N.Y. Insurance Law Section 335
Implementation of hospital reimbursement methodology

The superintendent shall have the power to prescribe rules and regulations governing insurer procedures and subscriber contract provisions necessary to implement a hospital reimbursement methodology established in accordance with the provisions of article twenty-eight of the public health law, and insurer procedures and subscriber contract provisions necessary to implement a hospital inpatient discharge review program established in accordance with the provisions of Public Health Law § 2803-I (General hospital inpatient discharge review program)section twenty-eight hundred three-i of the public health law, and to establish standards, criteria and procedures for evaluation of insurer performance in offering contracts for hospital and medical benefits on an open enrollment basis necessary for a determination of the hospital payment rate conversion factor in accordance with the provisions of paragraph (i) of subdivision eleven of Public Health Law § 2807-C (General hospital inpatient reimbursement for annual rate periods beginning on or after January first, nineteen hundred eighty-eight)section twenty-eight hundred seven-c of the public health law. The superintendent shall periodically report his findings and conclusions to the commissioner of health and to the chairman and vice-chairman of the council on health care financing concerning insurer performance in offering contracts for hospital and medical benefits on an open enrollment basis.

Source: Section 335 — Implementation of hospital reimbursement methodology, https://www.­nysenate.­gov/legislation/laws/ISC/335 (updated Sep. 22, 2014; accessed Dec. 21, 2024).

301
Regulations by superintendent 302
Supervisory colleges 306
Immunity from prosecution 307
Annual statements 308
Special reports 309
Examinations of insurers 310
Examinations 311
Filing of report on examination 312
Report on examination to be forwarded 314
Public retirement and pension systems 315
Professional malpractice or misconduct 316
Electronic filings 317
Compliance with reporting requirements of the financial security act 318
Reports of fire losses 319
Release of information resulting from insurers’ investigation of fires 320
Records to be made available by organizations subject to the provisions of this chapter 321
Medical information exchange centers 322
Prohibited referral payment to licensees by motor vehicle repairers 325
Records of domestic insurers 329
Certificates as evidence 330
Rating services available to other states 331
Superintendent to maintain index of tax districts 333
Assessments to defray expenses of Committee on Valuation of Securities of the National Association of Insurance Commissioners 335
Implementation of hospital reimbursement methodology 336
War risk exclusion 337
Annual consumer guide on automobile insurance 339
Colorectal cancer screening notification 340
Report of claims that may result in a monetary award 341
Notification regarding qualified health insurance plans 342
Public awareness to finance long term care 343
Mental health and substance use disorder parity report 344
Mental health and substance use disorder parity compliance programs 345
Health care claims reports
Green check means up to date. Up to date

Accessed:
Dec. 21, 2024

Last modified:
Sep. 22, 2014

§ 335’s source at nysenate​.gov

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