Certified Hospice Program
Medicaid Rate Sheet
Effective 12/1/16 – 9/30/17
- Rate sheet also available in Excel Format (XLS, 1.1MB)
| Table of Contents |
|---|
| Albany–Schenectady–Troy |
| Binghamton |
| Buffalo |
| Elmira |
| Glens Falls |
| Nassau Suffolk |
| New York City |
| Niagara Falls |
| Orange County |
| Poughkeepsie |
| Rochester |
| Syracuse |
| Utica-Rome |
| Rural |
SMSA: Albany–Schenectady–Troy
Hospice Rate Sheets for the Counties of: ALBANY, GREENE, MONTGOMERY, RENSSELAER, SARATOGA, SCHENECTADY
| Rate Code |
Description | Base Rate | WRP Add–on * |
RTR Add–on * |
Total w/ addons |
|---|---|---|---|---|---|
| 3945 | Routine Home Care | $169.82 | $5.09 | $9.92 | $184.83 |
| 3946 | Inpatient Respite | $164.38 | $4.93 | $9.92 | $179.23 |
| 3947 | General Inpatient Care | $659.67 | $19.79 | $9.92 | $689.38 |
| 3948 | Continuous Home Care – Min 8 Hours | $286.31 | $8.59 | $9.92 | $304.82 |
| 3949 | Continuous Home Care – Min 9 Hours | $322.10 | $9.66 | $9.92 | $341.68 |
| 3950 | Continuous Home Care – Min 10 Hours | $357.88 | $10.74 | $9.92 | $378.54 |
| 3951 | Continuous Home Care – Min 11 Hours | $393.67 | $11.81 | $9.92 | $415.40 |
| 3952 | Continuous Home Care – Min 12 Hours | $429.46 | $12.88 | $9.92 | $452.26 |
| 3953 | Continuous Home Care – Min 13 Hours | $465.25 | $13.96 | $9.92 | $489.13 |
| 3954 | Continuous Home Care – Min 14 Hours | $501.04 | $15.03 | $9.92 | $525.99 |
| 3955 | Continuous Home Care – Min 15 Hours | $536.83 | $16.10 | $9.92 | $562.85 |
| 3956 | Continuous Home Care – Min 16 Hours | $572.61 | $17.18 | $9.92 | $599.71 |
| 3957 | Continuous Home Care – Min 17 Hours | $608.40 | $18.25 | $9.92 | $636.57 |
| 3958 | Continuous Home Care – Min 18 Hours | $644.19 | $19.33 | $9.92 | $673.44 |
| 3959 | Continuous Home Care – Min 19 Hours | $679.98 | $20.40 | $9.92 | $710.30 |
| 3960 | Continuous Home Care – Min 20 Hours | $715.77 | $21.47 | $9.92 | $747.16 |
| 3961 | Continuous Home Care – Min 21 Hours | $751.56 | $22.55 | $9.92 | $784.03 |
| 3962 | Continuous Home Care – Min 22 Hours | $787.34 | $23.62 | $9.92 | $820.88 |
| 3963 | Continuous Home Care – Min 23 Hours | $823.13 | $24.69 | $9.92 | $857.74 |
| 3964 | Continuous Home Care – Min 24 Hours | $858.92 | $25.77 | $9.92 | $894.61 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate – | ||||
| 5% of 3946 | $8.22 | $0.25 | $0.50 | $8.97 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $272.76 | $8.18 | $9.92 | $290.86 |
| 3970 | Routine Home Care w/Escort | $187.16 | $5.61 | $9.92 | $202.69 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $301.48 | $9.04 | $9.92 | $320.44 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $339.17 | $10.18 | $9.92 | $359.27 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $376.85 | $11.31 | $9.92 | $398.08 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $414.54 | $12.44 | $9.92 | $436.90 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $452.23 | $13.57 | $9.92 | $475.72 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $489.91 | $14.70 | $9.92 | $514.53 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $527.60 | $15.83 | $9.92 | $553.35 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $565.28 | $16.96 | $9.92 | $592.16 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $602.97 | $18.09 | $9.92 | $630.98 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $640.65 | $19.22 | $9.92 | $669.79 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $678.34 | $20.35 | $9.92 | $708.61 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $716.02 | $21.48 | $9.92 | $747.42 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $753.71 | $22.61 | $9.92 | $786.24 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $791.39 | $23.74 | $9.92 | $825.05 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $829.08 | $24.87 | $9.92 | $863.87 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $866.76 | $26.00 | $9.92 | $902.68 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $904.45 | $27.13 | $9.92 | $941.50 |
| 3988 | General Inpatient w/ AIDS | $733.16 | $21.99 | $9.92 | $765.07 |
| 3989 | Routine Home Care w/ AIDS Escort | $290.10 | $8.70 | $9.92 | $308.72 |
| 3991 | Service Intensity Add–on | $36.64 | $1.10 | $0.00 | $37.74 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|SMSA: Binghamton
Hospice Rate Sheets for the Counties of: BROOME, TIOGA
| Rate Code |
Description | Base Rate | WRP Add–on * |
RTR Add–on * |
Total w/ addons |
|---|---|---|---|---|---|
| 3945 | Routine Home Care | $166.65 | $5.00 | $9.92 | $181.57 |
| 3946 | Inpatient Respite | $162.03 | $4.86 | $9.92 | $176.81 |
| 3947 | General Inpatient Care | $648.28 | $19.45 | $9.92 | $677.65 |
| 3948 | Continuous Home Care – Min 8 Hours | $280.96 | $8.43 | $9.92 | $299.31 |
| 3949 | Continuous Home Care – Min 9 Hours | $316.08 | $9.48 | $9.92 | $335.48 |
| 3950 | Continuous Home Care – Min 10 Hours | $351.20 | $10.54 | $9.92 | $371.66 |
| 3951 | Continuous Home Care – Min 11 Hours | $386.32 | $11.59 | $9.92 | $407.83 |
| 3952 | Continuous Home Care – Min 12 Hours | $421.44 | $12.64 | $9.92 | $444.00 |
| 3953 | Continuous Home Care – Min 13 Hours | $456.55 | $13.70 | $9.92 | $480.17 |
| 3954 | Continuous Home Care – Min 14 Hours | $491.67 | $14.75 | $9.92 | $516.34 |
| 3955 | Continuous Home Care – Min 15 Hours | $526.79 | $15.80 | $9.92 | $552.51 |
| 3956 | Continuous Home Care – Min 16 Hours | $561.91 | $16.86 | $9.92 | $588.69 |
| 3957 | Continuous Home Care – Min 17 Hours | $597.03 | $17.91 | $9.92 | $624.86 |
| 3958 | Continuous Home Care – Min 18 Hours | $632.15 | $18.96 | $9.92 | $661.03 |
| 3959 | Continuous Home Care – Min 19 Hours | $667.27 | $20.02 | $9.92 | $697.21 |
| 3960 | Continuous Home Care – Min 20 Hours | $702.39 | $21.07 | $9.92 | $733.38 |
| 3961 | Continuous Home Care – Min 21 Hours | $737.51 | $22.13 | $9.92 | $769.56 |
| 3962 | Continuous Home Care – Min 22 Hours | $772.63 | $23.18 | $9.92 | $805.73 |
| 3963 | Continuous Home Care – Min 23 Hours | $807.75 | $24.23 | $9.92 | $841.90 |
| 3964 | Continuous Home Care – Min 24 Hours | $842.87 | $25.29 | $9.92 | $878.08 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate – | ||||
| 5% of 3946 | $8.10 | $0.24 | $0.50 | $8.84 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $267.66 | $8.03 | $9.92 | $285.61 |
