One of our most appreciated services to clients are plain language explanations of
new laws, regulations, etc. The memos go beyond the text of the new law or regulation itself to
explain operational implications, underlying intents, etc. Samples of recent memos are listed
below.
For more information regarding memos below, click on the email link to right of the headline or
email Raymond Kolarsey.
2/16/2005
Medicaid Managed Care Model Contract - Workgroup Draft 2/06/05 (327 pages).
Email Stephanie Piel for more information
2/06/2004
Proposed Revised Part 98 HMO Regulations - attachment to February 6, 2004 Memo to Plans (93 pages).
Email Raymond Kolarsey for more information.
12/23/2003
Clarification of Medicare+Choice Fast Track Appeal Regulation - 4 pages (memo), 51 pages with attachments.
Email Raymond Kolarsey for more information.
11/13/2003
New Law Making Changes to Diabetes Mandate - 8 pages
Email Raymond Kolarsey for more information.
11/10/2003
New Law Exempts Plans from Definition of Independent Adjuster - 7 pages
Email Raymond Kolarsey for more information.
10/7/2003
New Healthy New York Marketing Campaign - 4 pages
Email Raymond Kolarsey for more information.
9/10/2003
Insurance Department Adopts Regulation Defining "Clean Claim" for Paper Physician Claims Under Prompt Pay Law - 7 pages
Email Raymond Kolarsey for more information.
8/20/2003
Issuance of Department of Health Early Intervention Guidance - 54 pages
Email Raymond Kolarsey for more information.
8/6/2003
State Legislation Expanding Federal Health Coverage Tax Credit - 4 pages
Email Raymond Kolarsey for more information.
7/23/2003
Information for Marketshare Computations - 2 pages
Email Raymond Kolarsey for more information.
6/18/2003
Final Child Health Plus Contract Extension - 3 pages
Email Raymond Kolarsey for more information.
6/16/2003
Final Insurance Department Regulation Defining Clean Claim for Paper Physician Claims; Questions Regarding Hospital Paper Claims - 3 pages
Email Raymond Kolarsey for more information.
6/10/2003
Proposed COBRA Regulations - 7 pages
Email Raymond Kolarsey for more information.
6/6/2003
DOH Letter Concerning Provider Profiling - 2 pages
Email Raymond Kolarsey for more information.
5/19/2003
Change in HCRA 8.18% - 2 pages
Email Raymond Kolarsey for more information.
5/5/2003
Case Mix Litigation - 3 pages
Email Raymond Kolarsey for more information.
5/05/2003
Legislature Adopts Own HCRA and Budget Bills - 4 pages
Email Raymond Kolarsey for more information.
5/1/2003
Final HIPAA Security Rule - 24 pages
Email Raymond Kolarsey for more information.
4/22/2003
Termination of the New York State Small Business Health Insurance Partnership Program (NYSHIP) Circular Letter 3 - 2 pages
Email Raymond Kolarsey for more information.
4/8/2003
New Healthy New York Regulation - 6 pages
Email Raymond Kolarsey for more information.
3/17/2003
Expansion of the Newborn Screening Program to Include Three Additional Conditions - 3 pages
Email Raymond Kolarsey for more information.
3/13/2003
Child Health Plus Contract Extension
Email Raymond Kolarsey for more information.
3/13/2003
Updates on Tax Credits Under The Trade Act of 2002 - 3 pages
Email Raymond Kolarsey for more information.
2/26/2003
Miscellaneous Budget Issues - 5 pages
Email Raymond Kolarsey for more information.
2/20/2003
Executive Budget - Insurance Department Assessments - 5 pages
Email Raymond Kolarsey for more information.
2/13/2003
Trade Act of 2003 - 5 pages
Email Raymond Kolarsey for more information.
2/4/2003
Executive Budget - HCRA, Direct Pay Stop-Loss, Health N.Y. Excess Malpractice - 4 pages
Email Raymond Kolarsey for more information.
2/4/2003
Medicaid Managed Care and Medicaid Pharmacy - 8 pages
Email Raymond Kolarsey for more information.
2/4/2003
Proposed Early Intervention Mandate - 7 pages
Email Raymond Kolarsey for more information.
1/29/2003
Executive Budget Summary For Fiscal Year 2003-04 - 5 pages
Email Raymond Kolarsey for more information.
1/15/2003
Insurance Department Issues Circular Letter No. 27 Regarding Implementation of the Sole Proprietor Law - 5 pages
Email Raymond Kolarsey for more information.
10/16/2002
Meeting With The Department of Health Regarding Early Intervention Program - 3 pages
Email Raymond Kolarsey for more information.
9/30/2002
Legislature Authorizes Additional Care to be Provided by Hospices and Coverage of Hospice Services Under Family Health Plus and Child Health Plus - 3 pages
Email Raymond Kolarsey for more information.
9/27/2002
Health Department's Revised Guidelines for Review and Approval of Provider Contracts
Email Raymond Kolarsey for more information.
9/24/2002
Insurance Department Approves Model Subscriber Contract Language for Infertility Mandate - 4 pages
Email Raymond Kolarsey for more information.
9/20/2002
Comment Letter to the Health Department on Second Draft of Proposed Revisions to Part 98 HMO Regulations - 2 pages
Email Raymond Kolarsey for more information.
