthly report will be available to submit on February 1, 2009. The schedule of report and payment due dates are available under "Schedule of Reporting Forms and Payment Due Dates." If you have any questions concerning electronic filing, please contact the Electronic Filing Help Desk at (315) 671-3800 or via e-mail at webpools@hcrapools.org.
- August 15, 2008 - Letter to Payors and Third Party Administrators regarding the 2008-2009 Supplemental Covered Lives Assessment Report. A complete list of required resources for this reporting obligation are available on our website.
- January 2008 - The Annual 2007 and Monthly 2008 Public Goods Pool electronic reports are now available. The schedule of report and payment due dates are available on this website. If you have any questions concerning electronic filing, please contact the Electronic Filing Help Desk at (315) 671-3800 or via e-mail at webpools@hcrapools.org.
2007
- December 2007 - The Annual 2007 and Monthly 2008 Public Goods Pool electronic reports are now available. The schedule of report and payment due dates are available on this website.
2006
- November 16, 2006 - Letter to Payors and TPAs regarding Recent Changes to HCRA Election Forms
- October 19, 2006 - Notice regarding Changes to Payor, TPA and Provider Forms
- October 16, 2006 - All Providers, Payors, and TPAs now have the option to electronically certify their Public Goods Pool Reports. Choosing this option will eliminate the need to submit a hardcopy certification. The same accountability and standards will apply to the electronic certification as the paper certification. If you have any questions, please contact the Office of Pool Administration at (315) 671-3800.
- August 31, 2006 - Upcoming Changes to the Public Goods Pool Electronic Reporting Application
2005
- December 2005 - Notice to Designated Providers, Electing Payors and TPAs concerning Annual 2005 and Monthly 2006 Reporting Forms
- October 11, 2005 - Letter to Administrator/Controller regarding Extension Clinic Requirements for Public Goods Pool Reporting
- July 20, 2005 - Letter to Administrator/Controller regarding Expansion of Provider List to include extension clinics
- May 2005 - Notice to Electing Payors regarding Acceptable Methods of Calculating Covered Lives Assessments When an Individual/Family Unit Switches Regions Within a Reporting Month
- March 7, 2005 - Notice regarding Mandatory Filing for Annual Report Filers and Monthly Filers With An Effective Date of January 1, 2004 and Subsequent
2004
- December 29, 2004 - Notice to Designated Providers, Electing Payors and TPAs concerning Annual 2004 and Monthly 2005 Hardcopy Reporting Forms
- October 2004 - Notification regarding the Surcharge Remittance Obligations of Electing Insurers that Enter Into Financial Risk Transfer Arrangements with Non-Provider Intermediary Entities
2002 - 2003
- November 18, 2003 - Important Reminder to All Electing Payors concerning Mandatory Electronic Filing July 1, 2004
- July 11, 2003 - Letter to Payors that submitted election to be effective October 1, 2003
- July 11, 2003 - Letter to Payors that submitted election to be effective January 1, 2004
- June 2003 - Notification regarding the effect of HCRA surcharge modifications on inpatient stays beginning prior to and ending after July 1, 2003
- February 25, 2002 - Notice to all Third Party Administrators regarding Removal of Clients from their List of Electing Clients
1997 - 1999
- April 3, 1998 - Letter regarding Change of Designated Provider Status Form - REVISED FEBRUARY 1999
- February 13, 1998 - Letter regarding Revisions to the Elector List
- September 11, 1997 - Letter to Clinical Laboratories regarding Revised Monthly Reporting Forms and Instructions
- September 5, 1997 - Letter to Health Care Payors and TPAs regarding Application/Requirements for 1998 and Subsequent Years - REVISED FEBRUARY 1999