STATE OF NEW YORK
25 BEAVER STREET
NEW YORK, NEW YORK 10004
September 18, 2001
Managed Care Organizations, Insurance Law Article 43 Corporations and Insurers Licensed to Write Accident and Health Insurance
Chief Executive Officer:
| The catastrophic events of September 11, 2001 at the World Trade
Center were horrific in terms of injuries, loss of life, hardship and suffering. The
emergency response has been tremendous. In the days since the catastrophe, it has become increasingly clear
that limited or interrupted telephone and fax service, diversion of medical staff for
disaster preparedness, evacuation of offices in lower Manhattan, disruption to mass
transit systems and staffing constraints have impacted the normal business of managed care
organizations, Article 43 corporations and insurers licensed to write accident and health
insurance (hereinafter "health plans").
The Department of Health and the Insurance Department are jointly
asking that health plans take whatever actions are necessary to simplify administrative
practices and procedures during this difficult time. Plans that have their operations
located in New York City and/or that cover persons in New York City should examine their
utilization review policies and procedures in light of these tragic circumstances.
Utilization review policies and procedures include those used by the health plans and any
of their subcontractors related to notification requirements following emergency services,
preauthorization of non-emergency services, concurrent review and discharge planning.
Each health plan should submit a description of how its operations
were impacted by this disaster and the modifications that the plan and its subcontractors
have made to utilization review procedures during this period to the contact persons
listed below no later than October 2, 2001. Health plans that have received this letter
but who do not have their operations based in New York City, cover New York City residents
or whose health insurance policies do not involve utilization review procedures should
acknowledge receipt of the letter and indicate why it is not applicable to them.
Thank you for your efforts in this time of tragedy and extreme medical need. Please contact us if you have any questions.
Kathleen Shure, Director
Thomas Zyra, Co-Chief