N.Y. Comp. Codes R. & Regs. Tit. 10 § 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.
Notes
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