Child Care Medicaid Per Diem Rates

Effective December 1, 2011

Provider Agency Name Program Rate
Code
Rate
00333808 Abbott House General 1210 $16.96
00333808 Abbott House Hard/Place 1216 $26.59
00333808 Abbott House Therapeutic 1217 $34.26
00333808 Abbott House Diagnostic 1218 $30.44
00333808 Abbott House FBH 1220 $10.85
00339482 Astor Home For Children General 1210 $36.77
00339482 Astor Home For Children Hard/Place 1216 $115.37
00339482 Astor Home For Children Therapeutic 1217 $32.14
00465834 Baker Victory Services General 1210 $22.39
00465834 Baker Victory Services Maternity 1215 $22.83
00465834 Baker Victory Services Hard/Place 1216 $65.25
00465834 Baker Victory Services FBH 1220 $5.34
00327899 Berkshire Farm Center General 1210 $25.17
00327899 Berkshire Farm Center Hard/Place 1216 $56.68
00327899 Berkshire Farm Center FBH 1220 $20.15
00327931 Cardinal McCloskey Sch & Home General 1210 $26.00
00327931 Cardinal McCloskey Sch & Home Therapeutic 1217 $29.48
00327931 Cardinal McCloskey Sch & Home FBH 1220 $9.52
00327959 Catholic Guardian Soc NY General 1210 $8.01
00327959 Catholic Guardian Soc NY AIDS 1213 $14.74
00327959 Catholic Guardian Soc NY Hard/Place 1216 $84.11
00327959 Catholic Guardian Soc NY Therapeutic 1217 $50.32
00327959 Catholic Guardian Soc NY Sp Oth 01 1219 $107.37
00327959 Catholic Guardian Soc NY FBH 1220 $8.63
00353333 Cayuga Home for Children General 1210 $21.91
00353333 Cayuga Home for Children Therapeutic 1210 $34.22
00353526 Charlton School The General 1210 $32.40
00353677 Child and Family Svcs 824 General 1210 $12.18
00353677 Child and Family Svcs 824 FBH 1220 $5.51
00333793 Childrens Aid Society, The Boarder/Babies 1214 $60.01
00333793 Childrens Aid Society, The Therapeutic 1217 $16.29
00333793 Childrens Aid Society, The FBH 1220 $10.26
00487210 Childrens Home Jefferson Co General 1210 $35.97
00487210 Childrens Home Jefferson Co FBH 1220 $21.27
00353580 Childrens Home Wyoming Conf General 1210 $26.50
00353580 Childrens Home Wyoming Conf Diagnostic 1218 $55.32
00353580 Childrens Home Wyoming Conf FBH 1220 $20.99
00343357 Childrens Village General 1210 $31.18
00343357 Childrens Village Hard/Place 1216 $63.67
00343357 Childrens Village Therapeutic 1217 $26.13
00343357 Childrens Village FBH 1220 $10.64
00353342 Chldrns Hm of Kston 26 Grove General 1210 $23.51
00353640 Chldrns Hm of Pkeepsie Hillmn General 1210 $38.37
00353640 Chldrns Hm of Pkeepsie Hillmn FBH 1220 $34.99
01200944 Coalition for Hispanic Serv FBH 1220 $5.56
00353475 Community Maternity Svcs Bfc Maternity 1215 $25.67
00353475 Community Maternity Svcs Bfc Diagnostic 1218 $43.11
00353475 Community Maternity Svcs Bfc FBH 1220 $7.56
00343559 Crestwood Chilldrens Center General 1210 $22.39
00342461 Edwin Gould Svc for Children FBH 1220 $7.64
00343311 Elmcrest Childrens Center Inc General 1210 $29.70
00343311 Elmcrest Childrens Center Inc Hard/Place 1216 $68.57
00327702 Episcopal Social Services General 1210 $27.16
00327702 Episcopal Social Services Hard/Place 1216 $99.89
00327702 Episcopal Social Services FBH 1220 $13.41
01228679 Father Flanagans Boystown NYC General 1210 $9.96
