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Workers’ Compensation Board

New York State
Workers' Compensation Board
328 State Street  Schenectady, New York 12305
Governor Andrew M. Cuomo

Subject No. 046-468

New Reimbursement Rates For Inpatient Hospital Care Related to Medically Managed Detoxification (MMD) and Medically Supervised Inpatient Withdrawal (MSIW)

Date: August 1, 2011

Pursuant to New York Public Health Law § 2807-c(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 inpatient rates. The DOH recently provided the Workers' Compensation Board (Board) with reimbursement rates for inpatient hospital care for medically managed detoxification (MMD) and medically supervised inpatient withdrawal (MSIW) with discharge dates of January 1, 2011 through March 31, 2011, reflecting the detox rate reform provisions of Section 2807-c(4)(1) enacted under Chapter 58 of the Laws of 2008, and as subsequently revised under the Laws of 2009. The statute established a regional price based per diem rate methodology for chemical dependency detox services provided by general hospitals certified by the Office of Alcoholism and Substance Abuse Services (OASAS) effective December 1, 2008.

These rates, which also apply to treatment provided under the Comprehensive Motor Vehicle Reparations Act, Volunteer Firefighters' Benefit Law, and Volunteer Ambulance Workers' Benefit Law, are posted on the Board's website located under Health Care Information, Medical Care Fee Schedules, Inpatient and Outpatient Fee Schedules, 2011.


Robert E. Beloten