335 - Implementation of hospital reimbursement methodology.

§  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  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 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.