| 3970 | Routine Home Care w/Escort | $183.99 | $5.52 | $9.92 | $199.43 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $293.59 | $8.81 | $9.92 | $312.32 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $330.29 | $9.91 | $9.92 | $350.12 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $366.98 | $11.01 | $9.92 | $387.91 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $403.68 | $12.11 | $9.92 | $425.71 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $440.38 | $13.21 | $9.92 | $463.51 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $477.08 | $14.31 | $9.92 | $501.31 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $513.78 | $15.41 | $9.92 | $539.11 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $550.48 | $16.51 | $9.92 | $576.91 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $587.17 | $17.62 | $9.92 | $614.71 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $623.87 | $18.72 | $9.92 | $652.51 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $660.57 | $19.82 | $9.92 | $690.31 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $697.27 | $20.92 | $9.92 | $728.11 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $733.97 | $22.02 | $9.92 | $765.91 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $770.67 | $23.12 | $9.92 | $803.71 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $807.36 | $24.22 | $9.92 | $841.50 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $844.06 | $25.32 | $9.92 | $879.30 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $880.76 | $26.42 | $9.92 | $917.10 |
| 3988 | General Inpatient w/ AIDS | $720.50 | $21.62 | $9.92 | $752.04 |
| 3989 | Routine Home Care w/ AIDS Escort | $285.00 | $8.55 | $9.92 | $303.47 |
| 3991 | Service Intensity Add–on | $35.95 | $1.08 | $0.00 | $37.03 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|SMSA: Buffalo
Hospice Rate Sheets for the Counties of: ERIE
| Rate Code |
Description | Base Rate | WRP Add–on * |
RTR Add–on * |
Total w/ addons |
|---|---|---|---|---|---|
| 3945 | Routine Home Care | $196.50 | $5.90 | $9.92 | $212.32 |
| 3946 | Inpatient Respite | $184.21 | $5.53 | $9.92 | $199.66 |
| 3947 | General Inpatient Care | $755.40 | $22.66 | $9.92 | $787.98 |
| 3948 | Continuous Home Care – Min 8 Hours | $331.28 | $9.94 | $9.92 | $351.14 |
| 3949 | Continuous Home Care – Min 9 Hours | $372.69 | $11.18 | $9.92 | $393.79 |
| 3950 | Continuous Home Care – Min 10 Hours | $414.10 | $12.42 | $9.92 | $436.44 |
| 3951 | Continuous Home Care – Min 11 Hours | $455.51 | $13.67 | $9.92 | $479.10 |
| 3952 | Continuous Home Care – Min 12 Hours | $496.93 | $14.91 | $9.92 | $521.76 |
| 3953 | Continuous Home Care – Min 13 Hours | $538.34 | $16.15 | $9.92 | $564.41 |
| 3954 | Continuous Home Care – Min 14 Hours | $579.75 | $17.39 | $9.92 | $607.06 |
| 3955 | Continuous Home Care – Min 15 Hours | $621.16 | $18.63 | $9.92 | $649.71 |
| 3956 | Continuous Home Care – Min 16 Hours | $662.57 | $19.88 | $9.92 | $692.37 |
| 3957 | Continuous Home Care – Min 17 Hours | $703.98 | $21.12 | $9.92 | $735.02 |
| 3958 | Continuous Home Care – Min 18 Hours | $745.39 | $22.36 | $9.92 | $777.67 |
| 3959 | Continuous Home Care – Min 19 Hours | $786.80 | $23.60 | $9.92 | $820.32 |
| 3960 | Continuous Home Care – Min 20 Hours | $828.21 | $24.85 | $9.92 | $862.98 |
| 3961 | Continuous Home Care – Min 21 Hours | $869.62 | $26.09 | $9.92 | $905.63 |
| 3962 | Continuous Home Care – Min 22 Hours | $911.03 | $27.33 | $9.92 | $948.28 |
| 3963 | Continuous Home Care – Min 23 Hours | $952.44 | $28.57 | $9.92 | $990.93 |
| 3964 | Continuous Home Care – Min 24 Hours | $993.85 | $29.82 | $9.92 | $1,033.59 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate – | ||||
| 5% of 3946 | $9.21 | $0.28 | $0.50 | $9.99 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $315.61 | $9.47 | $9.92 | $335.00 |
| 3970 | Routine Home Care w/Escort | $213.84 | $6.42 | $9.92 | $230.18 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $367.87 | $11.04 | $9.92 | $388.83 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $413.85 | $12.42 | $9.92 | $436.19 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $459.84 | $13.80 | $9.92 | $483.56 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $505.82 | $15.17 | $9.92 | $530.91 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $551.81 | $16.55 | $9.92 | $578.28 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $597.79 | $17.93 | $9.92 | $625.64 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $643.77 | $19.31 | $9.92 | $673.00 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $689.76 | $20.69 | $9.92 | $720.37 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $735.74 | $22.07 | $9.92 | $767.73 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $781.72 | $23.45 | $9.92 | $815.09 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $827.71 | $24.83 | $9.92 | $862.46 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $873.69 | $26.21 | $9.92 | $909.82 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $919.68 | $27.59 | $9.92 | $957.19 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $965.66 | $28.97 | $9.92 | $1,004.55 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,011.64 | $30.35 | $9.92 | $1,051.91 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,057.63 | $31.73 | $9.92 | $1,099.28 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,103.61 | $33.11 | $9.92 | $1,146.64 |
| 3988 | General Inpatient w/ AIDS | $839.55 | $25.19 | $9.92 | $874.66 |
| 3989 | Routine Home Care w/ AIDS Escort | $332.95 | $9.99 | $9.92 | $352.86 |
| 3991 | Service Intensity Add–on | $42.39 | $1.27 | $0.00 | $43.66 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|SMSA: Elmira
Hospice Rate Sheets for the Counties of: CHEMUNG
| Rate Code |
Description | Base Rate | WRP Add–on * |
RTR Add–on * |
Total w/ addons |
|---|---|---|---|---|---|
| 3945 | Routine Home Care | $172.39 | $5.17 | $9.92 | $187.48 |
| 3946 | Inpatient Respite | $166.29 | $4.99 | $9.92 | $181.20 |
| 3947 | General Inpatient Care | $668.89 | $20.07 | $9.92 | $698.88 |
| 3948 | Continuous Home Care – Min 8 Hours | $290.64 | $8.72 | $9.92 | $309.28 |
| 3949 | Continuous Home Care – Min 9 Hours | $326.97 | $9.81 | $9.92 | $346.70 |
| 3950 | Continuous Home Care – Min 10 Hours | $363.30 | $10.90 | $9.92 | $384.12 |
| 3951 | Continuous Home Care – Min 11 Hours | $399.63 | $11.99 | $9.92 | $421.54 |
| 3952 | Continuous Home Care – Min 12 Hours | $435.96 | $13.08 | $9.92 | $458.96 |
| 3953 | Continuous Home Care – Min 13 Hours | $472.29 | $14.17 | $9.92 | $496.38 |
| 3954 | Continuous Home Care – Min 14 Hours | $508.62 | $15.26 | $9.92 | $533.80 |
| 3955 | Continuous Home Care – Min 15 Hours | $544.95 | $16.35 | $9.92 | $571.22 |
| 3956 | Continuous Home Care – Min 16 Hours | $581.28 | $17.44 | $9.92 | $608.64 |
| 3957 | Continuous Home Care – Min 17 Hours | $617.61 | $18.53 | $9.92 | $646.06 |
| 3958 | Continuous Home Care – Min 18 Hours | $653.94 | $19.62 | $9.92 | $683.48 |
| 3959 | Continuous Home Care – Min 19 Hours | $690.27 | $20.71 | $9.92 | $720.90 |
| 3960 | Continuous Home Care – Min 20 Hours | $726.60 | $21.80 | $9.92 | $758.32 |
| 3961 | Continuous Home Care – Min 21 Hours | $762.93 | $22.89 | $9.92 | $795.74 |
| 3962 | Continuous Home Care – Min 22 Hours | $799.26 | $23.98 | $9.92 | $833.16 |
