Certified Hospice Program
Medicaid Rate Sheet
Effective 10/01/2014 - 09/30/2015
- 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 | $145.08 | $4.35 | $9.92 | $159.35 |
| 3946 | Inpatient Respite | $161.09 | $4.83 | $9.92 | $175.84 |
| 3947 | General Inpatient Care | $648.88 | $19.47 | $9.92 | $678.27 |
| 3948 | Continuous Home Care - Min 8 Hours | $281.97 | $8.46 | $9.92 | $300.35 |
| 3949 | Continuous Home Care - Min 9 Hours | $317.21 | $9.52 | $9.92 | $336.65 |
| 3950 | Continuous Home Care - Min 10 Hours | $352.46 | $10.57 | $9.92 | $372.95 |
| 3951 | Continuous Home Care - Min 11 Hours | $387.70 | $11.63 | $9.92 | $409.25 |
| 3952 | Continuous Home Care - Min 12 Hours | $422.95 | $12.69 | $9.92 | $445.56 |
| 3953 | Continuous Home Care - Min 13 Hours | $458.20 | $13.75 | $9.92 | $481.87 |
| 3954 | Continuous Home Care - Min 14 Hours | $493.44 | $14.80 | $9.92 | $518.16 |
| 3955 | Continuous Home Care - Min 15 Hours | $528.69 | $15.86 | $9.92 | $554.47 |
| 3956 | Continuous Home Care - Min 16 Hours | $563.93 | $16.92 | $9.92 | $590.77 |
| 3957 | Continuous Home Care - Min 17 Hours | $599.18 | $17.98 | $9.92 | $627.08 |
| 3958 | Continuous Home Care - Min 18 Hours | $634.43 | $19.03 | $9.92 | $663.38 |
| 3959 | Continuous Home Care - Min 19 Hours | $669.67 | $20.09 | $9.92 | $699.68 |
| 3960 | Continuous Home Care - Min 20 Hours | $704.92 | $21.15 | $9.92 | $735.99 |
| 3961 | Continuous Home Care - Min 21 Hours | $740.16 | $22.20 | $9.92 | $772.28 |
| 3962 | Continuous Home Care - Min 22 Hours | $775.41 | $23.26 | $9.92 | $808.59 |
| 3963 | Continuous Home Care - Min 23 Hours | $810.65 | $24.32 | $9.92 | $844.89 |
| 3964 | Continuous Home Care - Min 24 Hours | $845.90 | $25.38 | $9.92 | $881.20 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $8.05 | $0.24 | $0.50 | $8.79 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $245.79 | $7.37 | $9.92 | $263.08 |
| 3970 | Routine Home Care w/Escort | $161.69 | $4.85 | $9.92 | $176.46 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $299.80 | $8.99 | $9.92 | $318.71 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $337.28 | $10.12 | $9.92 | $357.32 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $374.75 | $11.24 | $9.92 | $395.91 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $412.23 | $12.37 | $9.92 | $434.52 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $449.70 | $13.49 | $9.92 | $473.11 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $487.18 | $14.62 | $9.92 | $511.72 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $524.65 | $15.74 | $9.92 | $550.31 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $562.13 | $16.86 | $9.92 | $588.91 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $599.60 | $17.99 | $9.92 | $627.51 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $637.08 | $19.11 | $9.92 | $666.11 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $674.55 | $20.24 | $9.92 | $704.71 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $712.03 | $21.36 | $9.92 | $743.31 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $749.50 | $22.49 | $9.92 | $781.91 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $786.98 | $23.61 | $9.92 | $820.51 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $824.45 | $24.73 | $9.92 | $859.10 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $861.93 | $25.86 | $9.92 | $897.71 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $899.40 | $26.98 | $9.92 | $936.30 |
| 3988 | General Inpatient w/ AIDS | $721.17 | $21.64 | $9.92 | $752.73 |
| 3989 | Routine Home Care w/ AIDS Escort | $262.40 | $7.87 | $9.92 | $280.19 |
* 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 | $145.10 | $4.35 | $9.92 | $159.37 |
| 3946 | Inpatient Respite | $161.10 | $4.83 | $9.92 | $175.85 |
| 3947 | General Inpatient Care | $648.97 | $19.47 | $9.92 | $678.36 |
| 3948 | Continuous Home Care - Min 8 Hours | $282.01 | $8.46 | $9.92 | $300.39 |
| 3949 | Continuous Home Care - Min 9 Hours | $317.26 | $9.52 | $9.92 | $336.70 |
| 3950 | Continuous Home Care - Min 10 Hours | $352.51 | $10.58 | $9.92 | $373.01 |
| 3951 | Continuous Home Care - Min 11 Hours | $387.76 | $11.63 | $9.92 | $409.31 |
| 3952 | Continuous Home Care - Min 12 Hours | $423.01 | $12.69 | $9.92 | $445.62 |
| 3953 | Continuous Home Care - Min 13 Hours | $458.26 | $13.75 | $9.92 | $481.93 |
| 3954 | Continuous Home Care - Min 14 Hours | $493.51 | $14.81 | $9.92 | $518.24 |
| 3955 | Continuous Home Care - Min 15 Hours | $528.76 | $15.86 | $9.92 | $554.54 |
| 3956 | Continuous Home Care - Min 16 Hours | $564.01 | $16.92 | $9.92 | $590.85 |
| 3957 | Continuous Home Care - Min 17 Hours | $599.26 | $17.98 | $9.92 | $627.16 |
| 3958 | Continuous Home Care - Min 18 Hours | $634.52 | $19.04 | $9.92 | $663.48 |
| 3959 | Continuous Home Care - Min 19 Hours | $669.77 | $20.09 | $9.92 | $699.78 |
| 3960 | Continuous Home Care - Min 20 Hours | $705.02 | $21.15 | $9.92 | $736.09 |
| 3961 | Continuous Home Care - Min 21 Hours | $740.27 | $22.21 | $9.92 | $772.40 |
| 3962 | Continuous Home Care - Min 22 Hours | $775.52 | $23.27 | $9.92 | $808.71 |
| 3963 | Continuous Home Care - Min 23 Hours | $810.77 | $24.32 | $9.92 | $845.01 |
| 3964 | Continuous Home Care - Min 24 Hours | $846.02 | $25.38 | $9.92 | $881.32 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $8.06 | $0.24 | $0.50 | $8.80 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $245.83 | $7.37 | $9.92 | $263.12 |
| 3970 | Routine Home Care w/Escort | $161.71 | $4.85 | $9.92 | $176.48 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $299.86 | $9.00 | $9.92 | $318.78 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $337.35 | $10.12 | $9.92 | $357.39 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $374.83 | $11.24 | $9.92 | $395.99 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $412.31 | $12.37 | $9.92 | $434.60 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $449.80 | $13.49 | $9.92 | $473.21 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $487.28 | $14.62 | $9.92 | $511.82 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $524.76 | $15.74 | $9.92 | $550.42 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $562.24 | $16.87 | $9.92 | $589.03 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $599.73 | $17.99 | $9.92 | $627.64 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $637.21 | $19.12 | $9.92 | $666.25 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $674.69 | $20.24 | $9.92 | $704.85 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $712.18 | $21.37 | $9.92 | $743.47 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $749.66 | $22.49 | $9.92 | $782.07 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $787.14 | $23.61 | $9.92 | $820.67 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $824.62 | $24.74 | $9.92 | $859.28 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $862.11 | $25.86 | $9.92 | $897.89 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $899.59 | $26.99 | $9.92 | $936.50 |
