Child Care Medicaid Per Diem Rates

Effective July 1, 2012

Provider ID Agency Name Program Rate
Code
Rate
00333808 Abbott House General 1210 $17.68
00333808 Abbott House Hard/Place 1216 $28.52
00333808 Abbott House Therapeutic 1217 $33.52
00333808 Abbott House Diagnostic 1218 $31.74
00333808 Abbott House FBH 1220 $11.74
00339482 Astor Home For Children General 1210 $36.12
00339482 Astor Home For Children Hard/Place 1216 $142.37
00339482 Astor Home For Children Therapeutic 1217 $36.01
00465834 Baker Victory Services General 1210 $30.35
00465834 Baker Victory Services Maternity 1215 $33.53
00465834 Baker Victory Services Hard/Place 1216 $49.86
00465834 Baker Victory Services FBH 1220 $5.34
00327899 Berkshire Farm Center General 1210 $23.16
00327899 Berkshire Farm Center Hard/Place 1216 $50.92
00327899 Berkshire Farm Center FBH 1220 $21.23
00327931 Cardinal McCloskey Sch & Home General 1210 $28.52
00327931 Cardinal McCloskey Sch & Home Therapeutic 1217 $29.28
00327931 Cardinal McCloskey Sch & Home FBH 1220 $9.82
00327959 Catholic Guardian Soc NY General 1210 $6.85
00327959 Catholic Guardian Soc NY AIDS 1213 $15.38
00327959 Catholic Guardian Soc NY Hard/Place 1216 $93.63
00327959 Catholic Guardian Soc NY Therapeutic 1217 $36.84
00327959 Catholic Guardian Soc NY Sp Oth 01 1219 $107.37
00327959 Catholic Guardian Soc NY FBH 1220 $9.53
00353333 Cayuga Home for Children General 1210 $21.37
00353333 Cayuga Home for Children Therapeutic 1217 $26.64
00353526 Charlton School The General 1210 $37.58
00353677 Child and Family Svcs 824 General 1210 $10.46
00353677 Child and Family Svcs 824 FBH 1220 $3.59
00333793 Childrens Aid Society, The Boarder/Babies 1214 $67.90
00333793 Childrens Aid Society, The Therapeutic 1217 $18.20
00333793 Childrens Aid Society, The FBH 1220 $10.45
00487210 Childrens Home Jefferson Co General 1210 $36.57
00487210 Childrens Home Jefferson Co FBH 1220 $24.08
00353580 Childrens Home Wyoming Conf General 1210 $26.00
00353580 Childrens Home Wyoming Conf Diagnostic 1218 $69.11
00353580 Childrens Home Wyoming Conf FBH 1220 $22.14
00343357 Childrens Village General 1210 $32.29
00343357 Childrens Village Hard/Place 1216 $69.03
00343357 Childrens Village Therapeutic 1217 $26.71
00343357 Childrens Village FBH 1220 $10.81
00353342 Chldrns Hm of Kston 26 Grove General 1210 $21.02
00353640 Chldrns Hm of Pkeepsie Hillmn General 1210 $36.12
00353640 Chldrns Hm of Pkeepsie Hillmn FBH 1220 $34.99
01200944 Coalition for Hispanic Serv FBH 1220 $6.46
00353475 Community Maternity Svcs Bfc Maternity 1215 $31.54
00353475 Community Maternity Svcs Bfc Diagnostic 1218 $50.33
00353475 Community Maternity Svcs Bfc FBH 1220 $10.11
00343559 Crestwood General 1210 $22.41
00342461 Edwin Gould Svc for Children FBH 1220 $7.73
00343311 Elmcrest Childrens Center Inc General 1210 $28.87
00343311 Elmcrest Childrens Center Inc Hard/Place 1216 $71.59
00327702 Episcopal Social Services General 1210 $30.10
00327702 Episcopal Social Services Hard/Place 1216 $99.89
00327702 Episcopal Social Services Sp Oth 01 1219 $62.34
00327702 Episcopal Social Services FBH 1220 $13.52
01228679 Father Flanagans Boystown NYC General 1210 $9.74
01228679 Father Flanagans Boystown NYC HTP (Close to Home) 1216 $63.49 # 1
00343320 Forestdale, Inc Hard/Place 1216 $16.93
00343320 Forestdale, Inc Therapeutic 1217 $77.25
00343320 Forestdale, Inc FBH 1220 $14.11