| 3963 | Continuous Home Care – Min 23 Hours | $835.59 | $25.07 | $9.92 | $870.58 |
| 3964 | Continuous Home Care – Min 24 Hours | $871.92 | $26.16 | $9.92 | $908.00 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $8.31 | $0.25 | $0.50 | $9.06 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $276.89 | $8.31 | $9.92 | $295.12 |
| 3970 | Routine Home Care w/Escort | $189.73 | $5.69 | $9.92 | $205.34 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $307.88 | $9.24 | $9.92 | $327.04 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $346.36 | $10.39 | $9.92 | $366.67 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $384.85 | $11.55 | $9.92 | $406.32 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $423.33 | $12.70 | $9.92 | $445.95 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $461.82 | $13.85 | $9.92 | $485.59 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $500.30 | $15.01 | $9.92 | $525.23 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $538.78 | $16.16 | $9.92 | $564.86 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $577.27 | $17.32 | $9.92 | $604.51 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $615.75 | $18.47 | $9.92 | $644.14 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $654.24 | $19.63 | $9.92 | $683.79 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $692.72 | $20.78 | $9.92 | $723.42 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $731.21 | $21.94 | $9.92 | $763.07 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $769.69 | $23.09 | $9.92 | $802.70 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $808.18 | $24.25 | $9.92 | $842.35 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $846.66 | $25.40 | $9.92 | $881.98 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $885.15 | $26.55 | $9.92 | $921.62 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $923.63 | $27.71 | $9.92 | $961.26 |
| 3988 | General Inpatient w/ AIDS | $743.40 | $22.30 | $9.92 | $775.62 |
| 3989 | Routine Home Care w/ AIDS Escort | $294.23 | $8.83 | $9.92 | $312.98 |
| 3991 | Service Intensity Add–on | $37.19 | $1.12 | $0.00 | $38.31 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|SMSA: Glens Falls
Hospice Rate Sheets for the Counties of:WARREN, WASHINGTON
| Rate Code |
Description | Base Rate | WRP Add–on * |
RTR Add–on * |
Total w/ addons |
|---|---|---|---|---|---|
| 3945 | Routine Home Care | $166.39 | $4.99 | $9.92 | $181.30 |
| 3946 | Inpatient Respite | $161.83 | $4.85 | $9.92 | $176.60 |
| 3947 | General Inpatient Care | $647.34 | $19.42 | $9.92 | $676.68 |
| 3948 | Continuous Home Care – Min 8 Hours | $280.52 | $8.42 | $9.92 | $298.86 |
| 3949 | Continuous Home Care – Min 9 Hours | $315.58 | $9.47 | $9.92 | $334.97 |
| 3950 | Continuous Home Care – Min 10 Hours | $350.65 | $10.52 | $9.92 | $371.09 |
| 3951 | Continuous Home Care – Min 11 Hours | $385.71 | $11.57 | $9.92 | $407.20 |
| 3952 | Continuous Home Care – Min 12 Hours | $420.78 | $12.62 | $9.92 | $443.32 |
| 3953 | Continuous Home Care – Min 13 Hours | $455.84 | $13.68 | $9.92 | $479.44 |
| 3954 | Continuous Home Care – Min 14 Hours | $490.90 | $14.73 | $9.92 | $515.55 |
| 3955 | Continuous Home Care – Min 15 Hours | $525.97 | $15.78 | $9.92 | $551.67 |
| 3956 | Continuous Home Care – Min 16 Hours | $561.03 | $16.83 | $9.92 | $587.78 |
| 3957 | Continuous Home Care – Min 17 Hours | $596.10 | $17.88 | $9.92 | $623.90 |
| 3958 | Continuous Home Care – Min 18 Hours | $631.16 | $18.93 | $9.92 | $660.01 |
| 3959 | Continuous Home Care – Min 19 Hours | $666.23 | $19.99 | $9.92 | $696.14 |
| 3960 | Continuous Home Care – Min 20 Hours | $701.29 | $21.04 | $9.92 | $732.25 |
| 3961 | Continuous Home Care – Min 21 Hours | $736.36 | $22.09 | $9.92 | $768.37 |
| 3962 | Continuous Home Care – Min 22 Hours | $771.42 | $23.14 | $9.92 | $804.48 |
| 3963 | Continuous Home Care – Min 23 Hours | $806.49 | $24.19 | $9.92 | $840.60 |
| 3964 | Continuous Home Care – Min 24 Hours | $841.55 | $25.25 | $9.92 | $876.72 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $8.09 | $0.24 | $0.50 | $8.83 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $267.24 | $8.02 | $9.92 | $285.18 |
| 3970 | Routine Home Care w/Escort | $183.73 | $5.51 | $9.92 | $199.16 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $292.94 | $8.79 | $9.92 | $311.65 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $329.55 | $9.89 | $9.92 | $349.36 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $366.17 | $10.99 | $9.92 | $387.08 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $402.79 | $12.08 | $9.92 | $424.79 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $439.41 | $13.18 | $9.92 | $462.51 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $476.02 | $14.28 | $9.92 | $500.22 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $512.64 | $15.38 | $9.92 | $537.94 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $549.26 | $16.48 | $9.92 | $575.66 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $585.87 | $17.58 | $9.92 | $613.37 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $622.49 | $18.67 | $9.92 | $651.08 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $659.11 | $19.77 | $9.92 | $688.80 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $695.72 | $20.87 | $9.92 | $726.51 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $732.34 | $21.97 | $9.92 | $764.23 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $768.96 | $23.07 | $9.92 | $801.95 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $805.58 | $24.17 | $9.92 | $839.67 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $842.19 | $25.27 | $9.92 | $877.38 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $878.81 | $26.36 | $9.92 | $915.09 |
| 3988 | General Inpatient w/ AIDS | $719.45 | $21.58 | $9.92 | $750.95 |
| 3989 | Routine Home Care w/ AIDS Escort | $284.58 | $8.54 | $9.92 | $303.04 |
| 3991 | Service Intensity Add–on | $35.89 | $1.08 | $0.00 | $36.97 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|SMSA: Nassau Suffolk
Hospice Rate Sheets for the Counties of: NASSAU, SUFFOLK
| Rate Code |
Description | Base Rate | WRP Add–on * |
RTR Add–on * |
Total w/ addons |
|---|---|---|---|---|---|
| 3945 | Routine Home Care | $229.70 | $6.89 | $9.92 | $246.51 |
| 3946 | Inpatient Respite | $208.87 | $6.27 | $9.92 | $225.06 |
| 3947 | General Inpatient Care | $874.52 | $26.24 | $9.92 | $910.68 |
| 3948 | Continuous Home Care – Min 8 Hours | $387.25 | $11.62 | $9.92 | $408.79 |
| 3949 | Continuous Home Care – Min 9 Hours | $435.65 | $13.07 | $9.92 | $458.64 |
| 3950 | Continuous Home Care – Min 10 Hours | $484.06 | $14.52 | $9.92 | $508.50 |
| 3951 | Continuous Home Care – Min 11 Hours | $532.46 | $15.97 | $9.92 | $558.35 |
| 3952 | Continuous Home Care – Min 12 Hours | $580.87 | $17.43 | $9.92 | $608.22 |