00343320 Forestdale, Inc Hard/Place 1216 $16.53
00343320 Forestdale, Inc Therapeutic 1217 $77.25
00343320 Forestdale, Inc FBH 1220 $12.55
00356538 Gateway-Longview, Inc. General 1210 $20.87
00356538 Gateway-Longview, Inc. FBH 1220 $2.88
00353562 George Junior Republic Assoc General 1210 $28.93
02377044 Glove House General 1210 $31.91
02377044 Glove House FBH 1220 $14.51
00327817 Good Shepherd Services General 1210 $9.05
00327817 Good Shepherd Services Hard/Place 1216 $149.98
00327817 Good Shepherd Services Therapeutic 1217 $120.64
00327817 Good Shepherd Services Diagnostic 1218 $56.66
00327817 Good Shepherd Services FBH 1220 $11.51
00327995 Graham-Windham General 1210 $27.43
00327995 Graham-Windham Hard/Place 1216 $113.83
00327995 Graham-Windham Therapeutic 1217 $20.11
00327995 Graham-Windham FBH 1220 $11.42
00328001 Green Chimneys Childrens Serv General 1210 $31.05
00328001 Green Chimneys Childrens Serv Hard/Place 1216 $109.32
00356547 Gustavus Adolphus Child Home General 1210 $23.18
00356547 Gustavus Adolphus Child Home FBH 1220 $15.71
00343068 Harlem Dowling Children Svc Therapeutic 1217 $102.33
00343068 Harlem Dowling Children Svc FBH 1220 $9.11
00356547 Harmony Heights General 1210 $22.50
00327940 Heartshare Human Services FBH 1220 $6.79
00353219 Hillside Chldrns Ctr Laburnum General 1210 $28.61
00353219 Hillside Chldrns Ctr Laburnum Hard/Place 1216 $90.64
00353219 Hillside Chldrns Ctr Laburnum Therapeutic 1217 $31.52
00353219 Hillside Chldrns Ctr Laburnum Diagnostic 1218 $117.26
00353219 Hillside Chldrns Ctr Laburnum FBH 1220 $26.29
00353282 Hope for Youth Aiken General 1210 $26.23
00353282 Hope for Youth Aiken Therapeutic 1217 $86.87
00353282 Hope for Youth Aiken FBH 1220 $12.22
00356565 House of the Good Shepherd General 1210 $35.24
00356565 House of the Good Shepherd Therapeutic 1217 $22.90
00356565 House of the Good Shepherd Diagnostic 1218 $35.67
00356565 House of the Good Shepherd FBH 1220 $16.98
00328038 Inwood House Maternity 1215 $25.01
00328056 JCCA Edenwald General 1210 $40.55
00013098 JCCA FH Division General 1210 $30.46
00013098 JCCA FH Division Therapeutic 1217 $65.05
00013098 JCCA FH Division Diagnostic 1218 $133.24
00013098 JCCA FH Division FBH 1220 $11.79
00343504 Jewish Board Linden Hill General 1210 $46.75
00343504 Jewish Board Linden Hill Hard/Place 1216 $60.43
00343504 Jewish Board Linden Hill Diagnostic 1218 $128.31
00931246 Kinship Family and Youth Srvc General 1210 $15.48
00931246 Kinship Family and Youth Srvc Therapeutic 1217 $18.38
00931246 Kinship Family and Youth Srvc Diagnostic 1218 $182.90
00892773 Lake Grove School General 1210 $23.87
00328074 Leake and Watts Chl Home General 1210 $25.56
00328074 Leake and Watts Chl Home AIDS 1213 $33.30
00328074 Leake and Watts Chl Home Hard/Place 1216 $43.63
00328074 Leake and Watts Chl Home Diagnostic 1218 $19.90
00328074 Leake and Watts Chl Home FBH 1220 $11.29
00343384 Lincoln Hall General 1210 $43.87
00328083 Little Flower Childrens Svcs General 1210 $44.82
00328083 Little Flower Childrens Svcs AIDS 1213 $50.57
00328083 Little Flower Childrens Svcs Therapeutic 1217 $33.62
