January 12, 2021
The New York State Department of Health (DOH) recently provided the Workers' Compensation Board with updated reimbursement rates for acute per case inpatient rates, exempt hospitals, exempt units and detoxification inpatient rates. These rates are for the period of January 1, 2020, through December 31, 2020, and are based upon rates determined for state governmental agencies (Medicaid) in accordance with Article 2807-c(6)(1). These rates also apply to treatment provided under the Comprehensive Motor Vehicle Reparations Act, Volunteer Firefighters' Benefit Law, and Volunteer Ambulance Workers' Benefit Law. Please see 2020 Medical Care Fee Schedules.
For discharges beginning on and after January 1, 2020, the APR-DRG Service Intensity Weights (SIWs) cost thresholds and average length of stay (ALOS) effective July 1, 2018, should continue to be used for payment purposes, in conjunction with the APR-DRG 3M grouper version 34.
Clarissa M. Rodriguez