| 3953 | Continuous Home Care – Min 13 Hours | $629.28 | $18.88 | $9.92 | $658.08 |
| 3954 | Continuous Home Care – Min 14 Hours | $677.68 | $20.33 | $9.92 | $707.93 |
| 3955 | Continuous Home Care – Min 15 Hours | $726.09 | $21.78 | $9.92 | $757.79 |
| 3956 | Continuous Home Care – Min 16 Hours | $774.49 | $23.23 | $9.92 | $807.64 |
| 3957 | Continuous Home Care – Min 17 Hours | $822.90 | $24.69 | $9.92 | $857.51 |
| 3958 | Continuous Home Care – Min 18 Hours | $871.31 | $26.14 | $9.92 | $907.37 |
| 3959 | Continuous Home Care – Min 19 Hours | $919.71 | $27.59 | $9.92 | $957.22 |
| 3960 | Continuous Home Care – Min 20 Hours | $968.12 | $29.04 | $9.92 | $1,007.08 |
| 3961 | Continuous Home Care – Min 21 Hours | $1,016.52 | $30.50 | $9.92 | $1,056.94 |
| 3962 | Continuous Home Care – Min 22 Hours | $1,064.93 | $31.95 | $9.92 | $1,106.80 |
| 3963 | Continuous Home Care – Min 23 Hours | $1,113.33 | $33.40 | $9.92 | $1,156.65 |
| 3964 | Continuous Home Care – Min 24 Hours | $1,161.74 | $34.85 | $9.92 | $1,206.51 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $10.44 | $0.31 | $0.50 | $11.25 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $368.92 | $11.07 | $9.92 | $389.91 |
| 3970 | Routine Home Care w/Escort | $247.04 | $7.41 | $9.92 | $264.37 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $450.47 | $13.51 | $9.92 | $473.90 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $506.78 | $15.20 | $9.92 | $531.90 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $563.09 | $16.89 | $9.92 | $589.90 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $619.40 | $18.58 | $9.92 | $647.90 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $675.71 | $20.27 | $9.92 | $705.90 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $732.02 | $21.96 | $9.92 | $763.90 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $788.33 | $23.65 | $9.92 | $821.90 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $844.64 | $25.34 | $9.92 | $879.90 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $900.95 | $27.03 | $9.92 | $937.90 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $957.26 | $28.72 | $9.92 | $995.90 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $1,013.57 | $30.41 | $9.92 | $1,053.90 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $1,069.87 | $32.10 | $9.92 | $1,111.89 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $1,126.18 | $33.79 | $9.92 | $1,169.89 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,182.49 | $35.47 | $9.92 | $1,227.88 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,238.80 | $37.16 | $9.92 | $1,285.88 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,295.11 | $38.85 | $9.92 | $1,343.88 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,351.42 | $40.54 | $9.92 | $1,401.88 |
| 3988 | General Inpatient w/ AIDS | $971.94 | $29.16 | $9.92 | $1,011.02 |
| 3989 | Routine Home Care w/ AIDS Escort | $386.26 | $11.59 | $9.92 | $407.77 |
| 3991 | Service Intensity Add–on | $49.55 | $1.49 | $0.00 | $51.04 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|SMSA: New York City
Hospice Rate Sheets for the Counties of: BRONX, KINGS, NEW YORK, PUTNAM, QUEENS, RICHMOND, ROCKLAND, WESTCHESTER
| Rate Code |
Description | Base Rate | WRP Add–on * |
RTR Add–on * |
Total w/ addons |
|---|---|---|---|---|---|
| 3945 | Routine Home Care | $229.62 | $6.89 | $9.92 | $246.43 |
| 3946 | Inpatient Respite | $208.82 | $6.26 | $9.92 | $225.00 |
| 3947 | General Inpatient Care | $874.24 | $26.23 | $9.92 | $910.39 |
| 3948 | Continuous Home Care – Min 8 Hours | $387.11 | $11.61 | $9.92 | $408.64 |
| 3949 | Continuous Home Care – Min 9 Hours | $435.50 | $13.07 | $9.92 | $458.49 |
| 3950 | Continuous Home Care – Min 10 Hours | $483.89 | $14.52 | $9.92 | $508.33 |
| 3951 | Continuous Home Care – Min 11 Hours | $532.28 | $15.97 | $9.92 | $558.17 |
| 3952 | Continuous Home Care – Min 12 Hours | $580.67 | $17.42 | $9.92 | $608.01 |
| 3953 | Continuous Home Care – Min 13 Hours | $629.06 | $18.87 | $9.92 | $657.85 |
| 3954 | Continuous Home Care – Min 14 Hours | $677.45 | $20.32 | $9.92 | $707.69 |
| 3955 | Continuous Home Care – Min 15 Hours | $725.84 | $21.78 | $9.92 | $757.54 |
| 3956 | Continuous Home Care – Min 16 Hours | $774.23 | $23.23 | $9.92 | $807.38 |
| 3957 | Continuous Home Care – Min 17 Hours | $822.62 | $24.68 | $9.92 | $857.22 |
| 3958 | Continuous Home Care – Min 18 Hours | $871.01 | $26.13 | $9.92 | $907.06 |
| 3959 | Continuous Home Care – Min 19 Hours | $919.39 | $27.58 | $9.92 | $956.89 |
| 3960 | Continuous Home Care – Min 20 Hours | $967.78 | $29.03 | $9.92 | $1,006.73 |
| 3961 | Continuous Home Care – Min 21 Hours | $1,016.17 | $30.49 | $9.92 | $1,056.58 |
| 3962 | Continuous Home Care – Min 22 Hours | $1,064.56 | $31.94 | $9.92 | $1,106.42 |
| 3963 | Continuous Home Care – Min 23 Hours | $1,112.95 | $33.39 | $9.92 | $1,156.26 |
| 3964 | Continuous Home Care – Min 24 Hours | $1,161.34 | $34.84 | $9.92 | $1,206.10 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $10.44 | $0.31 | $0.50 | $11.25 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $368.80 | $11.06 | $9.92 | $389.78 |
| 3970 | Routine Home Care w/Escort | $246.96 | $7.41 | $9.92 | $264.29 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $450.28 | $13.51 | $9.92 | $473.71 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $506.56 | $15.20 | $9.92 | $531.68 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $562.85 | $16.89 | $9.92 | $589.66 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $619.13 | $18.57 | $9.92 | $647.62 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $675.42 | $20.26 | $9.92 | $705.60 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $731.70 | $21.95 | $9.92 | $763.57 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $787.98 | $23.64 | $9.92 | $821.54 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $844.27 | $25.33 | $9.92 | $879.52 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $900.55 | $27.02 | $9.92 | $937.49 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $956.84 | $28.71 | $9.92 | $995.47 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $1,013.12 | $30.39 | $9.92 | $1,053.43 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $1,069.41 | $32.08 | $9.92 | $1,111.41 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $1,125.69 | $33.77 | $9.92 | $1,169.38 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,181.98 | $35.46 | $9.92 | $1,227.36 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,238.26 | $37.15 | $9.92 | $1,285.33 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,294.55 | $38.84 | $9.92 | $1,343.31 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,350.83 | $40.52 | $9.92 | $1,401.27 |
| 3988 | General Inpatient w/ AIDS | $971.63 | $29.15 | $9.92 | $1,010.70 |
| 3989 | Routine Home Care w/ AIDS Escort | $386.14 | $11.58 | $9.92 | $407.64 |
