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Important Update on Workers' Compensation Board Operations (June 2021)

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Subject Number 046-1428 New 2021 Acute Per Case Inpatient Hospital Rates, Exempt Hospitals, Exempt Units and Detoxification Inpatient Rates

Board Bulletins and Subject Numbers

Date: July 20, 2021

The New York State Department of Health (DOH) has recently provided the Workers' Compensation Board with acute per case inpatient rates, exempt hospitals, exempt units and detoxification inpatient rates for the period of January 1, 2021, through December 31, 2021. 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, and the Comprehensive Motor Vehicle Insurance Reparations Act.

For discharges beginning on or after January 1, 2021, 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
Chair