| 3988 | General Inpatient w/ AIDS | $721.27 | $21.64 | $9.92 | $752.83 |
| 3989 | Routine Home Care w/ AIDS Escort | $262.44 | $7.87 | $9.92 | $280.23 |
* 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 | $161.07 | $4.83 | $9.92 | $175.82 |
| 3946 | Inpatient Respite | $174.79 | $5.24 | $9.92 | $189.95 |
| 3947 | General Inpatient Care | $715.08 | $21.45 | $9.92 | $746.45 |
| 3948 | Continuous Home Care - Min 8 Hours | $313.05 | $9.39 | $9.92 | $332.36 |
| 3949 | Continuous Home Care - Min 9 Hours | $352.18 | $10.57 | $9.92 | $372.67 |
| 3950 | Continuous Home Care - Min 10 Hours | $391.31 | $11.74 | $9.92 | $412.97 |
| 3951 | Continuous Home Care - Min 11 Hours | $430.44 | $12.91 | $9.92 | $453.27 |
| 3952 | Continuous Home Care - Min 12 Hours | $469.58 | $14.09 | $9.92 | $493.59 |
| 3953 | Continuous Home Care - Min 13 Hours | $508.71 | $15.26 | $9.92 | $533.89 |
| 3954 | Continuous Home Care - Min 14 Hours | $547.84 | $16.44 | $9.92 | $574.20 |
| 3955 | Continuous Home Care - Min 15 Hours | $586.97 | $17.61 | $9.92 | $614.50 |
| 3956 | Continuous Home Care - Min 16 Hours | $626.10 | $18.78 | $9.92 | $654.80 |
| 3957 | Continuous Home Care - Min 17 Hours | $665.23 | $19.96 | $9.92 | $695.11 |
| 3958 | Continuous Home Care - Min 18 Hours | $704.36 | $21.13 | $9.92 | $735.41 |
| 3959 | Continuous Home Care - Min 19 Hours | $743.49 | $22.30 | $9.92 | $775.71 |
| 3960 | Continuous Home Care - Min 20 Hours | $782.63 | $23.48 | $9.92 | $816.03 |
| 3961 | Continuous Home Care - Min 21 Hours | $821.76 | $24.65 | $9.92 | $856.33 |
| 3962 | Continuous Home Care - Min 22 Hours | $860.89 | $25.83 | $9.92 | $896.64 |
| 3963 | Continuous Home Care - Min 23 Hours | $900.02 | $27.00 | $9.92 | $936.94 |
| 3964 | Continuous Home Care - Min 24 Hours | $939.15 | $28.17 | $9.92 | $977.24 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $8.74 | $0.26 | $0.50 | $9.50 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $272.89 | $8.19 | $9.92 | $291.00 |
| 3970 | Routine Home Care w/Escort | $177.68 | $5.33 | $9.92 | $192.93 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $345.74 | $10.37 | $9.92 | $366.03 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $388.96 | $11.67 | $9.92 | $410.55 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $432.18 | $12.97 | $9.92 | $455.07 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $475.39 | $14.26 | $9.92 | $499.57 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $518.61 | $15.56 | $9.92 | $544.09 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $561.83 | $16.85 | $9.92 | $588.60 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $605.05 | $18.15 | $9.92 | $633.12 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $648.26 | $19.45 | $9.92 | $677.63 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $691.48 | $20.74 | $9.92 | $722.14 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $734.70 | $22.04 | $9.92 | $766.66 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $777.92 | $23.34 | $9.92 | $811.18 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $821.13 | $24.63 | $9.92 | $855.68 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $864.35 | $25.93 | $9.92 | $900.20 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $907.57 | $27.23 | $9.92 | $944.72 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $950.79 | $28.52 | $9.92 | $989.23 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $994.00 | $29.82 | $9.92 | $1,033.74 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,037.22 | $31.12 | $9.92 | $1,078.26 |
| 3988 | General Inpatient w/ AIDS | $794.74 | $23.84 | $9.92 | $828.50 |
| 3989 | Routine Home Care w/ AIDS Escort | $289.50 | $8.69 | $9.92 | $308.11 |
* 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 | $146.46 | $4.39 | $9.92 | $160.77 |
| 3946 | Inpatient Respite | $162.27 | $4.87 | $9.92 | $177.06 |
| 3947 | General Inpatient Care | $654.60 | $19.64 | $9.92 | $684.16 |
| 3948 | Continuous Home Care - Min 8 Hours | $284.65 | $8.54 | $9.92 | $303.11 |
| 3949 | Continuous Home Care - Min 9 Hours | $320.23 | $9.61 | $9.92 | $339.76 |
| 3950 | Continuous Home Care - Min 10 Hours | $355.81 | $10.67 | $9.92 | $376.40 |
| 3951 | Continuous Home Care - Min 11 Hours | $391.39 | $11.74 | $9.92 | $413.05 |
| 3952 | Continuous Home Care - Min 12 Hours | $426.98 | $12.81 | $9.92 | $449.71 |
| 3953 | Continuous Home Care - Min 13 Hours | $462.56 | $13.88 | $9.92 | $486.36 |
| 3954 | Continuous Home Care - Min 14 Hours | $498.14 | $14.94 | $9.92 | $523.00 |
| 3955 | Continuous Home Care - Min 15 Hours | $533.72 | $16.01 | $9.92 | $559.65 |
| 3956 | Continuous Home Care - Min 16 Hours | $569.30 | $17.08 | $9.92 | $596.30 |
| 3957 | Continuous Home Care - Min 17 Hours | $604.88 | $18.15 | $9.92 | $632.95 |
| 3958 | Continuous Home Care - Min 18 Hours | $640.46 | $19.21 | $9.92 | $669.59 |
| 3959 | Continuous Home Care - Min 19 Hours | $676.04 | $20.28 | $9.92 | $706.24 |
| 3960 | Continuous Home Care - Min 20 Hours | $711.63 | $21.35 | $9.92 | $742.90 |
| 3961 | Continuous Home Care - Min 21 Hours | $747.21 | $22.42 | $9.92 | $779.55 |
| 3962 | Continuous Home Care - Min 22 Hours | $782.79 | $23.48 | $9.92 | $816.19 |
| 3963 | Continuous Home Care - Min 23 Hours | $818.37 | $24.55 | $9.92 | $852.84 |
| 3964 | Continuous Home Care - Min 24 Hours | $853.95 | $25.62 | $9.92 | $889.49 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $8.11 | $0.24 | $0.50 | $8.85 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $248.13 | $7.44 | $9.92 | $265.49 |