| 3991 | Service Intensity Add–on | $49.53 | $1.49 | $0.00 | $51.02 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|SMSA: Niagara Falls
Hospice Rate Sheets for the Counties of: NIAGARA
| Rate Code |
Description | Base Rate | WRP Add–on * |
RTR Add–on * |
Total w/ addons |
|---|---|---|---|---|---|
| 3945 | Routine Home Care | $196.50 | $5.90 | $9.92 | $212.32 |
| 3946 | Inpatient Respite | $184.21 | $5.53 | $9.92 | $199.66 |
| 3947 | General Inpatient Care | $755.40 | $22.66 | $9.92 | $787.98 |
| 3948 | Continuous Home Care – Min 8 Hours | $331.28 | $9.94 | $9.92 | $351.14 |
| 3949 | Continuous Home Care – Min 9 Hours | $372.69 | $11.18 | $9.92 | $393.79 |
| 3950 | Continuous Home Care – Min 10 Hours | $414.10 | $12.42 | $9.92 | $436.44 |
| 3951 | Continuous Home Care – Min 11 Hours | $455.51 | $13.67 | $9.92 | $479.10 |
| 3952 | Continuous Home Care – Min 12 Hours | $496.93 | $14.91 | $9.92 | $521.76 |
| 3953 | Continuous Home Care – Min 13 Hours | $538.34 | $16.15 | $9.92 | $564.41 |
| 3954 | Continuous Home Care – Min 14 Hours | $579.75 | $17.39 | $9.92 | $607.06 |
| 3955 | Continuous Home Care – Min 15 Hours | $621.16 | $18.63 | $9.92 | $649.71 |
| 3956 | Continuous Home Care – Min 16 Hours | $662.57 | $19.88 | $9.92 | $692.37 |
| 3957 | Continuous Home Care – Min 17 Hours | $703.98 | $21.12 | $9.92 | $735.02 |
| 3958 | Continuous Home Care – Min 18 Hours | $745.39 | $22.36 | $9.92 | $777.67 |
| 3959 | Continuous Home Care – Min 19 Hours | $786.80 | $23.60 | $9.92 | $820.32 |
| 3960 | Continuous Home Care – Min 20 Hours | $828.21 | $24.85 | $9.92 | $862.98 |
| 3961 | Continuous Home Care – Min 21 Hours | $869.62 | $26.09 | $9.92 | $905.63 |
| 3962 | Continuous Home Care – Min 22 Hours | $911.03 | $27.33 | $9.92 | $948.28 |
| 3963 | Continuous Home Care – Min 23 Hours | $952.44 | $28.57 | $9.92 | $990.93 |
| 3964 | Continuous Home Care – Min 24 Hours | $993.85 | $29.82 | $9.92 | $1,033.59 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $9.21 | $0.28 | $0.50 | $9.99 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $315.61 | $9.47 | $9.92 | $335.00 |
| 3970 | Routine Home Care w/Escort | $213.84 | $6.42 | $9.92 | $230.18 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $367.87 | $11.04 | $9.92 | $388.83 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $413.85 | $12.42 | $9.92 | $436.19 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $459.84 | $13.80 | $9.92 | $483.56 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $505.82 | $15.17 | $9.92 | $530.91 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $551.81 | $16.55 | $9.92 | $578.28 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $597.79 | $17.93 | $9.92 | $625.64 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $643.77 | $19.31 | $9.92 | $673.00 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $689.76 | $20.69 | $9.92 | $720.37 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $735.74 | $22.07 | $9.92 | $767.73 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $781.72 | $23.45 | $9.92 | $815.09 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $827.71 | $24.83 | $9.92 | $862.46 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $873.69 | $26.21 | $9.92 | $909.82 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $919.68 | $27.59 | $9.92 | $957.19 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $965.66 | $28.97 | $9.92 | $1,004.55 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,011.64 | $30.35 | $9.92 | $1,051.91 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,057.63 | $31.73 | $9.92 | $1,099.28 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,103.61 | $33.11 | $9.92 | $1,146.64 |
| 3988 | General Inpatient w/ AIDS | $839.55 | $25.19 | $9.92 | $874.66 |
| 3989 | Routine Home Care w/ AIDS Escort | $332.95 | $9.99 | $9.92 | $352.86 |
| 3991 | Service Intensity Add–on | $42.39 | $1.27 | $0.00 | $43.66 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|SMSA: Orange
Hospice Rate Sheets for the Counties of: ORANGE
| Rate Code |
Description | Base Rate | WRP Add–on * |
RTR Add–on * |
Total w/ addons |
|---|---|---|---|---|---|
| 3945 | Routine Home Care | $229.62 | $6.89 | $9.92 | $246.43 |
| 3946 | Inpatient Respite | $208.82 | $6.26 | $9.92 | $225.00 |
| 3947 | General Inpatient Care | $874.24 | $26.23 | $9.92 | $910.39 |
| 3948 | Continuous Home Care – Min 8 Hours | $387.11 | $11.61 | $9.92 | $408.64 |
| 3949 | Continuous Home Care – Min 9 Hours | $435.50 | $13.07 | $9.92 | $458.49 |
| 3950 | Continuous Home Care – Min 10 Hours | $483.89 | $14.52 | $9.92 | $508.33 |
| 3951 | Continuous Home Care – Min 11 Hours | $532.28 | $15.97 | $9.92 | $558.17 |
| 3952 | Continuous Home Care – Min 12 Hours | $580.67 | $17.42 | $9.92 | $608.01 |
| 3953 | Continuous Home Care – Min 13 Hours | $629.06 | $18.87 | $9.92 | $657.85 |
| 3954 | Continuous Home Care – Min 14 Hours | $677.45 | $20.32 | $9.92 | $707.69 |
| 3955 | Continuous Home Care – Min 15 Hours | $725.84 | $21.78 | $9.92 | $757.54 |
| 3956 | Continuous Home Care – Min 16 Hours | $774.23 | $23.23 | $9.92 | $807.38 |
| 3957 | Continuous Home Care – Min 17 Hours | $822.62 | $24.68 | $9.92 | $857.22 |
| 3958 | Continuous Home Care – Min 18 Hours | $871.01 | $26.13 | $9.92 | $907.06 |
| 3959 | Continuous Home Care – Min 19 Hours | $919.39 | $27.58 | $9.92 | $956.89 |
| 3960 | Continuous Home Care – Min 20 Hours | $967.78 | $29.03 | $9.92 | $1,006.73 |
| 3961 | Continuous Home Care – Min 21 Hours | $1,016.17 | $30.49 | $9.92 | $1,056.58 |
| 3962 | Continuous Home Care – Min 22 Hours | $1,064.56 | $31.94 | $9.92 | $1,106.42 |
| 3963 | Continuous Home Care – Min 23 Hours | $1,112.95 | $33.39 | $9.92 | $1,156.26 |
| 3964 | Continuous Home Care – Min 24 Hours | $1,161.34 | $34.84 | $9.92 | $1,206.10 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $10.44 | $0.31 | $0.50 | $11.25 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $368.80 | $11.06 | $9.92 | $389.78 |
| 3970 | Routine Home Care w/Escort | $246.96 | $7.41 | $9.92 | $264.29 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $450.28 | $13.51 | $9.92 | $473.71 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $506.56 | $15.20 | $9.92 | $531.68 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $562.85 | $16.89 | $9.92 | $589.66 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $619.13 | $18.57 | $9.92 | $647.62 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $675.42 | $20.26 | $9.92 | $705.60 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $731.70 | $21.95 | $9.92 | $763.57 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $787.98 | $23.64 | $9.92 | $821.54 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $844.27 | $25.33 | $9.92 | $879.52 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $900.55 | $27.02 | $9.92 | $937.49 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $956.84 | $28.71 | $9.92 | $995.47 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $1,013.12 | $30.39 | $9.92 | $1,053.43 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $1,069.41 | $32.08 | $9.92 | $1,111.41 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $1,125.69 | $33.77 | $9.92 | $1,169.38 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,181.98 | $35.46 | $9.92 | $1,227.36 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,238.26 | $37.15 | $9.92 | $1,285.33 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,294.55 | $38.84 | $9.92 | $1,343.31 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,350.83 | $40.52 | $9.92 | $1,401.27 |
