Care Coordination Organization/ Health Homes (CCO/ HH) Fees

  • Document also available in EXCEL Format (XLSX)

EFFECTIVE APRIL 1, 2023

(4% COLA)
Rate Code Fee Description Fee
1900 Level 1 - Upstate $290.48
1900 Level 1 - Downstate $309.12
1901 Level 2 - Upstate $355.16
1901 Level 2 - Downstate $378.18
1902 Level 3 - Upstate $429.69
1902 Level 3 - Downstate $458.19
1903 Level 4 - Upstate $549.18
1903 Level 4 - Downstate $585.35
1904 Opt-Out - Statewide $271.03
1905 Transition - Upstate $871.45
1905 Transition - Downstate $927.35
1906 Opt-Out - Transition - Statewide $813.07