| 3970 | Routine Home Care w/Escort | $163.07 | $4.89 | $9.92 | $177.88 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $303.77 | $9.11 | $9.92 | $322.80 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $341.74 | $10.25 | $9.92 | $361.91 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $379.71 | $11.39 | $9.92 | $401.02 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $417.68 | $12.53 | $9.92 | $440.13 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $455.65 | $13.67 | $9.92 | $479.24 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $493.62 | $14.81 | $9.92 | $518.35 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $531.59 | $15.95 | $9.92 | $557.46 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $569.56 | $17.09 | $9.92 | $596.57 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $607.53 | $18.23 | $9.92 | $635.68 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $645.50 | $19.37 | $9.92 | $674.79 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $683.48 | $20.50 | $9.92 | $713.90 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $721.45 | $21.64 | $9.92 | $753.01 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $759.42 | $22.78 | $9.92 | $792.12 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $797.39 | $23.92 | $9.92 | $831.23 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $835.36 | $25.06 | $9.92 | $870.34 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $873.33 | $26.20 | $9.92 | $909.45 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $911.30 | $27.34 | $9.92 | $948.56 |
| 3988 | General Inpatient w/ AIDS | $727.52 | $21.83 | $9.92 | $759.27 |
| 3989 | Routine Home Care w/ AIDS Escort | $264.74 | $7.94 | $9.92 | $282.60 |
* 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 | $142.50 | $4.28 | $9.92 | $156.70 |
| 3946 | Inpatient Respite | $158.88 | $4.77 | $9.92 | $173.57 |
| 3947 | General Inpatient Care | $638.22 | $19.15 | $9.92 | $667.29 |
| 3948 | Continuous Home Care - Min 8 Hours | $276.96 | $8.31 | $9.92 | $295.19 |
| 3949 | Continuous Home Care - Min 9 Hours | $311.58 | $9.35 | $9.92 | $330.85 |
| 3950 | Continuous Home Care - Min 10 Hours | $346.20 | $10.39 | $9.92 | $366.51 |
| 3951 | Continuous Home Care - Min 11 Hours | $380.82 | $11.42 | $9.92 | $402.16 |
| 3952 | Continuous Home Care - Min 12 Hours | $415.44 | $12.46 | $9.92 | $437.82 |
| 3953 | Continuous Home Care - Min 13 Hours | $450.06 | $13.50 | $9.92 | $473.48 |
| 3954 | Continuous Home Care - Min 14 Hours | $484.68 | $14.54 | $9.92 | $509.14 |
| 3955 | Continuous Home Care - Min 15 Hours | $519.30 | $15.58 | $9.92 | $544.80 |
| 3956 | Continuous Home Care - Min 16 Hours | $553.92 | $16.62 | $9.92 | $580.46 |
| 3957 | Continuous Home Care - Min 17 Hours | $588.54 | $17.66 | $9.92 | $616.12 |
| 3958 | Continuous Home Care - Min 18 Hours | $623.16 | $18.69 | $9.92 | $651.77 |
| 3959 | Continuous Home Care - Min 19 Hours | $657.78 | $19.73 | $9.92 | $687.43 |
| 3960 | Continuous Home Care - Min 20 Hours | $692.40 | $20.77 | $9.92 | $723.09 |
| 3961 | Continuous Home Care - Min 21 Hours | $727.02 | $21.81 | $9.92 | $758.75 |
| 3962 | Continuous Home Care - Min 22 Hours | $761.64 | $22.85 | $9.92 | $794.41 |
| 3963 | Continuous Home Care - Min 23 Hours | $796.26 | $23.89 | $9.92 | $830.07 |
| 3964 | Continuous Home Care - Min 24 Hours | $830.88 | $24.93 | $9.92 | $865.73 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $7.94 | $0.24 | $0.50 | $8.68 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $241.43 | $7.24 | $9.92 | $258.59 |
| 3970 | Routine Home Care w/Escort | $159.11 | $4.77 | $9.92 | $173.80 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $292.40 | $8.77 | $9.92 | $311.09 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $328.95 | $9.87 | $9.92 | $348.74 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $365.50 | $10.97 | $9.92 | $386.39 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $402.05 | $12.06 | $9.92 | $424.03 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $438.60 | $13.16 | $9.92 | $461.68 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $475.15 | $14.25 | $9.92 | $499.32 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $511.70 | $15.35 | $9.92 | $536.97 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $548.25 | $16.45 | $9.92 | $574.62 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $584.80 | $17.54 | $9.92 | $612.26 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $621.35 | $18.64 | $9.92 | $649.91 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $657.90 | $19.74 | $9.92 | $687.56 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $694.45 | $20.83 | $9.92 | $725.20 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $731.00 | $21.93 | $9.92 | $762.85 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $767.55 | $23.03 | $9.92 | $800.50 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $804.10 | $24.12 | $9.92 | $838.14 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $840.65 | $25.22 | $9.92 | $875.79 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $877.20 | $26.32 | $9.92 | $913.44 |
| 3988 | General Inpatient w/ AIDS | $709.32 | $21.28 | $9.92 | $740.52 |
| 3989 | Routine Home Care w/ AIDS Escort | $258.04 | $7.74 | $9.92 | $275.70 |
* 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 | $191.06 | $5.73 | $9.92 | $206.71 |
| 3946 | Inpatient Respite | $200.47 | $6.01 | $9.92 | $216.40 |
| 3947 | General Inpatient Care | $839.16 | $25.17 | $9.92 | $874.25 |
| 3948 | Continuous Home Care - Min 8 Hours | $371.32 | $11.14 | $9.92 | $392.38 |
| 3949 | Continuous Home Care - Min 9 Hours | $417.74 | $12.53 | $9.92 | $440.19 |
| 3950 | Continuous Home Care - Min 10 Hours | $464.15 | $13.92 | $9.92 | $487.99 |
| 3951 | Continuous Home Care - Min 11 Hours | $510.57 | $15.32 | $9.92 | $535.81 |
| 3952 | Continuous Home Care - Min 12 Hours | $556.99 | $16.71 | $9.92 | $583.62 |
| 3953 | Continuous Home Care - Min 13 Hours | $603.40 | $18.10 | $9.92 | $631.42 |
| 3954 | Continuous Home Care - Min 14 Hours | $649.82 | $19.49 | $9.92 | $679.23 |
| 3955 | Continuous Home Care - Min 15 Hours | $696.23 | $20.89 | $9.92 | $727.04 |
