Episodic Payment System for Certified Home Health Agencies

Interim Rebasing Rate Adjustment Effective April 1, 2015

Effective April 1, 2015

New York City Wage Parity Rates

CHHA EPS - Interim Rebasing Rates NYC is also available in Excel Format (XLS, KB)

Rate Code Description Previous Rate Interim Rate
4810 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 1 $1,529.16 $1,345.66
4811 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 2 $1,697.40 $1,493.71
4812 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 3 $2,218.60 $1,952.37
4813 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 4 $2,460.96 $2,165.64
4814 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 5 $2,624.70 $2,309.74
4815 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 6 $2,847.05 $2,505.40
4816 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 1 $2,797.52 $2,461.82
4817 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 2 $3,488.96 $3,070.28
4818 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 3 $3,917.95 $3,447.80
4819 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 4 $4,105.03 $3,612.43
4820 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 5 $4,380.34 $3,854.70
4821 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 6 $5,022.40 $4,419.71
4822 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 1 $4,640.86 $4,083.96
4823 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 2 $4,958.01 $4,363.05
4824 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 3 $7,314.14 $6,436.44
4825 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 4 $6,898.60 $6,070.77
4826 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 5 $7,429.92 $6,538.33
4827 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 6 $9,173.28 $8,072.49
4828 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 1 $2,058.16 $1,811.18
4829 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 2 $2,257.95 $1,987.00
4830 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 3 $2,573.54 $2,264.72
4831 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 4 $2,712.07 $2,386.62
4832 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 5 $2,544.62 $2,239.27
4833 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 6 $2,370.03 $2,085.63
4834 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 1 $3,479.26 $3,061.75
4835 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 2 $4,344.37 $3,823.05
4836 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 3 $4,682.97 $4,121.01
4837 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 4 $5,054.10 $4,447.61
4838 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 5 $5,623.83 $4,948.97
4839 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 6 $6,625.58 $5,830.51
4840 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 1 $5,792.08 $5,097.03
4841 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 2 $7,059.48 $6,212.34
4842 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 3 $8,073.43 $7,104.62
4843 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 4 $8,987.00 $7,908.56
4844 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 5 $10,270.58 $9,038.11
4845 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 6 $11,668.94 $10,268.67
4846 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 1 $2,592.34 $2,281.26
4847 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 2 $2,530.60 $2,226.93
4848 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 3 $4,014.55 $3,532.80
4849 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 4 $4,195.01 $3,691.61
4850 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 5 $5,428.64 $4,777.20
4851 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 6 $4,651.81 $4,093.59
4852 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 1 $4,951.62 $4,357.43
4853 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 2 $5,022.94 $4,420.19
4854 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 3 $6,634.22 $5,838.11
4855 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 4 $7,308.32 $6,431.32
4856 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 5 $9,055.51 $7,968.85
4857 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 6 $9,309.29 $8,192.18
4858 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 1 $8,168.35 $7,188.15
4859 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 2 $11,117.71 $9,783.58
4860 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 3 $12,335.17 $10,854.95
4861 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 4 $12,602.88 $11,090.53
4862 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 5 $13,276.91 $11,683.68
4863 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 6 $13,746.06 $12,096.53
4864 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 1 $1,815.47 $1,597.61
4865 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 2 $2,494.81 $2,195.43
4866 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 3 $3,079.52 $2,709.98
4867 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 4 $3,236.02 $2,847.70
4868 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 5 $3,130.66 $2,754.98
4869 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 6 $3,096.04 $2,724.52
4870 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 1 $4,352.24 $3,829.97
4871 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 2 $4,955.85 $4,361.15
4872 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 3 $5,251.64 $4,621.44
4873 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 4 $5,783.66 $5,089.62
4874 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 5 $6,322.53 $5,563.83
4875 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 6 $6,426.62 $5,655.43
4876 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 1 $5,894.09 $5,186.80
4877 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 2 $5,626.41 $4,951.24
4878 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 3 $8,209.56 $7,224.41
4879 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 4 $8,897.53 $7,829.83
4880 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 5 $10,448.74 $9,194.89
4881 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 6 $10,917.17 $9,607.11
4882 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 1 $2,607.50 $2,294.60
4883 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 2 $2,838.74 $2,498.09
4884 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 3 $3,245.88 $2,856.37
4885 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 4 $3,252.92 $2,862.57
4886 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 5 $3,122.92 $2,748.17
4887 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 6 $2,772.21 $2,439.54
4888 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 1 $4,804.52 $4,227.98
4889 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 2 $5,535.30 $4,871.06
4890 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 3 $5,867.99 $5,163.83
4891 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 4 $6,297.63 $5,541.91
4892 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 5 $7,019.46 $6,177.12
4893 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 6 $7,621.40 $6,706.83
4894 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 1 $7,108.36 $6,255.36
4895 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 2 $10,589.31 $9,318.59
4896 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 3 $12,524.61 $11,021.66
4897 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 4 $12,325.28 $10,846.25
4898 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 5 $13,235.02 $11,646.82
4899 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 6 $14,106.87 $12,414.05
4900 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 1 $3,212.11 $2,826.66
4901 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 2 $3,705.39 $3,260.74
4902 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 3 $4,675.79 $4,114.70
4903 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 4 $4,808.06 $4,231.09
4904 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 5 $5,104.15 $4,491.65
4905 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 6 $4,841.73 $4,260.72
4906 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 1 $5,118.37 $4,504.17
4907 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 2 $6,360.06 $5,596.85
4908 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 3 $8,299.70 $7,303.74
4909 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 4 $10,216.25 $8,990.30
4910 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 5 $11,364.36 $10,000.64
4911 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 6 $12,806.72 $11,269.91
4912 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 1 $10,093.50 $8,882.28
4913 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 2 $14,646.10 $12,888.57
4914 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 3 $16,424.94 $14,453.95
4915 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 4 $15,824.52 $13,925.58
4916 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 5 $15,865.08 $13,961.27
4917 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 6 $15,585.03 $13,714.83
4919 ASSESSMENTS (LUPA ONLY) $5.63 $5.63
4920 EPS MATERNITY, NO OASIS, 18 AND OLDER $1,529.16 $1,345.66