00328083 Little Flower Childrens Svcs FBH 1220 $11.52
01352203 Long Island Adolescent General 1210 $25.66
01352203 Long Island Adolescent Hard/Place 1216 $124.41
00343408 Lutheran Social Svcs Metro NY General 1210 $6.34
00343408 Lutheran Social Svcs Metro NY Sp Oth 01 1219 $57.70
00343408 Lutheran Social Svcs Metro NY FBH 1220 $7.21
00328116 Martin de Porres Group Homes Hard/Place 1216 $49.50
03215978 Martin de Porres School Hard/Place 1216 $80.54
00327766 mercyFirst General 1210 $21.73
00327766 mercyFirst Maternity 1215 $20.68
00327766 mercyFirst Hard/Place 1216 $50.85
00327766 mercyFirst Diagnostic 1218 $45.19
00327766 mercyFirst FBH 1220 $12.46
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 $22.32
00327835 New York Foundling Hospital Maternity 1215 $31.13
00327835 New York Foundling Hospital Hard/Place 1216 $19.21
00327835 New York Foundling Hospital Therapeutic 1217 $18.21
00327835 New York Foundling Hospital FBH 1220 $13.75
02842446 North American Family Institute Therapeutic 1217 $95.30
00784730 Northeast Parent Child Soc General 1210 $23.87
00475916 Occupations Inc General 1210 $29.74
01431745 Ofc Children & Family Svc General 1210 $30.49
01431745 Ofc Children & Family Svc FBH 1220 $3.89
00327660 Ohel Children Home Hard/Place 1216 $39.29
00327660 Ohel Children Home FBH 1220 $11.87
00353195 Parsons Child and Family Ctr General 1210 $20.68
00353195 Parsons Child and Family Ctr Hard/Place 1216 $48.51
00353195 Parsons Child and Family Ctr Therapeutic 1217 $47.78
00353195 Parsons Child and Family Ctr FBH 1220 $19.99
00343480 Rosalie Hall Maternity 1215 $35.39
02645696 Snell Farms Hard/Place 1216 $57.80
00327793 Society for Seamen's Children Therapeutic 1217 $17.72
00327793 Society for Seamen's Children FBH 1220 $9.46
00353535 St Anne Institute General 1210 $28.59
00353535 St Anne Institute Hard/Place 1216 $114.31
00353177 St Catherine Center for Child General 1210 $33.64
00353177 St Catherine Center for Child FBH 1220 $19.28
00327720 St Chris Jen Clrksn C C Ser General 1210 $43.41
00327720 St Chris Jen Clrksn C C Ser Hard/Place 1216 $95.54
00327853 St Christopher-Ottilie General 1210 $4.76
00327853 St Christopher-Ottilie Maternity 1215 $21.26
00327853 St Christopher-Ottilie Hard/Place 1216 $81.37
00327853 St Christopher-Ottilie Therapeutic 1217 $41.61
00327853 St Christopher-Ottilie FBH 1220 $11.35
00353622 St Colmans Home General 1210 $27.06
00327739 St Dominic's Home Therapeutic 1217 $20.92
00327739 St Dominic's Home FBH 1220 $8.29
00327748 St Johns Home for Boys General 1210 $35.37
00353571 St Josephs Villa Institution General 1210 $27.00
03160116 St Vincents Springfield Home General 1210 $15.32
03160116 St Vincents Springfield Home AIDS 1213 $28.76
03160116 St Vincents Springfield Home FBH 1220 $10.94
00422239 Summit Childrens Res General 1210 $26.52
00671738 Timothy Hill Childrens Ranch General 1210 $27.31
00784721 Toomey Res & Comm Srvcs Corp General 1210 $34.71
00784721 Toomey Res & Comm Srvcs Corp FBH 1220 $11.65
00784547 Transitional Serv Assoc Inc General 1210 $28.99
00353493 Vanderheyden Hall,Inc General 1210 $31.51
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