GOVERNOR CUOMO ANNOUNCES FINANCIAL AND ADMINISTRATIVE RELIEF FOR ALL NEW YORK STATE HOSPITALS

In April 22, 2020

NYS Department of Financial Services Will Direct Health Insurers to Immediately Pay Outstanding Hospital Claims and to Work with Neediest Hospitals to Provide Additional Financial Assistance

DFS Directive Will Also Suspend Preauthorization Requirements for All Hospital Services and Prohibit Retrospective Review of Hospital Claims

Confirms 5,526 Additional Coronavirus Cases in New York State – Bringing Statewide Total to 257,216; New Cases in 43 Counties

Amid the ongoing COVID-19 pandemic, Governor Andrew M. Cuomo today announced that the New York State Department of Financial Services will direct health insurers to provide cash flow relief to, and ease administrative burdens on, New York State hospitals in response to COVID-19. Relief provided to hospitals during the pandemic includes insurers’ immediate payment of outstanding accounts receivables, suspension of preauthorization requirements for all hospital services, and prohibition of retrospective review of claims.

DFS will issue a circular letter directing health insurers to:

  • Immediately process for payment outstanding hospital claims;
  • In collaboration with DFS, work with hospitals in insurers’ network to provide additional financial assistance if needed and feasible, focusing on community, rural, and safety-net hospitals;
  • Suspend preauthorization requirements for all services performed at hospitals, including lab work and radiology, until June 18, 2020;
  • Not conduct retrospective reviews of hospital claims, until June 18, 2020, subject to limited exceptions; and
  • Not make medical necessity denials related to emergency department and inpatient hospital treatment for COVID-19.

“We are at a profound moment in this crisis where we are finally passing the apex of the curve, but if we make a bad move now it’s going to set us back,” Governor Cuomo said. “We’re beginning to make plans on how to re-open our economy and start the return to the new normal, but in the meantime we have to ensure our health care system and our hospitals that have been so critical in combating this virus have the support they need. The Department of Financial Services is going to issue a directive to health insurers to provide financial and administrative relief to our hospitals so they can continue safely and quickly providing the care that is so desperately needed right now.”

Finally, the Governor confirmed 5,526 additional cases of novel coronavirus, bringing the statewide total to 257,216 confirmed cases in New York State. Of the 257,216 total individuals who tested positive for the virus, the geographic breakdown is as follows:

County Total Positive New Positive
Albany 737 33
Allegany 30 0
Broome 219 14
Cattaraugus 37 2
Cayuga 36 0
Chautauqua 26 1
Chemung 75 0
Chenango 79 0
Clinton 51 0
Columbia 117 4
Cortland 25 0
Delaware 50 1
Dutchess 2,391 60
Erie 2,233 86
Essex 22 1
Franklin 13 0
Fulton 28 1
Genesee 122 1
Greene 87 0
Hamilton 3 0
Herkimer 53 3
Jefferson 54 0
Lewis 9 0
Livingston 39 0
Madison 106 0
Monroe 1112 42
Montgomery 38 1
Nassau 31,555 476
Niagara 268 8
NYC 142,432 3,107
Oneida 301 17
Onondaga 526 12
Ontario 73 1
Orange 6,690 129
Orleans 56 3
Oswego 49 0
Otsego 49 0
Putnam 611 6
Rensselaer 186 3
Rockland 9,699 131
Saratoga 264 7
Schenectady 280 7
Schoharie 20 0
Schuyler 7 0
Seneca 18 0
St. Lawrence 123 3
Steuben 171 1
Suffolk 28,854 700
Sullivan 561 6
Tioga 39 2
Tompkins 119 0
Ulster 913 20
Warren 108 6
Washington 73 5
Wayne 52 1
Westchester 25,276 620
Wyoming 40 4
Yates 11 1

 

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