4307 - Providers of Services.

NY Ins L § 4307 (2019) (N/A)

Copy with citation

Copy as parenthetical citation

(b) All rates of payments to hospitals, nursing homes, convalescent institutions and instrumentalities providing home nursing services made by such corporation pursuant to the contracts provided for in subsection (a) hereof shall prior to payment, (i) in the case of institutions subject to article twenty-eight of the public health law, be certified by the commissioner of health pursuant to the provisions of such article twenty-eight of the public health law and approved by the superintendent, and, (ii) in the case of other institutions, approved as to reasonableness by the superintendent.

(c) Notwithstanding subsections (a) and (b) of this section, approval by the superintendent shall not be required for rates of payment by article forty-three corporations for in-patient hospital services provided after December thirty-first, nineteen hundred eighty-three by general hospitals subject to article twenty-eight of the public health law.

(d) After approval by the superintendent each corporation organized under this article shall notify each hospital and health related service of its approved rates of payment for out-patient services, in instances where such rates are determined on the basis of a cost based formula, at least thirty days prior to the beginning of each rate year. * NB Expired January 1, 1986. Remains effective prior to such date. See ch 906/85 § 3

Previous Section

4306-H - Essential Health Benefits Package and Limit on Cost-Sharing.

Next Section

4308 - Supervision of Superintendent.