| 3988 | General Inpatient w/ AIDS | $971.63 | $29.15 | $9.92 | $1,010.70 |
| 3989 | Routine Home Care w/ AIDS Escort | $386.14 | $11.58 | $9.92 | $407.64 |
| 3991 | Service Intensity Add–on | $49.53 | $1.49 | $0.00 | $51.02 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|SMSA: Poughkeepsie
Hospice Rate Sheets for the Counties of: DUTCHESS
| Rate Code |
Description | Base Rate | WRP Add–on * |
RTR Add–on * |
Total w/ addons |
|---|---|---|---|---|---|
| 3945 | Routine Home Care | $210.10 | $6.30 | $9.92 | $226.32 |
| 3946 | Inpatient Respite | $194.31 | $5.83 | $9.92 | $210.06 |
| 3947 | General Inpatient Care | $804.19 | $24.13 | $9.92 | $838.24 |
| 3948 | Continuous Home Care – Min 8 Hours | $354.20 | $10.63 | $9.92 | $374.75 |
| 3949 | Continuous Home Care – Min 9 Hours | $398.48 | $11.95 | $9.92 | $420.35 |
| 3950 | Continuous Home Care – Min 10 Hours | $442.75 | $13.28 | $9.92 | $465.95 |
| 3951 | Continuous Home Care – Min 11 Hours | $487.03 | $14.61 | $9.92 | $511.56 |
| 3952 | Continuous Home Care – Min 12 Hours | $531.31 | $15.94 | $9.92 | $557.17 |
| 3953 | Continuous Home Care – Min 13 Hours | $575.58 | $17.27 | $9.92 | $602.77 |
| 3954 | Continuous Home Care – Min 14 Hours | $619.86 | $18.60 | $9.92 | $648.38 |
| 3955 | Continuous Home Care – Min 15 Hours | $664.13 | $19.92 | $9.92 | $693.97 |
| 3956 | Continuous Home Care – Min 16 Hours | $708.41 | $21.25 | $9.92 | $739.58 |
| 3957 | Continuous Home Care – Min 17 Hours | $752.68 | $22.58 | $9.92 | $785.18 |
| 3958 | Continuous Home Care – Min 18 Hours | $796.96 | $23.91 | $9.92 | $830.79 |
| 3959 | Continuous Home Care – Min 19 Hours | $841.23 | $25.24 | $9.92 | $876.39 |
| 3960 | Continuous Home Care – Min 20 Hours | $885.51 | $26.57 | $9.92 | $922.00 |
| 3961 | Continuous Home Care – Min 21 Hours | $929.78 | $27.89 | $9.92 | $967.59 |
| 3962 | Continuous Home Care – Min 22 Hours | $974.06 | $29.22 | $9.92 | $1,013.20 |
| 3963 | Continuous Home Care – Min 23 Hours | $1,018.33 | $30.55 | $9.92 | $1,058.80 |
| 3964 | Continuous Home Care – Min 24 Hours | $1,062.61 | $31.88 | $9.92 | $1,104.41 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $9.72 | $0.29 | $0.50 | $10.51 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $337.44 | $10.12 | $9.92 | $357.48 |
| 3970 | Routine Home Care w/Escort | $227.44 | $6.82 | $9.92 | $244.18 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $401.70 | $12.05 | $9.92 | $423.67 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $451.91 | $13.56 | $9.92 | $475.39 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $502.13 | $15.06 | $9.92 | $527.11 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $552.34 | $16.57 | $9.92 | $578.83 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $602.55 | $18.08 | $9.92 | $630.55 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $652.76 | $19.58 | $9.92 | $682.26 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $702.98 | $21.09 | $9.92 | $733.99 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $753.19 | $22.60 | $9.92 | $785.71 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $803.40 | $24.10 | $9.92 | $837.42 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $853.61 | $25.61 | $9.92 | $889.14 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $903.83 | $27.11 | $9.92 | $940.86 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $954.04 | $28.62 | $9.92 | $992.58 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $1,004.25 | $30.13 | $9.92 | $1,044.30 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,054.46 | $31.63 | $9.92 | $1,096.01 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,104.68 | $33.14 | $9.92 | $1,147.74 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,154.89 | $34.65 | $9.92 | $1,199.46 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,205.10 | $36.15 | $9.92 | $1,251.17 |
| 3988 | General Inpatient w/ AIDS | $893.78 | $26.81 | $9.92 | $930.51 |
| 3989 | Routine Home Care w/ AIDS Escort | $354.78 | $10.64 | $9.92 | $375.34 |
| 3991 | Service Intensity Add–on | $45.32 | $1.36 | $0.00 | $46.68 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|SMSA: Rochester
Hospice Rate Sheets for the Counties of: LIVINGSTON, MONROE, ONTARIO, ORLEANS, WAYNE
| Rate Code |
Description | Base Rate | WRP Add–on * |
RTR Add–on * |
Total w/ addons |
|---|---|---|---|---|---|
| 3945 | Routine Home Care | $172.88 | $5.19 | $9.92 | $187.99 |
| 3946 | Inpatient Respite | $166.65 | $5.00 | $9.92 | $181.57 |
| 3947 | General Inpatient Care | $670.63 | $20.12 | $9.92 | $700.67 |
| 3948 | Continuous Home Care – Min 8 Hours | $291.46 | $8.74 | $9.92 | $310.12 |
| 3949 | Continuous Home Care – Min 9 Hours | $327.89 | $9.84 | $9.92 | $347.65 |
| 3950 | Continuous Home Care – Min 10 Hours | $364.32 | $10.93 | $9.92 | $385.17 |
| 3951 | Continuous Home Care – Min 11 Hours | $400.75 | $12.02 | $9.92 | $422.69 |
| 3952 | Continuous Home Care – Min 12 Hours | $437.19 | $13.12 | $9.92 | $460.23 |
| 3953 | Continuous Home Care – Min 13 Hours | $473.62 | $14.21 | $9.92 | $497.75 |
| 3954 | Continuous Home Care – Min 14 Hours | $510.05 | $15.30 | $9.92 | $535.27 |
| 3955 | Continuous Home Care – Min 15 Hours | $546.48 | $16.39 | $9.92 | $572.79 |
| 3956 | Continuous Home Care – Min 16 Hours | $582.91 | $17.49 | $9.92 | $610.32 |
| 3957 | Continuous Home Care – Min 17 Hours | $619.35 | $18.58 | $9.92 | $647.85 |
| 3958 | Continuous Home Care – Min 18 Hours | $655.78 | $19.67 | $9.92 | $685.37 |
| 3959 | Continuous Home Care – Min 19 Hours | $692.21 | $20.77 | $9.92 | $722.90 |
| 3960 | Continuous Home Care – Min 20 Hours | $728.64 | $21.86 | $9.92 | $760.42 |
| 3961 | Continuous Home Care – Min 21 Hours | $765.07 | $22.95 | $9.92 | $797.94 |
| 3962 | Continuous Home Care – Min 22 Hours | $801.51 | $24.05 | $9.92 | $835.48 |
| 3963 | Continuous Home Care – Min 23 Hours | $837.94 | $25.14 | $9.92 | $873.00 |
| 3964 | Continuous Home Care – Min 24 Hours | $874.37 | $26.23 | $9.92 | $910.52 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $8.33 | $0.25 | $0.50 | $9.08 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $277.67 | $8.33 | $9.92 | $295.92 |
