New York State Health Care Reform Act (HCRA)

January 16, 2003

Dear Administrator/Controller:

Re: 1% Statewide Assessment Reporting for 2003

Enclosed please find the reporting form for hospitals to use in calculating and paying their 2003 liability to the Statewide Assessment. The form should be used by hospitals to contribute 1.00% OF NET INPATIENT REVENUE received for discharges incurred on January 1, 2003 and thereafter. Note that net inpatient revenue received must include recoveries (amounts received on 2003 accounts receivable previously written off as uncollectible).

Note that the 1% Statewide Assessment requirement authorized under the Health Care Reform Acts of 1996 and 2000 is scheduled to expire on June 30, 2003. The Department will timely notify affected providers of legislation enacted by the New York State Legislature to extend or amend the assessment requirements, and any corresponding affect such provisions have on provider reporting obligations.

The enclosed Statewide report form closely follows the monthly 2003 Public Goods Pool Hospital Inpatient Services Report. Providers are advised to have the Public Goods Pool report on hand when completing their Statewide report.

You are reminded to please utilize the 2002 reporting forms previously provided for monies received in calendar year 2003 for services provided to patients discharged during 2002. The 2002 reporting forms are required to be filed monthly during 2003 even if no activity is reported. For 2001 and prior service years, no report is required unless monies (including recoveries - see note above) are received relating to such periods, in which case the appropriate year´s reporting form would be submitted. To ease the reporting burden on hospitals, any recoveries received during 2003 related to discharges prior to January 1, 2003 may be added to the amounts otherwise reported on Line 1 of the 2002 reporting form.

All hospitals are reminded that a failure to timely submit reports and payments will result in Indigent Care distributions being withheld until the month following the date upon which all reporting requirements have been met.

Please be aware that all figures and calculations shown on your reporting forms are subject to audit by the New York State Department of Health and also by your independent accounting firm. Hospitals should endeavor to follow instructions closely and verify the accuracy of their calculations. The Department will be comparing reported net inpatient service revenues received for a program year with net inpatient services revenue from the institutional cost report for that same year. If large discrepancies exist, hospitals will be required to substantiate their figures.

All monthly checks and reports should be submitted to:

Mr. Jerome Alaimo, Pool Administrator
Office of Pool Administration
Excellus BlueCross BlueShield, Central New York Region
344 South Warren Street
Syracuse, New York 13202

Remittance Advices and checks are to be received (not postmarked) by the Pool Administrator in accordance with the schedule listed in the General Instructions.

Should you have any questions concerning the foregoing or the enclosed forms, please contact Mr. Thomas Person of the Bureau of Financial Management and Information Support at (518) 474-1673.

Sincerely,

Mark H. Van Guysling
Assistant Director
Division of Health Care Financing

Enclosures