Statutes, codes, and regulations
New York Codes, Rules and Regulations
Title 12 - DEPARTMENT OF LABORChapter V - Workers' CompensationSubchapter C - Medical Treatment and CarePart 329 - Medical, Outpatient And Ambulatory Surgery Services Fee Schedules
Subpart 329-3 - Emergency Room, Hospital-based Mental-health Clinic Services, and Rural Outpatient Clinic Services Fee Schedule
Section 329-3.4 - Schedule of Rates for Outpatient Hospital Based Mental Health Clinics and Private Psychiatric Hospitals

N.Y. Comp. Codes R. & Regs. Tit. 12 §§ 329-3.4

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Current through Register Vol. 46, No. 45, November 2, 2024
Section 329-3.4 - Schedule of Rates for Outpatient Hospital Based Mental Health Clinics and Private Psychiatric Hospitals
(a) Outpatient Hospital Based Mental Health Clinics
1. means a mental health clinic associated to a hospital that possesses the required operating certificate under Article 31 of the Mental Hygiene Law as required by subdivision (a)(2) of section 31.02 of that Article when such Clinic provides medical care and treatment to workers' compensation claimants by a Board authorized psychiatrist, psychologist or physician with a rating code of PN-ADP (Addiction Medicine) or PN-PM (Pain Management) or under the active and personal supervision of a Board authorized psychiatrist or Board authorized physician with a rating code of PN-ADP (Addiction Medicine) or PN-PM (Pain Management).
2. The fee schedule for Hospital Based Mental Health Clinic facility services shall be the APG Peer Group Base Rates on the date the service is rendered and as published on the New York State Office of Mental Health website at: https://www.omh.ny.gov/omhweb/medicaidreimbursement/
3. Such fees shall be in addition to fees payable pursuant to Subpart 329-1 of this Part (Medical Fee Schedule) and section 333.2 of this Chapter (Behavioral Health Fee Schedule).
(b) Private Psychiatric Hospital Inpatient Services
1. Private Psychiatric Hospitals are listed on the New York State Office of Mental Health website at: https://omh.ny.gov/omhweb/medicaidreimbursement/
2. The facility fees for the listed Private Psychiatric Hospitals shall be the rates published by New York State Office of Mental Health and associated to each listed hospital.
3. Fees for inpatient psychiatric services provided by a hospital other than those listed as Private Psychiatric Hospitals shall be at the Inpatient Hospital Fee Schedule rate for the year the service is rendered and published on the Board's website.

N.Y. Comp. Codes R. & Regs. Tit. 12 §§ 329-3.4

Adopted New York State Register May 1, 2019/Volume XLI, Issue 18, eff. 6/1/2019