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Workers' Compensation Board

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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. 046-952

Updated 2015 Reimbursement Rates For Acute Per
Case Inpatient Hospital Rates, Exempt Hospitals, Exempt
Units and Detoxification Inpatient Rates

Date: July 7, 2017

The Board is announcing updated reimbursement rates for acute per-case inpatient hospital rates, exempt hospitals, exempt units and detoxification inpatient rates.

Pursuant to New York Public Health Law § 2807-c(6-1), 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 updated reimbursement rates for acute per-case inpatient rates, exempt hospitals, exempt units and detoxification inpatient rates for the period of April 1, 2015 through December 31, 2015. Rates of payments for these services are based upon rates determined for state governmental agencies (Medicaid) in accordance with Article 2807-c(6-1).

These rates, which also apply to treatment provided under the Comprehensive Motor Vehicle Insurance Reparations Act, Volunteer Firefighters' Benefit Law, and Volunteer Ambulance Workers' Benefit Law, are posted on the Board's website. Please see 2015 Medical Fee Schedules.

 

Kenneth J. Munnelly
Chair