| 3956 | Continuous Home Care - Min 16 Hours | $742.65 | $22.28 | $9.92 | $774.85 |
| 3957 | Continuous Home Care - Min 17 Hours | $789.06 | $23.67 | $9.92 | $822.65 |
| 3958 | Continuous Home Care - Min 18 Hours | $835.48 | $25.06 | $9.92 | $870.46 |
| 3959 | Continuous Home Care - Min 19 Hours | $881.89 | $26.46 | $9.92 | $918.27 |
| 3960 | Continuous Home Care - Min 20 Hours | $928.31 | $27.85 | $9.92 | $966.08 |
| 3961 | Continuous Home Care - Min 21 Hours | $974.72 | $29.24 | $9.92 | $1,013.88 |
| 3962 | Continuous Home Care - Min 22 Hours | $1,021.14 | $30.63 | $9.92 | $1,061.69 |
| 3963 | Continuous Home Care - Min 23 Hours | $1,067.55 | $32.03 | $9.92 | $1,109.50 |
| 3964 | Continuous Home Care - Min 24 Hours | $1,113.97 | $33.42 | $9.92 | $1,157.31 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $10.02 | $0.30 | $0.50 | $10.82 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $323.69 | $9.71 | $9.92 | $343.32 |
| 3970 | Routine Home Care w/Escort | $207.67 | $6.23 | $9.92 | $223.82 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $431.86 | $12.96 | $9.92 | $454.74 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $485.84 | $14.58 | $9.92 | $510.34 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $539.82 | $16.19 | $9.92 | $565.93 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $593.80 | $17.81 | $9.92 | $621.53 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $647.79 | $19.43 | $9.92 | $677.14 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $701.77 | $21.05 | $9.92 | $732.74 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $755.75 | $22.67 | $9.92 | $788.34 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $809.73 | $24.29 | $9.92 | $843.94 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $863.71 | $25.91 | $9.92 | $899.54 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $917.70 | $27.53 | $9.92 | $955.15 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $971.68 | $29.15 | $9.92 | $1,010.75 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $1,025.66 | $30.77 | $9.92 | $1,066.35 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $1,079.64 | $32.39 | $9.92 | $1,121.95 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,133.62 | $34.01 | $9.92 | $1,177.55 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,187.61 | $35.63 | $9.92 | $1,233.16 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,241.59 | $37.25 | $9.92 | $1,288.76 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,295.57 | $38.87 | $9.92 | $1,344.36 |
| 3988 | General Inpatient w/ AIDS | $932.64 | $27.98 | $9.92 | $970.54 |
| 3989 | Routine Home Care w/ AIDS Escort | $340.30 | $10.21 | $9.92 | $360.43 |
* 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 | $194.75 | $5.84 | $9.92 | $210.51 |
| 3946 | Inpatient Respite | $203.63 | $6.11 | $9.92 | $219.66 |
| 3947 | General Inpatient Care | $854.45 | $25.63 | $9.92 | $890.00 |
| 3948 | Continuous Home Care - Min 8 Hours | $378.50 | $11.36 | $9.92 | $399.78 |
| 3949 | Continuous Home Care - Min 9 Hours | $425.82 | $12.77 | $9.92 | $448.51 |
| 3950 | Continuous Home Care - Min 10 Hours | $473.13 | $14.19 | $9.92 | $497.24 |
| 3951 | Continuous Home Care - Min 11 Hours | $520.44 | $15.61 | $9.92 | $545.97 |
| 3952 | Continuous Home Care - Min 12 Hours | $567.76 | $17.03 | $9.92 | $594.71 |
| 3953 | Continuous Home Care - Min 13 Hours | $615.07 | $18.45 | $9.92 | $643.44 |
| 3954 | Continuous Home Care - Min 14 Hours | $662.38 | $19.87 | $9.92 | $692.17 |
| 3955 | Continuous Home Care - Min 15 Hours | $709.69 | $21.29 | $9.92 | $740.90 |
| 3956 | Continuous Home Care - Min 16 Hours | $757.01 | $22.71 | $9.92 | $789.64 |
| 3957 | Continuous Home Care - Min 17 Hours | $804.32 | $24.13 | $9.92 | $838.37 |
| 3958 | Continuous Home Care - Min 18 Hours | $851.63 | $25.55 | $9.92 | $887.10 |
| 3959 | Continuous Home Care - Min 19 Hours | $898.95 | $26.97 | $9.92 | $935.84 |
| 3960 | Continuous Home Care - Min 20 Hours | $946.26 | $28.39 | $9.92 | $984.57 |
| 3961 | Continuous Home Care - Min 21 Hours | $993.57 | $29.81 | $9.92 | $1,033.30 |
| 3962 | Continuous Home Care - Min 22 Hours | $1,040.88 | $31.23 | $9.92 | $1,082.03 |
| 3963 | Continuous Home Care - Min 23 Hours | $1,088.20 | $32.65 | $9.92 | $1,130.77 |
| 3964 | Continuous Home Care - Min 24 Hours | $1,135.51 | $34.07 | $9.92 | $1,179.50 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $10.18 | $0.31 | $0.50 | $10.99 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $329.95 | $9.90 | $9.92 | $349.77 |
| 3970 | Routine Home Care w/Escort | $211.36 | $6.34 | $9.92 | $227.62 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $442.47 | $13.27 | $9.92 | $465.66 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $497.78 | $14.93 | $9.92 | $522.63 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $553.09 | $16.59 | $9.92 | $579.60 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $608.40 | $18.25 | $9.92 | $636.57 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $663.71 | $19.91 | $9.92 | $693.54 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $719.01 | $21.57 | $9.92 | $750.50 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $774.32 | $23.23 | $9.92 | $807.47 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $829.63 | $24.89 | $9.92 | $864.44 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $884.94 | $26.55 | $9.92 | $921.41 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $940.25 | $28.21 | $9.92 | $978.38 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $995.56 | $29.87 | $9.92 | $1,035.35 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $1,050.87 | $31.53 | $9.92 | $1,092.32 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $1,106.18 | $33.19 | $9.92 | $1,149.29 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,161.48 | $34.84 | $9.92 | $1,206.24 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,216.79 | $36.50 | $9.92 | $1,263.21 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,272.10 | $38.16 | $9.92 | $1,320.18 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,327.41 | $39.82 | $9.92 | $1,377.15 |
| 3988 | General Inpatient w/ AIDS | $949.64 | $28.49 | $9.92 | $988.05 |
| 3989 | Routine Home Care w/ AIDS Escort | $346.56 | $10.40 | $9.92 | $366.88 |
