Freestanding APG Base Rates

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

∗∗ Schedule provides Base Rates only. For the Blend and Capital Add-On rates, refer to the Rate by Provider files.

∗ Episode rate codes are effective July 1, 2011.

∗∗∗ 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.