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


Subject No. 046-478

Revised Inpatient Hospital Rates

Date: March 5, 2012

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. These rates also apply to treatment provided under the Comprehensive Motor Vehicle Reparations Act, Volunteer Firefighters Benefit Law, and Volunteer Ambulance Workers' Law. 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 the following revised reimbursement rates for inpatient hospital care:

  • Medically managed detoxification (MMD) and medically supervised inpatient withdrawal (MSIW) reimbursement rates with discharge dates of January 1, 2011 through March 31, 2011, refer to Subject Number 046-468, have been extended to apply through December 31, 2011. These rates, which reflect 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. These rates are posted on the Health Care Information section of the Board's website. (From the Board's home page, click on these links: Health Care Information>Medical Care Fee Schedules>Medical Fee Schedules>2011.) .
  • Inpatient hospital care reimbursement rates with discharge dates of January 1, 2011 through December 31, 2011 (prior rates issued in Subject Number 046-466 are superseded by these rates). These rates are determined using the Medicaid inpatient methodology, All Patients Refined – Diagnostic Related Groups (APR-DRG). The new rates are posted on the Health Care Information section of the Board's website. (From the Board's home page, click on these links: Health Care Information>Medical Care Fee Schedules>Medical Fee Schedules>2011.).
  • Inpatient hospital care reimbursement rates with discharge dates of October 1, 2010 through December 31, 2010 (prior rates issued in Subject Number 046-455 are superseded by these rates). These rates are determined using the Medicaid inpatient methodology, All Patients Refined – Diagnostic Related Groups (APR-DRG). The new rates are posted on the Health Care Information section of the Board's website. (From the Board's home page, click on these links: Health Care Information>Medical Care Fee Schedules>Medical Fee Schedules>2010.)

 

Robert E. Beloten
Chair