| 3970 | Routine Home Care w/Escort | $190.22 | $5.71 | $9.92 | $205.85 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $309.08 | $9.27 | $9.92 | $328.27 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $347.72 | $10.43 | $9.92 | $368.07 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $386.35 | $11.59 | $9.92 | $407.86 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $424.99 | $12.75 | $9.92 | $447.66 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $463.63 | $13.91 | $9.92 | $487.46 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $502.26 | $15.07 | $9.92 | $527.25 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $540.90 | $16.23 | $9.92 | $567.05 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $579.53 | $17.39 | $9.92 | $606.84 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $618.17 | $18.55 | $9.92 | $646.64 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $656.80 | $19.70 | $9.92 | $686.42 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $695.44 | $20.86 | $9.92 | $726.22 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $734.07 | $22.02 | $9.92 | $766.01 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $772.71 | $23.18 | $9.92 | $805.81 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $811.34 | $24.34 | $9.92 | $845.60 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $849.98 | $25.50 | $9.92 | $885.40 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $888.61 | $26.66 | $9.92 | $925.19 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $927.25 | $27.82 | $9.92 | $964.99 |
| 3988 | General Inpatient w/ AIDS | $745.34 | $22.36 | $9.92 | $777.62 |
| 3989 | Routine Home Care w/ AIDS Escort | $295.01 | $8.85 | $9.92 | $313.78 |
| 3991 | Service Intensity Add–on | $37.29 | $1.12 | $0.00 | $38.41 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|SMSA: Syracuse
Hospice Rate Sheets for the Counties of: MADISON, ONONDAGA, OSWEGO
| Rate Code |
Description | Base Rate | WRP Add–on * |
RTR Add–on * |
Total w/ addons |
|---|---|---|---|---|---|
| 3945 | Routine Home Care | $188.41 | $5.65 | $9.92 | $203.98 |
| 3946 | Inpatient Respite | $178.20 | $5.35 | $9.92 | $193.47 |
| 3947 | General Inpatient Care | $726.38 | $21.79 | $9.92 | $758.09 |
| 3948 | Continuous Home Care – Min 8 Hours | $317.65 | $9.53 | $9.92 | $337.10 |
| 3949 | Continuous Home Care – Min 9 Hours | $357.35 | $10.72 | $9.92 | $377.99 |
| 3950 | Continuous Home Care – Min 10 Hours | $397.06 | $11.91 | $9.92 | $418.89 |
| 3951 | Continuous Home Care – Min 11 Hours | $436.76 | $13.10 | $9.92 | $459.78 |
| 3952 | Continuous Home Care – Min 12 Hours | $476.47 | $14.29 | $9.92 | $500.68 |
| 3953 | Continuous Home Care – Min 13 Hours | $516.18 | $15.49 | $9.92 | $541.59 |
| 3954 | Continuous Home Care – Min 14 Hours | $555.88 | $16.68 | $9.92 | $582.48 |
| 3955 | Continuous Home Care – Min 15 Hours | $595.59 | $17.87 | $9.92 | $623.38 |
| 3956 | Continuous Home Care – Min 16 Hours | $635.29 | $19.06 | $9.92 | $664.27 |
| 3957 | Continuous Home Care – Min 17 Hours | $675.00 | $20.25 | $9.92 | $705.17 |
| 3958 | Continuous Home Care – Min 18 Hours | $714.71 | $21.44 | $9.92 | $746.07 |
| 3959 | Continuous Home Care – Min 19 Hours | $754.41 | $22.63 | $9.92 | $786.96 |
| 3960 | Continuous Home Care – Min 20 Hours | $794.12 | $23.82 | $9.92 | $827.86 |
| 3961 | Continuous Home Care – Min 21 Hours | $833.82 | $25.01 | $9.92 | $868.75 |
| 3962 | Continuous Home Care – Min 22 Hours | $873.53 | $26.21 | $9.92 | $909.66 |
| 3963 | Continuous Home Care – Min 23 Hours | $913.23 | $27.40 | $9.92 | $950.55 |
| 3964 | Continuous Home Care – Min 24 Hours | $952.94 | $28.59 | $9.92 | $991.45 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $8.91 | $0.27 | $0.50 | $9.68 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $302.62 | $9.08 | $9.92 | $321.62 |
| 3970 | Routine Home Care w/Escort | $205.75 | $6.17 | $9.92 | $221.84 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $347.74 | $10.43 | $9.92 | $368.09 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $391.21 | $11.74 | $9.92 | $412.87 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $434.68 | $13.04 | $9.92 | $457.64 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $478.15 | $14.34 | $9.92 | $502.41 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $521.62 | $15.65 | $9.92 | $547.19 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $565.08 | $16.95 | $9.92 | $591.95 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $608.55 | $18.26 | $9.92 | $636.73 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $652.02 | $19.56 | $9.92 | $681.50 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $695.49 | $20.86 | $9.92 | $726.27 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $738.95 | $22.17 | $9.92 | $771.04 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $782.42 | $23.47 | $9.92 | $815.81 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $825.89 | $24.78 | $9.92 | $860.59 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $869.36 | $26.08 | $9.92 | $905.36 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $912.83 | $27.38 | $9.92 | $950.13 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $956.29 | $28.69 | $9.92 | $994.90 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $999.76 | $29.99 | $9.92 | $1,039.67 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,043.23 | $31.30 | $9.92 | $1,084.45 |
| 3988 | General Inpatient w/ AIDS | $807.30 | $24.22 | $9.92 | $841.44 |
| 3989 | Routine Home Care w/ AIDS Escort | $319.96 | $9.60 | $9.92 | $339.48 |
| 3991 | Service Intensity Add–on | $40.65 | $1.22 | $0.00 | $41.87 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|SMSA: Utica-Rome
Hospice Rate Sheets for the Counties of: MADISON, ONONDAGA, OSWEGO
| Rate Code |
Description | Base Rate | WRP Add–on * |
RTR Add–on * |
Total w/ addons |
|---|---|---|---|---|---|
| 3945 | Routine Home Care | $177.91 | $5.34 | $9.92 | $193.17 |
| 3946 | Inpatient Respite | $170.39 | $5.11 | $9.92 | $185.42 |
| 3947 | General Inpatient Care | $688.70 | $20.66 | $9.92 | $719.28 |
| 3948 | Continuous Home Care – Min 8 Hours | $299.94 | $9.00 | $9.92 | $318.86 |
| 3949 | Continuous Home Care – Min 9 Hours | $337.44 | $10.12 | $9.92 | $357.48 |
| 3950 | Continuous Home Care – Min 10 Hours | $374.93 | $11.25 | $9.92 | $396.10 |
| 3951 | Continuous Home Care – Min 11 Hours | $412.42 | $12.37 | $9.92 | $434.71 |
| 3952 | Continuous Home Care – Min 12 Hours | $449.92 | $13.50 | $9.92 | $473.34 |
| 3953 | Continuous Home Care – Min 13 Hours | $487.41 | $14.62 | $9.92 | $511.95 |
| 3954 | Continuous Home Care – Min 14 Hours | $524.90 | $15.75 | $9.92 | $550.57 |
| 3955 | Continuous Home Care – Min 15 Hours | $562.39 | $16.87 | $9.92 | $589.18 |
