Freestanding APG Base Rates
- Freestanding APG Base Rates is also available in Excel Format (XLS, 24KB) and Portable Document Format (PDF, 110KB, 1pg.)
| Service Type | Blend Rate Visit/Episode Rate Code | Capital Add-On Visit/Episode Rate Code | ∗∗Base Rate Visit/Episode Rate Code | Phase I APG Base Rates (Effective September 1, 2009 thru November 30, 2009) | Phase I APG Base Rates (Effective December 1, 2009 thru December 31, 2009) | Phase I APG Base Rates (Effective January 1, 2010 Forward) | |||
|---|---|---|---|---|---|---|---|---|---|
| DOWNSTATE | UPSTATE | DOWNSTATE | UPSTATE | DOWNSTATE | UPSTATE | ||||
| Academic Dental | 1430/1460∗ | 1431/1461∗ | 1428/1459∗ | $268.35 | $223.22 | $173.67 | $176.16 | $138.58 | $144.59 |
| Ambulatory Surgery | 1412 | 1410 | 1408 | $88.69 | $86.39 | $88.69 | $86.39 | $116.24 | $101.18 |
| General Clinic∗∗∗ | 1411/1423∗ | 1409/1424∗ | 1407/1422∗ | $212.07 | $174.74 | $158.78 | $129.14 | $156.76 | $131.35 |
| General Clinic MR/DD/TBI | 1436/1426∗ | 1437/1427∗ | 1435/1425∗ | $254.48 | $209.69 | $190.53 | $154.97 | $188.12 | $157.62 |
| Renal | 1439/1457∗ | 1440/1458∗ | 1438/1456∗ | $235.70 | $196.06 | $138.98 | $128.09 | $127.02 | $107.94 |
| School-Based Health Center∗∗∗ | 1448/1454∗ | 1449/1455∗ | 1447/1453∗ | $212.07 | $174.74 | $158.78 | $129.14 | $156.76 | $131.35 |
∗ Episode rate codes are effective July 1, 2011.
∗∗ Schedule provides Base Rates only. For the Blend and Capital Add-On rates, refer to the Rate by Provider files.
∗∗∗ For General Clinic and School-Based Health Center, while they share the same base payment rates, please note that their rate codes differ.
Note: At the time CMS approves the additional investments that have been requested by NYS for the Freestanding APG rates, the base rates from December 1, 2009 forward will be revised to reflect the increased investment levels.