00356538 Gateway-Longview, Inc. General 1210 $20.26
00356538 Gateway-Longview, Inc. FBH 1220 $2.76
00353562 George Junior Republic Assoc General 1210 $29.76
02377044 Glove House General 1210 $30.75
02377044 Glove House FBH 1220 $13.76
00327817 Good Shepherd Services General 1210 $11.61
00327817 Good Shepherd Services Hard/Place 1216 $149.98
00327817 Good Shepherd Services Therapeutic 1217 $129.76
00327817 Good Shepherd Services Diagnostic 1218 $62.78
00327817 Good Shepherd Services FBH 1220 $13.09
00327995 Graham-Windham General 1210 $28.06
0327995 Graham-Windham Hard/Place 1216 $119.16
00327995 Graham-Windham Therapeutic 1217 $20.08
00327995 Graham-Windham FBH 1220 $11.94
00328001 Green Chimneys Childrens Serv General 1210 $31.20
00328001 Green Chimneys Childrens Serv Hard/Place 1216 $130.29
00356547 Gustavus Adolphus Child Home General 1210 $24.38
00356547 Gustavus Adolphus Child Home FBH 1220 $15.90
00355055 Harmony Heights General 1210 $22.50
00327940 Heartshare Human Services FBH 1220 $7.19
00353219 Hillside Chldrns Ctr Laburnum General 1210 $31.48
00353219 Hillside Chldrns Ctr Laburnum Hard/Place 1216 $90.29
00353219 Hillside Chldrns Ctr Laburnum Therapeutic 1217 $31.78
00353219 Hillside Chldrns Ctr Laburnum Diagnostic 1218 $96.97
00353219 Hillside Chldrns Ctr Laburnum FBH 1220 $26.29
00353282 Hope for Youth Aiken General 1210 $26.70
00353282 Hope for Youth Aiken Therapeutic 1217 $86.87
00353282 Hope for Youth Aiken FBH 1220 $13.03
00356565 House of the Good Shepherd General 1210 $33.66
00356565 House of the Good Shepherd Therapeutic 1217 $21.40
00356565 House of the Good Shepherd Diagnostic 1218 $35.63
00356565 House of the Good Shepherd FBH 1220 $15.64
00328038 Inwood House Maternity 1215 $33.65
00328056 JCCA Edenwald General 1210 $46.84
00328056 JCCA Edenwald Hard/Place 1216 $154.43 # 2
00013098 JCCA FH Division General 1210 $37.64
00013098 JCCA FH Division Hard/Place 1216 $155.75
00013098 JCCA FH Division Therapeutic 1217 $61.58
00013098 JCCA FH Division Diagnostic 1218 $124.61
00013098 JCCA FH Division Sp Oth 01 1219 $97.25
00013098 JCCA FH Division FBH 1220 $13.10
00343504 Jewish Board Linden Hill General 1210 $46.81
00343504 Jewish Board Linden Hill Hard/Place 1216 $86.75
00343504 Jewish Board Linden Hill Diagnostic 1218 $140.75
00745088 Julia Dyckman Andrus General 1210 $35.87
00931246 Kinship Family and Youth Srvc General 1210 $15.48
00931246 Kinship Family and Youth Srvc Therapeutic 1217 $15.50
00931246 Kinship Family and Youth Srvc Diagnostic 1218 $182.90
00892773 Lake Grove School General 1210 $23.87
00353448 Lasalle School Lancaster General 1210 $37.40
00353448 Lasalle School Lancaster HTP 1216 $74.96
00328074 Leake and Watts Chl Home General 1210 $24.69
00328074 Leake and Watts Chl Home AIDS 1213 $20.40
00328074 Leake and Watts Chl Home Hard/Place 1216 $51.62
00328074 Leake and Watts Chl Home Diagnostic 1218 $19.90
00328074 Leake and Watts Chl Home FBH 1220 $8.59
00343384 Lincoln Hall General 1210 $43.44
00328083 Little Flower Childrens Svcs General 1210 $42.55
00328083 Little Flower Childrens Svcs AIDS 1213 $36.95
00328083 Little Flower Childrens Svcs Therapeutic 1217 $23.43
00328083 Little Flower Childrens Svcs FBH 1220 $12.22
01352203 Long Island Adolescent General 1210 $26.32
01352203 Long Island Adolescent Hard/Place 1216 $118.06
00343408 Lutheran Social Svcs Metro NY General 1210 $7.94