9/20/2002
Excess Malpractice Litigation - HANYS Services, Inc. v. Empire Blue Cross and Blue Shield, et al - 2 pages
Email Raymond Kolarsey for more information.
9/12/2002
Insurance Department Issues Infertility Mandate Guidance - 3 pages
Email Raymond Kolarsey for more information.
8/16/2002
Revised Proposed Part 98 HMO Regulations - 5 pages
Email Raymond Kolarsey for more information.
7/9/2002
U.S. Supreme Court decision upholding external appeal and its implications in New York - 6 pages
Email Raymond Kolarsey for more information.
7/8/2002
Explanation of Women's Health Legislation - 24 pages
Email Raymond Kolarsey for more information.
7/1/2002
Explanation of Sole Proprietors Legislation - 8 pages
Email Raymond Kolarsey for more information.
6/13/2002
The Health Department's Revised Criteria for Review & Approval of Financial Risk-Sharing Arrangements in Provider Contracts - 7 pages
Email Raymond Kolarsey for more information.
6/12/2002
Family Health Plus Enrollment Trends - 3 pages
Email Raymond Kolarsey for more information.
5/29/2002 - 05/29
Explanation of Infertility Mandate Legislation - 14 pages
Email Raymond Kolarsey for more information.
5/14/2002
Final Regulation 146 for 1999 and thereafter - Using California Model Risk Adjustment Process Among HMOs and Insurers for Small Group and Direct Pay Business - 2 pages
Email Raymond Kolarsey for more information.
5/3/2002
Comment Letter to the Health Department on Proposed Revisions to the Part 98 HMO Regulation - 2 pages
Email Raymond Kolarsey for more information.
4/19/2002
Proposed Modifications to the Final HIPAA Privacy Regulations - 10 pages
Email Raymond Kolarsey for more information.
4/12/2002
Revised Year End Loss Ratio Reports for File and Use Premium Rate Adjustment
Email Raymond Kolarsey for more information.
4/5/2002 - 04/05
Proposed Revisions to the Part 98 Regulations
Email Raymond Kolarsey for more information.
3/12/2002
DOH Meetings on Collection of Hospital Emergency Room Data for SPARCS - 2 pages
Email Raymond Kolarsey for more information.
3/11/2002
Comment Letter to DOH of Proposed New Provider Contract Review Process - 2 pages
Email Raymond Kolarsey for more information.
3/11/2002
Proposed Final Regulation 146 for 1999 and Thereafter - Using California Model. Risk Adjustment Process Among HMOs and Insurers for Small Group and Direct Pay Business - 7 pages
Email Raymond Kolarsey for more information.
3/8/2002
Meeting of New York State Uniform Billing Committee - 2 pages
Email Raymond Kolarsey for more information.
3/7/2002
Proposed Changes to 2003 NCQA Accreditation Standards - 3 pages
Email Raymond Kolarsey for more information.
3/4/2002
Insurance Department Circular Letter on Disclosure of Use of CPA Firms for Consulting Services - 4 pages
Email Raymond Kolarsey for more information.
2/28/2002
Health Department Issues RFP to Award Grants to Develop Collaborative Approaches to Quality Management - 2 pages
Email Raymond Kolarsey for more information.
2/26/2002
Payor Database - All HMOs - Year 2000 - 2 pages
Email Raymond Kolarsey for more information.
2/14/2002
Circular Letter No. 1 of 2002 Regarding Emergency Care Coverage - 3 pages
Email Raymond Kolarsey for more information.
2/21/2002
Court Substantially Upholds External Appeal Regulations - 2 pages
Email Raymond Kolarsey for more information.
2/21/2002
Revised HCRA 2002 Covered Lives Surcharges - 2 pages
Email Raymond Kolarsey for more information.
2/15/2002
Details on State Funding of Hospital Workers Recruitment and Retention Costs - 2 pages
Email Raymond Kolarsey for more information.
2/14/2002
Health Department's Proposed New Provider Contract Review Procedures - 6 pages
Email Raymond Kolarsey for more information.
2/8/2002
First Amendment to Regulation 172 - 3 pages
Email Raymond Kolarsey for more information.
2/7/2002 - 02/07
NYS DOH Meeting on How Hospitals Can Ensure Patient Safety - 4 pages
Email Raymond Kolarsey for more information.
2/4/2002
S.6265 - Senate Omnibus Women's Health and Wellness Bill - 3 pages
Email Raymond Kolarsey for more information.
1/25/2002
Executive Budget Summary for Fiscal Year 2002-03 - 4 pages
Email Raymond Kolarsey for more information.
1/17/2002
Governor's 2002 Health Care Legislation --Final Bill As Passed - 9 pages
Email Raymond Kolarsey for more information.
1/14/2002
Department of Health Advisory Memoranda Implementing the Aliessa v. Novellos Court of Appeals Decision - 4 pages
Email Raymond Kolarsey for more information.
1/11/2002
Initial Draft of Governor's 2002 Health Care Legislation - 5 pages
Email Raymond Kolarsey for more information.
1//7/2002 - 01/07
Health Department's Proposal to Implement a Medicaid Managed Care Quality Incentive Payment Program - 4 pages
Email Raymond Kolarsey for more information.
1/4/2002
Joint Health and Insurance Department Letter Regarding Coordination of Reviews of Provider Risk Sharing Arrangements Under Regulation 164 - 7 pages
Email Raymond Kolarsey for more information.
