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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. 046-476R

Revised January 2009 – November 2009 Reimbursement
Rates for Inpatient Hospital Care

Date: February 16, 2012

Revises Subject No. 046-476 issued February 7, 2012 with
respect to the change made in bolded text within brackets.

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 REVISED reimbursement rates for inpatient hospital care with discharge dates of January 1, 2009 through November 30, 2009. 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, 2009.

Robert E. Beloten