* 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 | $161.07 | $4.83 | $9.92 | $175.82 |
| 3946 | Inpatient Respite | $174.79 | $5.24 | $9.92 | $189.95 |
| 3947 | General Inpatient Care | $715.08 | $21.45 | $9.92 | $746.45 |
| 3948 | Continuous Home Care - Min 8 Hours | $313.05 | $9.39 | $9.92 | $332.36 |
| 3949 | Continuous Home Care - Min 9 Hours | $352.18 | $10.57 | $9.92 | $372.67 |
| 3950 | Continuous Home Care - Min 10 Hours | $391.31 | $11.74 | $9.92 | $412.97 |
| 3951 | Continuous Home Care - Min 11 Hours | $430.44 | $12.91 | $9.92 | $453.27 |
| 3952 | Continuous Home Care - Min 12 Hours | $469.58 | $14.09 | $9.92 | $493.59 |
| 3953 | Continuous Home Care - Min 13 Hours | $508.71 | $15.26 | $9.92 | $533.89 |
| 3954 | Continuous Home Care - Min 14 Hours | $547.84 | $16.44 | $9.92 | $574.20 |
| 3955 | Continuous Home Care - Min 15 Hours | $586.97 | $17.61 | $9.92 | $614.50 |
| 3956 | Continuous Home Care - Min 16 Hours | $626.10 | $18.78 | $9.92 | $654.80 |
| 3957 | Continuous Home Care - Min 17 Hours | $665.23 | $19.96 | $9.92 | $695.11 |
| 3958 | Continuous Home Care - Min 18 Hours | $704.36 | $21.13 | $9.92 | $735.41 |
| 3959 | Continuous Home Care - Min 19 Hours | $743.49 | $22.30 | $9.92 | $775.71 |
| 3960 | Continuous Home Care - Min 20 Hours | $782.63 | $23.48 | $9.92 | $816.03 |
| 3961 | Continuous Home Care - Min 21 Hours | $821.76 | $24.65 | $9.92 | $856.33 |
| 3962 | Continuous Home Care - Min 22 Hours | $860.89 | $25.83 | $9.92 | $896.64 |
| 3963 | Continuous Home Care - Min 23 Hours | $900.02 | $27.00 | $9.92 | $936.94 |
| 3964 | Continuous Home Care - Min 24 Hours | $939.15 | $28.17 | $9.92 | $977.24 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $8.74 | $0.26 | $0.50 | $9.50 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $272.89 | $8.19 | $9.92 | $291.00 |
| 3970 | Routine Home Care w/Escort | $177.68 | $5.33 | $9.92 | $192.93 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $345.74 | $10.37 | $9.92 | $366.03 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $388.96 | $11.67 | $9.92 | $410.55 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $432.18 | $12.97 | $9.92 | $455.07 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $475.39 | $14.26 | $9.92 | $499.57 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $518.61 | $15.56 | $9.92 | $544.09 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $561.83 | $16.85 | $9.92 | $588.60 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $605.05 | $18.15 | $9.92 | $633.12 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $648.26 | $19.45 | $9.92 | $677.63 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $691.48 | $20.74 | $9.92 | $722.14 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $734.70 | $22.04 | $9.92 | $766.66 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $777.92 | $23.34 | $9.92 | $811.18 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $821.13 | $24.63 | $9.92 | $855.68 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $864.35 | $25.93 | $9.92 | $900.20 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $907.57 | $27.23 | $9.92 | $944.72 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $950.79 | $28.52 | $9.92 | $989.23 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $994.00 | $29.82 | $9.92 | $1,033.74 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,037.22 | $31.12 | $9.92 | $1,078.26 |
| 3988 | General Inpatient w/ AIDS | $794.74 | $23.84 | $9.92 | $828.50 |
| 3989 | Routine Home Care w/ AIDS Escort | $289.50 | $8.69 | $9.92 | $308.11 |
* 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 | $177.66 | $5.33 | $9.92 | $192.91 |
| 3946 | Inpatient Respite | $188.99 | $5.67 | $9.92 | $204.58 |
| 3947 | General Inpatient Care | $783.72 | $23.51 | $9.92 | $817.15 |
| 3948 | Continuous Home Care - Min 8 Hours | $345.29 | $10.36 | $9.92 | $365.57 |
| 3949 | Continuous Home Care - Min 9 Hours | $388.45 | $11.65 | $9.92 | $410.02 |
| 3950 | Continuous Home Care - Min 10 Hours | $431.61 | $12.95 | $9.92 | $454.48 |
| 3951 | Continuous Home Care - Min 11 Hours | $474.77 | $14.24 | $9.92 | $498.93 |
| 3952 | Continuous Home Care - Min 12 Hours | $517.93 | $15.54 | $9.92 | $543.39 |
| 3953 | Continuous Home Care - Min 13 Hours | $561.09 | $16.83 | $9.92 | $587.84 |
| 3954 | Continuous Home Care - Min 14 Hours | $604.25 | $18.13 | $9.92 | $632.30 |
| 3955 | Continuous Home Care - Min 15 Hours | $647.41 | $19.42 | $9.92 | $676.75 |
| 3956 | Continuous Home Care - Min 16 Hours | $690.57 | $20.72 | $9.92 | $721.21 |
| 3957 | Continuous Home Care - Min 17 Hours | $733.73 | $22.01 | $9.92 | $765.66 |
| 3958 | Continuous Home Care - Min 18 Hours | $776.90 | $23.31 | $9.92 | $810.13 |
| 3959 | Continuous Home Care - Min 19 Hours | $820.06 | $24.60 | $9.92 | $854.58 |
| 3960 | Continuous Home Care - Min 20 Hours | $863.22 | $25.90 | $9.92 | $899.04 |
| 3961 | Continuous Home Care - Min 21 Hours | $906.38 | $27.19 | $9.92 | $943.49 |
| 3962 | Continuous Home Care - Min 22 Hours | $949.54 | $28.49 | $9.92 | $987.95 |
| 3963 | Continuous Home Care - Min 23 Hours | $992.70 | $29.78 | $9.92 | $1,032.40 |
| 3964 | Continuous Home Care - Min 24 Hours | $1,035.86 | $31.08 | $9.92 | $1,076.86 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $9.45 | $0.28 | $0.50 | $10.23 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $300.99 | $9.03 | $9.92 | $319.94 |
| 3970 | Routine Home Care w/Escort | $194.27 | $5.83 | $9.92 | $210.02 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $393.38 | $11.80 | $9.92 | $415.10 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $442.55 | $13.28 | $9.92 | $465.75 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $491.73 | $14.75 | $9.92 | $516.40 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $540.90 | $16.23 | $9.92 | $567.05 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $590.07 | $17.70 | $9.92 | $617.69 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $639.24 | $19.18 | $9.92 | $668.34 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $688.42 | $20.65 | $9.92 | $718.99 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $737.59 | $22.13 | $9.92 | $769.64 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $786.76 | $23.60 | $9.92 | $820.28 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $835.93 | $25.08 | $9.92 | $870.93 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $885.11 | $26.55 | $9.92 | $921.58 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $934.28 | $28.03 | $9.92 | $972.23 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $983.45 | $29.50 | $9.92 | $1,022.87 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,032.62 | $30.98 | $9.92 | $1,073.52 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,081.80 | $32.45 | $9.92 | $1,124.17 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,130.97 | $33.93 | $9.92 | $1,174.82 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,180.14 | $35.40 | $9.92 | $1,225.46 |
