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Subject Number 046-1530 New 2022 Acute Per Case Inpatient Hospital Rates, Exempt Hospitals, Exempt Units and Detoxification Inpatient Rates

Board Bulletins and Subject Numbers

(6/28/24) Note: The Acute Inpatient and Alternate Level of Care (ALC) rates were updated on June 18, 2024, to correct a mathematical error in the original rates. All other rates and information remain the same.

July 18, 2022

The Office of Health Insurance Programs has calculated rates of reimbursement for the period January 1, 2022, through December 31, 2022, for acute per case inpatient rates, exempt hospitals, exempt units and detoxification inpatient rates. These rates have been calculated for services rendered to patients covered under the Workers' Compensation Law, the Volunteer Firefighters' Benefit Law, the Volunteer Ambulance Workers' Benefit Law, and the Comprehensive Motor Vehicle Insurance Reparations Act.

For discharges beginning on or after January 1, 2022, the service intensity weights (SIWs), cost thresholds and average length of stay (ALOS) effective July 1, 2018, should continue to be used for payment purposes with the 3M All Patient Refined Diagnosis Related Groups (APR-DRGs) grouper version 34.

Clarissa M. Rodriguez