New York State Health Care Reform Act (HCRA)

HCRA is a major component of New York State's Health Care financing laws which governs hospital reimbursement methodologies and targets funding for a multitude of health care initiatives. The law also requires that certain third-party payors and providers of health care services participate in the funding of these initiatives through the submission of authorized surcharges and assessments.

What's New

October 30, 2009

Notice to Electing Payors regarding Covered Lives Enrollment Option for 2010

October 21, 2009

Notice to Electing Payors and TPAs Concerning Eligibility for Annual Reporting for 2010

October 15, 2009

Letter to Electing Payors Regarding 2010 Graduate Medical Education Pool Contribution Rates

September 24, 2009

Notice to Electing Payors, TPAs and Providers: The hcrapools.org website will allow the submission of the Annual 2009 Public Goods Pool report beginning on January 1, 2010. The January 2010 monthly report will be available for submission beginning on February 1, 2010. The schedule of report and payment due dates are available under "Schedule of Reporting Forms and Payment Due Dates". If you have any questions concerning electronic filing, please contact the electronic filing Help Desk at (315) 671-3800 or via e-mail at webpools@hcrapools.org.

September 9, 2009

IMPORTANT NOTICE TO ALL PAYORS, TPAs, and PROVIDERS:

In an effort to disseminate information in a more timely manner, the HCRA program will, whenever possible, communicate information to Payors, TPAs, and Providers via email.

It is very important to keep your email addresses current. If you do not have a current email address on file with us or if you need to edit your email address, this information can be completed through the "Maintain Email Addresses" option available on the Office of Pool Administration (OPA) website. Please be aware, if you have a "spam blocker" active on your PC, you will need to allow the OPA email address (hcrapools.org) to pass through to the intended recipient. If you need assistance with this, please contact the OPA at (315) 671-3800.

August 21, 2009

DOH/KPMG Webcast - August 27, 2009, 1:00 pm to 3:00 pm - Payor Compliance Audit Protocols, Objectives, Timeline and Best Practices

July 10, 2009

The HCRA forms page has been updated to reflect the revised DOH - 4399 Payor Election Application due to the statutory change enacted in the 2009- 2010 State Fiscal Year Budget. HMOs and insurers licensed outside New York State, authorized to write accident and health coverage with an expense incurred inpatient hospital component, now have a covered lives obligation effective April 1, 2009.