| 3988 | General Inpatient w/ AIDS | $871.03 | $26.13 | $9.92 | $907.08 |
| 3989 | Routine Home Care w/ AIDS Escort | $317.60 | $9.53 | $9.92 | $337.05 |
* 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 | $177.66 | $5.33 | $9.92 | $192.91 |
| 3946 | Inpatient Respite | $188.99 | $5.67 | $9.92 | $204.58 |
| 3947 | General Inpatient Care | $783.72 | $23.51 | $9.92 | $817.15 |
| 3948 | Continuous Home Care - Min 8 Hours | $345.29 | $10.36 | $9.92 | $365.57 |
| 3949 | Continuous Home Care - Min 9 Hours | $388.45 | $11.65 | $9.92 | $410.02 |
| 3950 | Continuous Home Care - Min 10 Hours | $431.61 | $12.95 | $9.92 | $454.48 |
| 3951 | Continuous Home Care - Min 11 Hours | $474.77 | $14.24 | $9.92 | $498.93 |
| 3952 | Continuous Home Care - Min 12 Hours | $517.93 | $15.54 | $9.92 | $543.39 |
| 3953 | Continuous Home Care - Min 13 Hours | $561.09 | $16.83 | $9.92 | $587.84 |
| 3954 | Continuous Home Care - Min 14 Hours | $604.25 | $18.13 | $9.92 | $632.30 |
| 3955 | Continuous Home Care - Min 15 Hours | $647.41 | $19.42 | $9.92 | $676.75 |
| 3956 | Continuous Home Care - Min 16 Hours | $690.57 | $20.72 | $9.92 | $721.21 |
| 3957 | Continuous Home Care - Min 17 Hours | $733.73 | $22.01 | $9.92 | $765.66 |
| 3958 | Continuous Home Care - Min 18 Hours | $776.90 | $23.31 | $9.92 | $810.13 |
| 3959 | Continuous Home Care - Min 19 Hours | $820.06 | $24.60 | $9.92 | $854.58 |
| 3960 | Continuous Home Care - Min 20 Hours | $863.22 | $25.90 | $9.92 | $899.04 |
| 3961 | Continuous Home Care - Min 21 Hours | $906.38 | $27.19 | $9.92 | $943.49 |
| 3962 | Continuous Home Care - Min 22 Hours | $949.54 | $28.49 | $9.92 | $987.95 |
| 3963 | Continuous Home Care - Min 23 Hours | $992.70 | $29.78 | $9.92 | $1,032.40 |
| 3964 | Continuous Home Care - Min 24 Hours | $1,035.86 | $31.08 | $9.92 | $1,076.86 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $9.45 | $0.28 | $0.50 | $10.23 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $300.99 | $9.03 | $9.92 | $319.94 |
| 3970 | Routine Home Care w/Escort | $194.27 | $5.83 | $9.92 | $210.02 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $393.38 | $11.80 | $9.92 | $415.10 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $442.55 | $13.28 | $9.92 | $465.75 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $491.73 | $14.75 | $9.92 | $516.40 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $540.90 | $16.23 | $9.92 | $567.05 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $590.07 | $17.70 | $9.92 | $617.69 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $639.24 | $19.18 | $9.92 | $668.34 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $688.42 | $20.65 | $9.92 | $718.99 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $737.59 | $22.13 | $9.92 | $769.64 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $786.76 | $23.60 | $9.92 | $820.28 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $835.93 | $25.08 | $9.92 | $870.93 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $885.11 | $26.55 | $9.92 | $921.58 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $934.28 | $28.03 | $9.92 | $972.23 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $983.45 | $29.50 | $9.92 | $1,022.87 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,032.62 | $30.98 | $9.92 | $1,073.52 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,081.80 | $32.45 | $9.92 | $1,124.17 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,130.97 | $33.93 | $9.92 | $1,174.82 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,180.14 | $35.40 | $9.92 | $1,225.46 |
| 3988 | General Inpatient w/ AIDS | $871.03 | $26.13 | $9.92 | $907.08 |
| 3989 | Routine Home Care w/ AIDS Escort | $317.60 | $9.53 | $9.92 | $337.05 |
* 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 | $146.72 | $4.40 | $9.92 | $161.04 |
| 3946 | Inpatient Respite | $162.49 | $4.87 | $9.92 | $177.28 |
| 3947 | General Inpatient Care | $655.69 | $19.67 | $9.92 | $685.28 |
| 3948 | Continuous Home Care - Min 8 Hours | $285.16 | $8.55 | $9.92 | $303.63 |
| 3949 | Continuous Home Care - Min 9 Hours | $320.81 | $9.62 | $9.92 | $340.35 |
| 3950 | Continuous Home Care - Min 10 Hours | $356.45 | $10.69 | $9.92 | $377.06 |
| 3951 | Continuous Home Care - Min 11 Hours | $392.10 | $11.76 | $9.92 | $413.78 |
| 3952 | Continuous Home Care - Min 12 Hours | $427.74 | $12.83 | $9.92 | $450.49 |
| 3953 | Continuous Home Care - Min 13 Hours | $463.39 | $13.90 | $9.92 | $487.21 |
| 3954 | Continuous Home Care - Min 14 Hours | $499.03 | $14.97 | $9.92 | $523.92 |
| 3955 | Continuous Home Care - Min 15 Hours | $534.68 | $16.04 | $9.92 | $560.64 |
| 3956 | Continuous Home Care - Min 16 Hours | $570.32 | $17.11 | $9.92 | $597.35 |
| 3957 | Continuous Home Care - Min 17 Hours | $605.97 | $18.18 | $9.92 | $634.07 |
| 3958 | Continuous Home Care - Min 18 Hours | $641.61 | $19.25 | $9.92 | $670.78 |
| 3959 | Continuous Home Care - Min 19 Hours | $677.26 | $20.32 | $9.92 | $707.50 |
| 3960 | Continuous Home Care - Min 20 Hours | $712.90 | $21.39 | $9.92 | $744.21 |
| 3961 | Continuous Home Care - Min 21 Hours | $748.55 | $22.46 | $9.92 | $780.93 |
| 3962 | Continuous Home Care - Min 22 Hours | $784.19 | $23.53 | $9.92 | $817.64 |
| 3963 | Continuous Home Care - Min 23 Hours | $819.84 | $24.60 | $9.92 | $854.36 |
| 3964 | Continuous Home Care - Min 24 Hours | $855.48 | $25.66 | $9.92 | $891.06 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $8.12 | $0.24 | $0.50 | $8.86 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $248.58 | $7.46 | $9.92 | $265.96 |
