All services of diagnostic and treatment centers providing a comprehensive range of primary health care services and all ambulatory surgical services of diagnostic and treatment centers providing ambulatory surgical services.

Excluded from surcharge requirements are payments for residential health care facility services, adult day care services, hospice services, home care services, physician practice or faculty practice plan discrete billings for private practicing physician services, and services provided to Medicare beneficiaries.

Services of general hospitals including: inpatient services, outpatient services (including referred ambulatory services), emergency services, ambulatory surgical services, and other hospital and health-related services.

Attachment #4 details surcharge levels by payor type and whether the payor elects to make direct payments to the Department's pool administrator. Attachment #3 is a list of the providers which offer services subject to these surcharges. The surcharge level varies by payor class and, for certain payors, is 24 percentage points lower if they submit these payments directly to the Department's pool administrator on behalf of providers. The indigent care and health care initiatives pools are funded by all non-Medicare payors through surcharges added to their payments for the services listed below. Page: A-1 Overview of Payor Obligations: Indigent Care and Health Care Initiatives Pools New York State Health Care Reform Act (HCRA)

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