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The majority of online services should now be restored. Users may still experience lingering issues with some applications. Prior Authorization Request due dates have been extended to July 22nd. Digital Notices are now available.

Due to planned OnBoard maintenance occurring between 2:00 a.m. to 5:00 a.m. ET on Monday, July 22, 2024, and between 2:00 a.m. to 2:30 a.m. ET on Tuesday, July 23, 2024, email and text notifications may not be generated during this period. Please check your dashboards for prior authorization requests (PARs) and PAR responses submitted during this period. All other functionality will be working, including updates to the electronic case folders in eCase.

Subject Number 046-1628 Revised Inpatient Rates for Acute Per Case Inpatient Rates, Exempt Hospitals, Exempt Units, and Chemical Dependency Detoxification Rates effective April 1, 2023

Board Bulletins and Subject Numbers

October 6, 2023

The Office of Health Insurance Programs has calculated rates of reimbursement for the period April 1, 2023, through December 31, 2023, for acute per case, exempt hospital,exempt unit, and chemical dependency detoxification services. These rates have been developed in accordance with section 2807-c of the Public Health Law, as amended by the Health Care Reform Act, and Part 86-1 of the Title 10 (Health) of the Codes, Rules and Regulations of the State of New York. These rates also apply to treatment provided under the Comprehensive Motor Vehicle Reparations Act, Volunteer Firefighters' Benefit Law, and Volunteer Ambulance Workers' Benefit Law.

For discharges beginning on or after April 1, 2023, 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.

The rates on the newly posted schedules are based upon the same methodology and data used in the rates effective January 1, 2023, but also take into consideration the following update:

Please see 2023 Medical Care Fee Schedules.

Clarissa M. Rodriguez
Chair