| 3970 | Routine Home Care w/Escort | $163.33 | $4.90 | $9.92 | $178.15 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $304.52 | $9.14 | $9.92 | $323.58 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $342.59 | $10.28 | $9.92 | $362.79 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $380.65 | $11.42 | $9.92 | $401.99 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $418.72 | $12.56 | $9.92 | $441.20 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $456.79 | $13.70 | $9.92 | $480.41 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $494.85 | $14.85 | $9.92 | $519.62 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $532.92 | $15.99 | $9.92 | $558.83 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $570.98 | $17.13 | $9.92 | $598.03 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $609.05 | $18.27 | $9.92 | $637.24 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $647.11 | $19.41 | $9.92 | $676.44 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $685.18 | $20.56 | $9.92 | $715.66 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $723.24 | $21.70 | $9.92 | $754.86 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $761.31 | $22.84 | $9.92 | $794.07 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $799.37 | $23.98 | $9.92 | $833.27 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $837.44 | $25.12 | $9.92 | $872.48 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $875.50 | $26.27 | $9.92 | $911.69 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $913.57 | $27.41 | $9.92 | $950.90 |
| 3988 | General Inpatient w/ AIDS | $728.73 | $21.86 | $9.92 | $760.51 |
| 3989 | Routine Home Care w/ AIDS Escort | $265.19 | $7.96 | $9.92 | $283.07 |
* 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 | $159.43 | $4.78 | $9.92 | $174.13 |
| 3946 | Inpatient Respite | $173.38 | $5.20 | $9.92 | $188.50 |
| 3947 | General Inpatient Care | $708.27 | $21.25 | $9.92 | $739.44 |
| 3948 | Continuous Home Care - Min 8 Hours | $309.86 | $9.30 | $9.92 | $329.08 |
| 3949 | Continuous Home Care - Min 9 Hours | $348.59 | $10.46 | $9.92 | $368.97 |
| 3950 | Continuous Home Care - Min 10 Hours | $387.32 | $11.62 | $9.92 | $408.86 |
| 3951 | Continuous Home Care - Min 11 Hours | $426.05 | $12.78 | $9.92 | $448.75 |
| 3952 | Continuous Home Care - Min 12 Hours | $464.79 | $13.94 | $9.92 | $488.65 |
| 3953 | Continuous Home Care - Min 13 Hours | $503.52 | $15.11 | $9.92 | $528.55 |
| 3954 | Continuous Home Care - Min 14 Hours | $542.25 | $16.27 | $9.92 | $568.44 |
| 3955 | Continuous Home Care - Min 15 Hours | $580.98 | $17.43 | $9.92 | $608.33 |
| 3956 | Continuous Home Care - Min 16 Hours | $619.71 | $18.59 | $9.92 | $648.22 |
| 3957 | Continuous Home Care - Min 17 Hours | $658.45 | $19.75 | $9.92 | $688.12 |
| 3958 | Continuous Home Care - Min 18 Hours | $697.18 | $20.92 | $9.92 | $728.02 |
| 3959 | Continuous Home Care - Min 19 Hours | $735.91 | $22.08 | $9.92 | $767.91 |
| 3960 | Continuous Home Care - Min 20 Hours | $774.64 | $23.24 | $9.92 | $807.80 |
| 3961 | Continuous Home Care - Min 21 Hours | $813.37 | $24.40 | $9.92 | $847.69 |
| 3962 | Continuous Home Care - Min 22 Hours | $852.11 | $25.56 | $9.92 | $887.59 |
| 3963 | Continuous Home Care - Min 23 Hours | $890.84 | $26.73 | $9.92 | $927.49 |
| 3964 | Continuous Home Care - Min 24 Hours | $929.57 | $27.89 | $9.92 | $967.38 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $8.67 | $0.26 | $0.50 | $9.43 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $270.11 | $8.10 | $9.92 | $288.13 |
| 3970 | Routine Home Care w/Escort | $176.04 | $5.28 | $9.92 | $191.24 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $341.02 | $10.23 | $9.92 | $361.17 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $383.64 | $11.51 | $9.92 | $405.07 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $426.27 | $12.79 | $9.92 | $448.98 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $468.90 | $14.07 | $9.92 | $492.89 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $511.53 | $15.35 | $9.92 | $536.80 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $554.15 | $16.62 | $9.92 | $580.69 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $596.78 | $17.90 | $9.92 | $624.60 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $639.41 | $19.18 | $9.92 | $668.51 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $682.03 | $20.46 | $9.92 | $712.41 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $724.66 | $21.74 | $9.92 | $756.32 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $767.29 | $23.02 | $9.92 | $800.23 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $809.91 | $24.30 | $9.92 | $844.13 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $852.54 | $25.58 | $9.92 | $888.04 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $895.17 | $26.86 | $9.92 | $931.95 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $937.80 | $28.13 | $9.92 | $975.85 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $980.42 | $29.41 | $9.92 | $1,019.75 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,023.05 | $30.69 | $9.92 | $1,063.66 |
| 3988 | General Inpatient w/ AIDS | $787.17 | $23.62 | $9.92 | $820.71 |
| 3989 | Routine Home Care w/ AIDS Escort | $286.72 | $8.60 | $9.92 | $305.24 |
* 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 | $146.95 | $4.41 | $9.92 | $161.28 |
| 3946 | Inpatient Respite | $162.69 | $4.88 | $9.92 | $177.49 |
| 3947 | General Inpatient Care | $656.64 | $19.70 | $9.92 | $686.26 |
| 3948 | Continuous Home Care - Min 8 Hours | $285.61 | $8.57 | $9.92 | $304.10 |
| 3949 | Continuous Home Care - Min 9 Hours | $321.31 | $9.64 | $9.92 | $340.87 |
| 3950 | Continuous Home Care - Min 10 Hours | $357.01 | $10.71 | $9.92 | $377.64 |
| 3951 | Continuous Home Care - Min 11 Hours | $392.71 | $11.78 | $9.92 | $414.41 |
| 3952 | Continuous Home Care - Min 12 Hours | $428.42 | $12.85 | $9.92 | $451.19 |
| 3953 | Continuous Home Care - Min 13 Hours | $464.12 | $13.92 | $9.92 | $487.96 |
| 3954 | Continuous Home Care - Min 14 Hours | $499.82 | $14.99 | $9.92 | $524.73 |
| 3955 | Continuous Home Care - Min 15 Hours | $535.52 | $16.07 | $9.92 | $561.51 |
