N.Y. Comp. Codes R. & Regs. Tit. 10 §§ 86-4.10

Current through Register Vol. 46, No. 51, December 18, 2024

Section 86-4.10 - Minimum utilization standards

(a) For the purpose of determining the number of threshold visits to be used in the computation of basic rates, the commissioner shall establish minimum utilization standards as provided in this section. Such standards shall be based upon an assessment of visits per full-time equivalent for health care personnel. A full-time equivalent (FTE) shall be based upon a 35-40 hour week.

(b) For the comprehensive primary care facilities, threshold visits shall be imputed at:

(1) 3,500 visits per year per FTE for the services of physicians and physician specialists;

(2) 3,000 visits per year per FTE for the services of dentists;

(3) 2,100 visits per year per FTE for the services of other health care providers, such as physician's assistants, licensed midwives, nurse practitioners and dental hygienists;

(4) 2,100 visits per year per FTE for the services of therapists, such as speech, occupational and physical therapists;

(5) 1,500 visits per year per FTE for the services of mental health counselors.

N.Y. Comp. Codes R. & Regs. Tit. 10 §§ 86-4.10