{"id":"AGY-ST-INSURANCE-BANKING-004","kind":"context","level":"sector-regulator","jurisdiction":"New York; Department of Financial Services","state":"NY","metro":"","industry":"","agency":"ST-INSURANCE-BANKING","eco":"","issuer":"Superintendent of Financial Services","authority":"N.Y. Ins. Law art. 49 (utilization review) as applied during the Executive Order 202 emergency","instrument":"Insurance Circular Letter No. 8 (2020)","title":"Coronavirus, Utilization Review, and Emergency Admission Notification Requirements","dateIssued":"2020-03-20","effective":"2020-03-20","end":"90 days from March 20, 2020 (June 18, 2020), subject to further evaluation; the suspension was renewed for the winter surge by Circular Letter 17 (2020) (Ex. 006)","startDate":"2020-03-20","endDate":"2020-06-30","quarters":["2020Q2"],"types":["HC"],"addressees":["all accident and health insurers","Article 43 corporations","HMOs","student health plans","municipal cooperative health benefit plans","prepaid health services plans","utilization review agents","licensed independent adjusters"],"clause":"should suspend preauthorization review for scheduled surgeries or admissions at hospitals for 90 days from the date of this letter, subject to further evaluation as the COVID-19 situation develops... should suspend concurrent review for inpatient hospital services provided for 90 days from the date of this letter, subject to further evaluation as the COVID-19 situation develops.","enforcement":"N.Y. Ins. Law § 109; utilization review agent registration (art. 49)","functions":["IN health insurers (utilization review function suspended)","CB payers of hospitals and surgeons (industry 01, 02): preauthorization and concurrent review suspended","OP"],"notes":"Issued as hospitals redeployed staff and \u0027with the suspension of non-time sensitive scheduled procedures.\u0027","sourceUrl":"https://www.dfs.ny.gov/industry_guidance/circular_letters/cl2020_08","snapshot":"https://web.archive.org/web/20200323061410/https://www.dfs.ny.gov/industry_guidance/circular_letters/cl2020_08","fileExists":true,"fileBytes":78743,"grade":"primary","character":"context","description":"","collection":"AGY-ST-INSURANCE-BANKING","url":"/library/AGY-ST-INSURANCE-BANKING-004","exhibitUrl":"/exhibit/AGY-ST-INSURANCE-BANKING-004","citation":"Superintendent of Financial Services, Insurance Circular Letter No. 8 (2020) (Mar. 20, 2020) (Ex. AGY-ST-INSURANCE-BANKING-004)","stateName":"New York","related":["AGY-ST-INSURANCE-BANKING-003","AGY-ST-INSURANCE-BANKING-009","AGY-ST-INSURANCE-BANKING-010","AGY-ST-INSURANCE-BANKING-002","AGY-ST-INSURANCE-BANKING-005","AGY-ST-INSURANCE-BANKING-007","AGY-ST-INSURANCE-BANKING-008","AGY-ST-INSURANCE-BANKING-011"]}