§ 2807-a. General hospital nineteen hundred eighty-six and nineteen\nhundred eighty-seven inpatient rates and charges.\n 1. For the rate period from January first, nineteen hundred eighty-six\nthrough December thirty-first, nineteen hundred eighty-six and for the\nrate period from January first, nineteen hundred eighty-seven through\nDecember thirty-first, nineteen hundred eighty-seven, the rates of\npayment to general hospitals for services provided to persons eligible\nfor payments made by state governmental agencies and subscribers to\narticle forty-three insurance law corporations and subscribers of\norganizations organized under article forty-four of this chapter (unless\napplication is made to the commissioner under subdivision three of this\nsection) shall be based on the reimbursable operating costs used in\ndetermining payments for services provided during the rate period from\nJanuary first, nineteen hundred eighty-five through December\nthirty-first, nineteen hundred eighty-five. Such operating costs shall\ninclude the annualized cost impact of rate revisions or adjustments made\nwith respect to such services. In addition to the reimbursable operating\ncosts identified in accordance with this subdivision, payment rates by\ngovernmental agencies and article forty-three insurance law corporations\nshall be adjusted each year to reflect:\n (a) capital related expenses determined in accordance with subdivision\nseven of this section;\n (b) additional financial needs or revenue requirements in accordance\nwith subdivision eight of this section; and\n (c) projection of reimbursable costs identified in accordance with\nthis subdivision by a trend factor established by the panel of\neconomists as set forth in subdivision fourteen of this section.\n 2. For the rate period from January first, nineteen hundred\neighty-six through December thirty-first, nineteen hundred eighty-six\nand for the rate period from January first, nineteen hundred\neighty-seven through December thirty-first, nineteen hundred\neighty-seven, rates of payment pursuant to the provisions of the\nworkers' compensation law, the volunteer firefighters' benefit law and\nthe comprehensive motor vehicle insurance reparations act shall be\nestablished on the basis of one hundred twelve percent of the trended\nnineteen hundred eighty-one average operating reimbursable per diem\ninpatient cost of the hospital, plus the additions specified in\nsubdivisions seven and eight of this section and such revisions that may\nbe made pursuant to subdivisions eleven and fourteen of this section.\n 3. Nothing in this section shall prohibit the negotiation by health\nmaintenance organizations operating in accordance with the provisions of\narticle forty-three of the insurance law or article forty-four of this\nchapter, of agreements with general hospitals for rates of payment other\nthan those provided herein. Such contracts shall require approval by the\ncommissioner and must include provision for special benefit packages or\narrangements for providing inpatient services to encourage patient\nmanagement behavior that will minimize the length of patient stay, such\nas special admission arrangements, bed leasing or other inpatient\ncapitation arrangements.\n 4. Hospital inpatient services reimbursement provided to patients who\nare not beneficiaries or subscribers of corporations organized and\noperating in accordance with article forty-three of the insurance law,\neligible for payments made by state governmental agencies, eligible for\npayments as beneficiaries of subchapter XVIII of the federal social\nsecurity act, enrolled in organizations operating in accordance with the\nprovisions of article forty-four of this chapter, enrolled in a\nself-insured and self-administered group covered under the provisions of\nparagraph (b) of subdivision twelve of this section, or eligible for\npayments pursuant to the provisions of the workers' compensation law,\nthe volunteer firef
‹ Prev All New York sections Next ›
Lexace provides legal information, not legal advice, and no attorney–client relationship is created. Statute text is provided for general information and may not reflect the most recent amendments; verify against the official state code.