Health Facility Cash Assessment Program (HFCAP)
Hospitals
General Hospitals licensed under Article 28 of the PHL are required to pay a monthly assessment on cash operating receipts as follows:
- .35% effective from April 1, 2012 plus an additional 1.6% Hospital Quality Contribution for maternity and normal newborn services
- .35% effective from July 1, 2011 plus an additional 2.4% Hospital Quality Contribution for maternity and normal newborn services
- .35% effective from April 1, 2009
- .35% effective from April 1, 2005 through March 31, 2007
Required monthly reports must be filed electronically by obtaining an electronic filing account, with an assigned secure password, from the Office of Pool Administration. To file a Cash Receipts Assessment Report, go to the Office of Pool Administration web site and select Cash Receipts Assessment from the options menu.
- HFCAP Reporting Instructions
- Hospital Quality Contribution Reporting Instructions
- DOH-4412 - User ID Application for Electronic Filing (PDF, 63KB, 2pg.)
File Reports
- File Electronically - New York State Office of Pool Administration
- Certification Form (PDF, 19KB, 1 pg.)