February 7, 2011 Health Plan Letter
April 18, 2011
Mr. Robert E. Beloten
Chairman
New York State Worker's Compensation Board
20 Park Street
Albany, NY 12207
Dear Mr. Beloten:
The Office of Health Insurance Programs has calculated rates of reimbursement for the period January 1, 2011 through December 31, 2011 for hospital inpatient services rendered to patients covered under the Workers' Compensation Law, the Volunteer Firefighters' Benefit Law, the Volunteer Ambulance Workers' Benefit, and the Comprehensive Motor Vehicle Insurance Reparations Act.
Pursuant to section 2807(4) of the Public Health Law, I hereby certify to you that the rates appearing on the enclosed schedules have been developed in accordance with section 2807-c of the Public Health Law, as amended by the Health Care Reform Act, and Part 86-1 of the Title 10 (Health) of the Codes, Rules and Regulations of the State of New York.
Sincerely,
Jason A. Helgerson
Medicaid Director
Deputy Commissioner
Office of Health Insurance Programs
Enclosure(s),
April 18, 2011
Mr. Robert E. Beloten
Chairman
New York State Worker's Compensation Board
20 Park Street
Albany, NY 11207
Dear Mr. Beloten:
Enclosed please find the certification letter and schedules of hospital reimbursement rates for services rendered to patients covered under the Workers' Compensation Benefit Law, the Volunteer Ambulance Workers' Benefit Law and the Comprehensive Motor Vehicle Reparation Act for the period January 1, 2011 through December 31, 2011. Rates of payment for inpatient services for these payors is to be based upon rates determined for state governmental agencies (Medicaid) in accordance with Article 2807-c(b-1) of the Public Health Law.
On February 28, 2011, with a revision on April 4, 2011, rates were forwarded to your office for the period January 1, 2011 through March 31, 2011. In accordance with the 2011-2012 enacted state budget which revised Article 2807-c(b-1), reductions to Medicaid payments enacted as part of the state budget are excluded from these rate calculations effective April 1, 2011. Based on this revision, the rates previously submitted to you with an end date of March 31, 2011 have been extended through December 31, 2011. The attached schedules reflect the change in the effective period displaying the rates with an end date of December 31, 2011. However, please note that the rates on the schedule are the rates submitted to your office on April 4, 2011.
For information regarding the specifics of these rates, please refer to the letter dated February 28, 2011 as that information has not changed. Should you have any questions or require further information please do not hesitate to contact Mr. John W. Gahan Jr., Director, Bureau of Primary and Acute Care Reimbursement at (518) 474-3267.
Sincerely,
John E. Ulberg, Jr.
Director
Division of Health Care Financing
