WORKERS' COMPENSATION RATES/NO FAULT (PSYCHIATRIC ONLY))

NEW YORK STATE DEPARTMENT OF HEALTH
OFFICE OF HEALTH INSURANCE PROGRAMS
OASAS CERTIFIED INPATIENT CHEMICAL DEPENDENCY DETOX PER DIEM RATES
Effective 1/1/2018 – 12/31/2018
WORKERS´ COMPENSATION – NO FAULT RATE SCHEDULE

OPCERT HOSPITAL NAME MMD w or w/o OBS days (operating cost)
(4800)		 MSIW w/o OBS days (operating cost)
(4801)		 MSIW w 1 OBS day (operating cost)
(4802)		 MSIW w 2 OBS days (operating cost)
(4803)		 Detox Capital Cost
(4804)
7002001 BELLEVUE HOSPITAL CENTER $1,021.78 $766.34 $766.34 $766.34 $174.56
7002002 BETH ISRAEL MEDICAL CENTER $1,021.78 $766.34 $766.34 $766.34 $122.36
3535001 BON SECOURS COMMUNITY HOSP $865.80 $649.35 $649.35 $649.35 $175.06
7000001 BRONX-LEBANON HOSPITAL CTR $1,021.78 $766.34 $766.34 $766.34 $54.96
7001003 BROOKLYN HOSPITAL $1,021.78 $766.34 $766.34 $766.34 $63.24
4429000 CANTON-POTSDAM HOSPITAL $943.11 $707.33 $707.33 $707.33 $46.90
7001009 CONEY ISLAND HOSPITAL $1,021.78 $766.34 $766.34 $766.34 $142.67
5127000 EASTERN LONG ISLAND HOSPITAL $809.34 $607.01 $607.01 $607.01 $75.59
1401005 ERIE COUNTY MEDICAL CENTER $952.53 $714.40 $714.40 $714.40 $18.53
7003001 FLUSHING HOSPITAL MED CTR $1,021.78 $766.34 $766.34 $766.34 $5.46
4329000 GOOD SAMARITAN / SUFFERN $865.80 $649.35 $649.35 $649.35 $108.75
7002009 HARLEM HOSPITAL CENTER $1,021.78 $766.34 $766.34 $766.34 $211.32
5501000 HEALTHALLIANCE HOSP MARYS AVE CAMPUS $865.80 $649.35 $649.35 $649.35 $209.29
7001046 INTERFAITH MEDICAL CENTER $1,021.78 $766.34 $766.34 $766.34 $19.96
7000002 JACOBI MEDICAL CENTER $1,021.78 $766.34 $766.34 $766.34 $205.91
7001016 KINGS COUNTY HOSPITAL CENTER $1,021.78 $766.34 $766.34 $766.34 $232.41
7002021 METROPOLITAN HOSPITAL CENTER $1,021.78 $766.34 $766.34 $766.34 $82.09
5957001 MID HUDSON VALLEY DIV OF WMC $865.80 $649.35 $649.35 $649.35 $58.46
2950002 NASSAU UNIV MED CTR $809.34 $607.01 $607.01 $607.01 $58.85
4324000 NYACK HOSPITAL $865.80 $649.35 $649.35 $649.35 $49.88
7000014 ST BARNABAS HOSPITAL $1,021.78 $766.34 $766.34 $766.34 $157.81
5149001 ST CHARLES HOSPITAL $809.34 $607.01 $607.01 $607.01 ($60.09)
5907001 ST JOHNS RIVERSIDE HOSPITAL $865.80 $649.35 $649.35 $649.35 $16.65
7002032 ST LUKES / ROOSEVELT HOSP $1,021.78 $766.34 $766.34 $766.34 ($282.23)
0101004 ST PETERS HOSPITAL $597.42 $448.07 $448.07 $448.07 $60.74
7004003 STATEN ISLAND UNIV HOSP $1,021.78 $766.34 $766.34 $766.34 $29.82
7001045 WOODHULL MEDICAL $1,021.78 $766.34 $766.34 $766.34 $81.87
MMD = Medicaly Managed Detox
MSIW = Medicaly Supervised Inpatient Withdrawal
OBS = Observation