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The majority of online services should now be restored. Users may still experience lingering issues with some applications. Prior Authorization Request due dates have been extended to July 22nd. Digital Notices are now available.

Due to planned OnBoard maintenance occurring between 2:00 a.m. to 5:00 a.m. ET on Monday, July 22, 2024, and between 2:00 a.m. to 2:30 a.m. ET on Tuesday, July 23, 2024, email and text notifications may not be generated during this period. Please check your dashboards for prior authorization requests (PARs) and PAR responses submitted during this period. All other functionality will be working, including updates to the electronic case folders in eCase.

Subject Number 046-1359 New 2020 Reimbursement Rates for Acute Per Case Inpatient Hospital Rates, Exempt Hospitals, Exempt Units and Detoxification Inpatient Rates

Board Bulletins and Subject Numbers

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
Chair