| 3956 | Continuous Home Care - Min 16 Hours | $571.22 | $17.14 | $9.92 | $598.28 |
| 3957 | Continuous Home Care - Min 17 Hours | $606.92 | $18.21 | $9.92 | $635.05 |
| 3958 | Continuous Home Care - Min 18 Hours | $642.62 | $19.28 | $9.92 | $671.82 |
| 3959 | Continuous Home Care - Min 19 Hours | $678.32 | $20.35 | $9.92 | $708.59 |
| 3960 | Continuous Home Care - Min 20 Hours | $714.03 | $21.42 | $9.92 | $745.37 |
| 3961 | Continuous Home Care - Min 21 Hours | $749.73 | $22.49 | $9.92 | $782.14 |
| 3962 | Continuous Home Care - Min 22 Hours | $785.43 | $23.56 | $9.92 | $818.91 |
| 3963 | Continuous Home Care - Min 23 Hours | $821.13 | $24.63 | $9.92 | $855.68 |
| 3964 | Continuous Home Care - Min 24 Hours | $856.83 | $25.70 | $9.92 | $892.45 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $8.13 | $0.24 | $0.50 | $8.87 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $248.97 | $7.47 | $9.92 | $266.36 |
| 3970 | Routine Home Care w/Escort | $163.56 | $4.91 | $9.92 | $178.39 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $305.18 | $9.16 | $9.92 | $324.26 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $343.33 | $10.30 | $9.92 | $363.55 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $381.48 | $11.44 | $9.92 | $402.84 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $419.63 | $12.59 | $9.92 | $442.14 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $457.78 | $13.73 | $9.92 | $481.43 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $495.92 | $14.88 | $9.92 | $520.72 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $534.07 | $16.02 | $9.92 | $560.01 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $572.22 | $17.17 | $9.92 | $599.31 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $610.37 | $18.31 | $9.92 | $638.60 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $648.51 | $19.46 | $9.92 | $677.89 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $686.66 | $20.60 | $9.92 | $717.18 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $724.81 | $21.74 | $9.92 | $756.47 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $762.96 | $22.89 | $9.92 | $795.77 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $801.11 | $24.03 | $9.92 | $835.06 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $839.25 | $25.18 | $9.92 | $874.35 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $877.40 | $26.32 | $9.92 | $913.64 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $915.55 | $27.47 | $9.92 | $952.94 |
| 3988 | General Inpatient w/ AIDS | $729.79 | $21.89 | $9.92 | $761.60 |
| 3989 | Routine Home Care w/ AIDS Escort | $265.58 | $7.97 | $9.92 | $283.47 |
* 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 | $140.91 | $4.23 | $9.92 | $155.06 |
| 3946 | Inpatient Respite | $157.52 | $4.73 | $9.92 | $172.17 |
| 3947 | General Inpatient Care | $631.64 | $18.95 | $9.92 | $660.51 |
| 3948 | Continuous Home Care - Min 8 Hours | $273.87 | $8.22 | $9.92 | $292.01 |
| 3949 | Continuous Home Care - Min 9 Hours | $308.10 | $9.24 | $9.92 | $327.26 |
| 3950 | Continuous Home Care - Min 10 Hours | $342.34 | $10.27 | $9.92 | $362.53 |
| 3951 | Continuous Home Care - Min 11 Hours | $376.57 | $11.30 | $9.92 | $397.79 |
| 3952 | Continuous Home Care - Min 12 Hours | $410.81 | $12.32 | $9.92 | $433.05 |
| 3953 | Continuous Home Care - Min 13 Hours | $445.04 | $13.35 | $9.92 | $468.31 |
| 3954 | Continuous Home Care - Min 14 Hours | $479.27 | $14.38 | $9.92 | $503.57 |
| 3955 | Continuous Home Care - Min 15 Hours | $513.51 | $15.41 | $9.92 | $538.84 |
| 3956 | Continuous Home Care - Min 16 Hours | $547.74 | $16.43 | $9.92 | $574.09 |
| 3957 | Continuous Home Care - Min 17 Hours | $581.97 | $17.46 | $9.92 | $609.35 |
| 3958 | Continuous Home Care - Min 18 Hours | $616.21 | $18.49 | $9.92 | $644.62 |
| 3959 | Continuous Home Care - Min 19 Hours | $650.44 | $19.51 | $9.92 | $679.87 |
| 3960 | Continuous Home Care - Min 20 Hours | $684.68 | $20.54 | $9.92 | $715.14 |
| 3961 | Continuous Home Care - Min 21 Hours | $718.91 | $21.57 | $9.92 | $750.40 |
| 3962 | Continuous Home Care - Min 22 Hours | $753.14 | $22.59 | $9.92 | $785.65 |
| 3963 | Continuous Home Care - Min 23 Hours | $787.38 | $23.62 | $9.92 | $820.92 |
| 3964 | Continuous Home Care - Min 24 Hours | $821.61 | $24.65 | $9.92 | $856.18 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $7.88 | $0.24 | $0.50 | $8.62 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $238.74 | $7.16 | $9.92 | $255.82 |
| 3970 | Routine Home Care w/Escort | $157.52 | $4.73 | $9.92 | $172.17 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $287.83 | $8.63 | $9.92 | $306.38 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $323.81 | $9.71 | $9.92 | $343.44 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $359.79 | $10.79 | $9.92 | $380.50 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $395.77 | $11.87 | $9.92 | $417.56 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $431.75 | $12.95 | $9.92 | $454.62 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $467.73 | $14.03 | $9.92 | $491.68 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $503.71 | $15.11 | $9.92 | $528.74 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $539.69 | $16.19 | $9.92 | $565.80 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $575.67 | $17.27 | $9.92 | $602.86 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $611.65 | $18.35 | $9.92 | $639.92 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $647.63 | $19.43 | $9.92 | $676.98 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $683.60 | $20.51 | $9.92 | $714.03 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $719.58 | $21.59 | $9.92 | $751.09 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $755.56 | $22.67 | $9.92 | $788.15 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $791.54 | $23.75 | $9.92 | $825.21 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $827.52 | $24.83 | $9.92 | $862.27 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $863.50 | $25.91 | $9.92 | $899.33 |
| 3988 | General Inpatient w/ AIDS | $702.00 | $21.06 | $9.92 | $732.98 |
| 3989 | Routine Home Care w/ AIDS Escort | $255.35 | $7.66 | $9.92 | $272.93 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|