New York State Health Care Reform Act (HCRA)
April 3, 1998
Re: Public Goods Pool - Change of Designated Provider Status Form
The purpose of this letter is to inform providers, whose status as a designated provider1 has changed (i.e., the designated provider has merged with another provider, a laboratory has surrendered its Article 5 permit, the designated provider has ceased doing business), of their reporting obligations under the New York Health Care Reform Act (HCRA).
Although a designated provider has a status change, the provider's monthly Public Goods Pool reporting obligation, for the service period during which the entity was a designated provider of services under HCRA, will continue for a period of one year following the end of the year in which the status change occurred or until all claims for such service period have been adjudicated. Once all claims have been adjudicated, the provider must submit a final monthly report (clearly marked in red ink "final") along with a completed Change of Designated Provider Status form (enclosed) stating the nature of the change in status, the effective date of the change, and the reporting submission on which the provider's final Public Goods Pool obligations are reported and paid.
Should you have any questions concerning the foregoing or the enclosed forms, please contact the Pool Administrator's (Excellus BlueCross BlueShield, Central New York Region) offices at (315) 671-3800.
Mark H. Van Guysling
Division of Health Care Financing
1The following are considered providers designated under the Health Care Reform Act of 1996 as being subject to the collection and monthly remittance of surcharges and assessments: general hospitals, diagnostic and treatment centers (D&TCs) providing a comprehensive range of primary health care services and D&TCs providing ambulatory surgical services issued a permit pursuant to Article 28 of the Public Health Law (PHL), and clinical laboratories issued a permit pursuant to Title V of Article 5 of the PHL.