00343408 Lutheran Social Svcs Metro NY Sp Oth 01 1219 $148.76
00343408 Lutheran Social Svcs Metro NY FBH 1220 $8.54
00328116 Martin de Porres Group Homes Hard/Place 1216 $50.48
03215978 Martin de Porres School Hard/Place 1216 $80.54
00327766 mercyFirst General 1210 $23.43
00327766 mercyFirst Maternity 1215 $18.31
00327766 mercyFirst Hard/Place 1216 $50.79
00327766 mercyFirst Diagnostic 1218 $39.89
00327766 mercyFirst FBH 1220 $12.51
01949242 Mountain Lake Childrens Res General 1210 $28.21
00353553 New Directions Youth & Family General 1210 $17.77
00353553 New Directions Youth & Family FBH 1220 $16.63
00327835 New York Foundling Hospital General 1210 $25.87
00327835 New York Foundling Hospital Maternity 1215 $30.26
00327835 New York Foundling Hospital Hard/Place 1216 $22.02
00327835 New York Foundling Hospital HTP (Close to Home) 1216 $63.49 # 1
00327835 New York Foundling Hospital Therapeutic 1217 $27.76
00327835 New York Foundling Hospital FBH 1220 $14.27
02842446 North American Family Institute Therapeutic 1217 $133.74
00784730 Northeast Parent Child Soc General 1210 $26.00
03234544 Occupations General 1210 $29.96
01431745 Ofc Children & Family Svc General 1210 $32.10
01431745 Ofc Children & Family Svc FBH 1220 $3.94
00327660 Ohel Children Home Hard/Place 1216 $36.90
00327660 Ohel Children Home FBH 1220 $11.91
00353195 Parsons Child and Family Ctr General 1210 $20.95
00353195 Parsons Child and Family Ctr Hard/Place 1216 $50.08
00353195 Parsons Child and Family Ctr Therapeutic 1217 $49.34
00353195 Parsons Child and Family Ctr FBH 1220 $20.96
00343480 Rosalie Hall Maternity 1215 $57.05
02645696 Snell Farms Hard/Place 1216 $60.77
00327793 Society for Seamen's Children Therapeutic 1217 $16.10
00327793 Society for Seamen's Children FBH 1220 $9.88
00353535 St Anne Institute General 1210 $26.94
00353535 St Anne Institute Hard/Place 1216 $97.70
00353177 St Catherine Center for Child General 1210 $41.45
00353177 St Catherine Center for Child FBH 1220 $22.53
00327720 St Chris Jen Clrksn C C Ser General 1210 $38.13
00327720 St Chris Jen Clrksn C C Ser Hard/Place 1216 $89.52
00327853 St Christopher-Ottilie General 1210 $4.76
00327853 St Christopher-Ottilie Maternity 1215 $19.09
00327853 St Christopher-Ottilie Hard/Place 1216 $78.07
00327853 St Christopher-Ottilie Therapeutic 1217 $41.67
00327853 St Christopher-Ottilie FBH 1220 $11.69
00353622 St Colmans Home General 1210 $24.71
00327739 St Dominics Home Therapeutic 1217 $22.48
00327739 St Dominics Home FBH 1220 $8.90
00327748 St Johns Home for Boys General 1210 $35.37
00327748 St Johns Home for Boys HTP (Close to Home) 1216 $63.49 # 1
00353571 St Josephs Villa Institution General 1210 $28.82
03160116 St Vincents Springfield Home General 1210 $15.32
03160116 St Vincents Springfield Home AIDS 1213 $28.76
03160116 St Vincents Springfield Home HTP (Close to Home) 1216 $63.49 # 1
03160116 St Vincents Springfield Home FBH 1220 $10.94
00422239 Summit Childrens Res Ctr General 1210 $27.91
00671738 Timothy Hill Childrens Ranch General 1210 $27.69
00784721 Toomey Res & Comm Srvcs Corp General 1210 $34.83
00784721 Toomey Res & Comm Srvcs Corp FBH 1220 $8.54
00784547 Transitional Serv Assoc Inc General 1210 $19.86
00353493 Vanderheyden Hall,Inc General 1210 $25.76
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# 1 - Initial HTP (Close to Home) rate effective 9/1/2012

# 2 - Initial HTP rate effective 8/24/2012