| 3956 | Continuous Home Care – Min 16 Hours | $599.89 | $18.00 | $9.92 | $627.81 |
| 3957 | Continuous Home Care – Min 17 Hours | $637.38 | $19.12 | $9.92 | $666.42 |
| 3958 | Continuous Home Care – Min 18 Hours | $674.87 | $20.25 | $9.92 | $705.04 |
| 3959 | Continuous Home Care – Min 19 Hours | $712.37 | $21.37 | $9.92 | $743.66 |
| 3960 | Continuous Home Care – Min 20 Hours | $749.86 | $22.50 | $9.92 | $782.28 |
| 3961 | Continuous Home Care – Min 21 Hours | $787.35 | $23.62 | $9.92 | $820.89 |
| 3962 | Continuous Home Care – Min 22 Hours | $824.84 | $24.75 | $9.92 | $859.51 |
| 3963 | Continuous Home Care – Min 23 Hours | $862.34 | $25.87 | $9.92 | $898.13 |
| 3964 | Continuous Home Care – Min 24 Hours | $899.83 | $26.99 | $9.92 | $936.74 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $8.52 | $0.26 | $0.50 | $9.28 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $285.75 | $8.57 | $9.92 | $304.24 |
| 3970 | Routine Home Care w/Escort | $195.25 | $5.86 | $9.92 | $211.03 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $321.61 | $9.65 | $9.92 | $341.18 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $361.81 | $10.85 | $9.92 | $382.58 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $402.01 | $12.06 | $9.92 | $423.99 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $442.21 | $13.27 | $9.92 | $465.40 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $482.42 | $14.47 | $9.92 | $506.81 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $522.62 | $15.68 | $9.92 | $548.22 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $562.82 | $16.88 | $9.92 | $589.62 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $603.02 | $18.09 | $9.92 | $631.03 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $643.22 | $19.30 | $9.92 | $672.44 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $683.42 | $20.50 | $9.92 | $713.84 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $723.62 | $21.71 | $9.92 | $755.25 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $763.82 | $22.91 | $9.92 | $796.65 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $804.03 | $24.12 | $9.92 | $838.07 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $844.23 | $25.33 | $9.92 | $879.48 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $884.43 | $26.53 | $9.92 | $920.88 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $924.63 | $27.74 | $9.92 | $962.29 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $964.83 | $28.94 | $9.92 | $1,003.69 |
| 3988 | General Inpatient w/ AIDS | $765.42 | $22.96 | $9.92 | $798.30 |
| 3989 | Routine Home Care w/ AIDS Escort | $303.09 | $9.09 | $9.92 | $322.10 |
| 3991 | Service Intensity Add–on | $38.38 | $1.15 | $0.00 | $39.53 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|SMSA: Rural
Hospice Rate Sheets for the Counties of: ALLEGANY, CATTARAUGUS, CAYUGA, CHAUTAUQUA, CHENANGO, CLINTON, COLUMBIA, CORTLAND, DELAWARE, ESSEX, FRANKLIN, FULTON, GENESEE, HAMILTON, JEFFERSON, LEWIS, OTSEGO, SCHOHARIE, SCHUYLER, SENECA, ST. LAWRENCE, STEUBEN, SULLIVAN, TOMPKINS, ULSTER, WYOMING, YATES
| Rate Code |
Description | Base Rate | WRP Add–on * |
RTR Add–on * |
Total w/ addons |
|---|---|---|---|---|---|
| 3945 | Routine Home Care | $167.82 | $5.03 | $9.92 | $182.77 |
| 3946 | Inpatient Respite | $162.89 | $4.89 | $9.92 | $177.70 |
| 3947 | General Inpatient Care | $652.47 | $19.57 | $9.92 | $681.96 |
| 3948 | Continuous Home Care – Min 8 Hours | $282.93 | $8.49 | $9.92 | $301.34 |
| 3949 | Continuous Home Care – Min 9 Hours | $318.29 | $9.55 | $9.92 | $337.76 |
| 3950 | Continuous Home Care – Min 10 Hours | $353.66 | $10.61 | $9.92 | $374.19 |
| 3951 | Continuous Home Care – Min 11 Hours | $389.02 | $11.67 | $9.92 | $410.61 |
| 3952 | Continuous Home Care – Min 12 Hours | $424.39 | $12.73 | $9.92 | $447.04 |
| 3953 | Continuous Home Care – Min 13 Hours | $459.76 | $13.79 | $9.92 | $483.47 |
| 3954 | Continuous Home Care – Min 14 Hours | $495.12 | $14.85 | $9.92 | $519.89 |
| 3955 | Continuous Home Care – Min 15 Hours | $530.49 | $15.91 | $9.92 | $556.32 |
| 3956 | Continuous Home Care – Min 16 Hours | $565.85 | $16.98 | $9.92 | $592.75 |
| 3957 | Continuous Home Care – Min 17 Hours | $601.22 | $18.04 | $9.92 | $629.18 |
| 3958 | Continuous Home Care – Min 18 Hours | $636.59 | $19.10 | $9.92 | $665.61 |
| 3959 | Continuous Home Care – Min 19 Hours | $671.95 | $20.16 | $9.92 | $702.03 |
| 3960 | Continuous Home Care – Min 20 Hours | $707.32 | $21.22 | $9.92 | $738.46 |
| 3961 | Continuous Home Care – Min 21 Hours | $742.68 | $22.28 | $9.92 | $774.88 |
| 3962 | Continuous Home Care – Min 22 Hours | $778.05 | $23.34 | $9.92 | $811.31 |
| 3963 | Continuous Home Care – Min 23 Hours | $813.41 | $24.40 | $9.92 | $847.73 |
| 3964 | Continuous Home Care – Min 24 Hours | $848.78 | $25.46 | $9.92 | $884.16 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $8.14 | $0.24 | $0.50 | $8.88 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $269.54 | $8.09 | $9.92 | $287.55 |
| 3970 | Routine Home Care w/Escort | $185.16 | $5.55 | $9.92 | $200.63 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $296.49 | $8.89 | $9.92 | $315.30 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $333.55 | $10.01 | $9.92 | $353.48 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $370.61 | $11.12 | $9.92 | $391.65 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $407.67 | $12.23 | $9.92 | $429.82 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $444.74 | $13.34 | $9.92 | $468.00 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $481.80 | $14.45 | $9.92 | $506.17 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $518.86 | $15.57 | $9.92 | $544.35 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $555.92 | $16.68 | $9.92 | $582.52 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $592.98 | $17.79 | $9.92 | $620.69 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $630.04 | $18.90 | $9.92 | $658.86 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $667.10 | $20.01 | $9.92 | $697.03 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $704.16 | $21.12 | $9.92 | $735.20 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $741.23 | $22.24 | $9.92 | $773.39 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $778.29 | $23.35 | $9.92 | $811.56 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $815.35 | $24.46 | $9.92 | $849.73 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $852.41 | $25.57 | $9.92 | $887.90 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $889.47 | $26.68 | $9.92 | $926.07 |
| 3988 | General Inpatient w/ AIDS | $725.16 | $21.75 | $9.92 | $756.83 |
| 3989 | Routine Home Care w/ AIDS Escort | $286.88 | $8.61 | $9.92 | $305.41 |
| 3991 | Service Intensity Add–on | $36.20 | $1.09 | $0.00 | $37.29 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|