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 reimbursement rates for inpatient hospital care with discharge dates of January 1, 2011 through March 31, 2011.
These rates are determined using the Medicaid inpatient methodology, All Patients Refined – Diagnostic Related Groups (APR-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, 2011.
The rates can be found here.
Source: NY WCB