Dear Chief Executive Officer: GME Regional Covered Lives Assessment Rates

November 28, 2018

Dear Chief Executive Officer:

The enclosed schedule provides updated 2019 Regional Covered Lives Assessment (CLA) rates for the 2019 Calendar Year (CY) and includes the 2019 alternative inpatient surcharges. For reporting purposes, these amounts will be reflected in the 2019 service year portion of the Payor Report of Covered Lives Assessment and the Hospital Report of Patient Services Revenues for Inpatient Services.

Pursuant to sections 2807–s and 2807–t of Public Health Law, Covered Lives rates have been adjusted for 2019 based on:

  • Finalized CY 2017 Covered Lives Collections;
  • Finalized CY 2017 Covered Lives Enrollment;
  • Regional allocations; and,
  • Any prior period adjustments.

This notice has been sent to you because your organization is an electing payor under the New York State´s HCRA Pools, paying and reporting directly to the HCRA Public Goods Pool. If you use a third party administrator (TPA), we suggest that you contact your TPA directly concerning any questions you may have regarding this notice. Others having questions regarding these rates should contact a HCRA representative at (315) 671–3800.


Ann Foster
Deputy Director
Division of Finance and Rate Setting
Office of Health Insurance Programs