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Subject Number 046-498 2012 Acute Case Inpatient Rates, Exempt Hospitals and Detoxification Inpatient Rates

Subject Numbers Regarding Health Provider Authorizations

Psychiatric Reform Rates October 20, 2010 to December 31, 2012

November 8, 2012

Pursuant to New York Public Health Law § 2807-c(1)(b-1), the workers’ compensation fee schedule for inpatient hospital care tracks New York Medicaid rates, with limited statutory modifications. The New York State Department of Health (DOH) is required by statute to promulgate the workers’ compensation rates. The DOH has recently provided the Workers’ Compensation Board (Board) with reimbursement rates for inpatient hospital care with discharge dates of January 1, 2012 through December 31, 2012. Also, DOH provided the psychiatric reform rates from October 20, 2010 to December 31, 2012. These rates are determined using the Medicaid inpatient methodology, All Patient – Diagnosis Related Groups (AP-DRG). These rates also apply to treatment provided under the Comprehensive Motor Vehicle Reparations Act, Volunteer Firefighters’ Benefit Law, and Volunteer Ambulance Workers’ Benefit Law. The new rates are now posted on the Board’s website located under Health Care Information, Medical Care Fee Schedules, Inpatient and Outpatient Fee Schedules, 2010, 2011, and 2012 .

Robert E. Beloten
Chair