24828d2e_Compliance_Audits__Answer
[Reference Number] 28 [Topic] Direct vs. Non-Direct [Question] Payors that have elected to pay the state directly, are they permitted to pay providers their portion of the surcharge related to the copay/deductible? [Answer] 
It would be the insurers choice to pay the provider the portion of the surcharge related to the copay/deductable or use the second billing example on the the DOH HCRA website, which in essence pays a little more on the claim to make up for what the provider loses when they pay the surcharge directly to the Public Goods Pool out of the copay/deductable amount they collected from the patient.
Compliance Audits