November 22, 2013 Department of Health Letters to Workers' Compensation Board

November 22, 2013

Mr. Robert E. Beloten
Chairman
New York State Worker& 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, 2013 through December 31, 2013 for acute per case inpatient rates, exempt hospitals, exempt units and detoxification inpatient rates. These rates have been calculated for 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
Office of Health Insurance Programs

Enclosure(s)

December 9, 2013

Mr. Robert E. Beloten
Chairman
New York State Worker's Compensation Board
20 Park Street
Albany, New York 11207

Dear Mr. Beloten:

Enclosed please find the certification letter and schedules of hospital reimbursement rates for services rendered to patients covered under the Worker's Compensation Benefit Law, the Volunteer Ambulance Workers' Benefit Law and the Comprehensive Motor Vehicle Reparation Act. These rates are for the period January 1, 2013 through December 31, 2013 for acute per case inpatient rates, exempt hospitals, exempt units and detoxification inpatient rates. Rates of payment for these services for these payers is to be based upon rates determined for state governmental agencies (Medicaid) in accordance with Article 2807-c (6-1) of the Public Health Law.

The rates on the attached schedules are based upon those rates previously certified to you for the period January 1, 2012 through December 31, 2012 but also incorporate the following:

  1. Inclusion of a 2013 trend factor in the amount of 1.4% based upon the initial CPI as published in the Federal Register and as required by Section 10 of Article 2807-c of the Public Health Law.
  2. Change to the statewide price due to the updating of the Service Intensity Weights (SIW) for 2013 based upon more current utilization as required.
  3. Inclusion of 2013 budgeted as submitted by hospitals in place of the 2012 budgeted capital in accordance with Section 8 of Article 2807-c of the Public Health Law.

Should you have any questions or require further information, please contact Janet Baggetta at 518-474-3020.

Sincerely,

John E. Ulberg, Jr.
Medicaid Chief Financial Officer
Division of Finance and Rate Setting
Office of Health Insurance Programs