Medicaid CDPAS Rates

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New York State Department of Health

Agency:
MMIS ID: xxxxxxxx
Locator Code: xxx
County:
Region:

Rate Components Consumer Directed Services
Consumer Directed Consumer Directed Enhanced Consumer Directed Live-in
  Direct Care and Training
(1) Direct Care & Training Costs  
(2) Direct Care & Training Regional Ceiling (capped at 115% of regional average)
(3) Direct Care & Training Rate (Lower of Direct Care & Training Costs or Regional Ceiling) [Lower of (1) or (2)] $0.00 $0.00 $0.00
  Capital and Background & Fingerprinting Costs
(4) Capital Costs  
(5) Background & Fingerprinting Costs
(6) Total Capital and Background & Fingerprinting Costs [(4) + (5)] $0.00 $0.00 $0.00
(7) Direct Care & Training Rate and Capital and Background & Fingerprinting Costs [(3) + (6)] $0.00 $0.00 $0.00
  Rate Add-Ons
(8) Profit / Surplus      
(9) Total Rate [(7) + (8)] $0.00 $0.00 $0.00
(10) Public Charge Rate  
(11) Lower of Total Rate or Public Charge Rate (if > $0)
(12) Minimum Wage
(13) Worker Recruitment & Retention [(11) + (12)]*4.56%
(14) 1% Medicaid ATB Increase (eff. 4/1/2022) [(15) + (16) + (17)] * 1%  
(15) Final Rate [(11) + (12) + (13)]+ (14)]
  One Client $0.00 $0.00 $0.00
Two Clients $0.00 $0.00 $0.00
One Client 1/4 hour $0.00 $0.00  
Two Clients 1/4 hour $0.00 $0.00  

Agency:
MMIS ID: xxxxxxxx
Locator Code: xxx
County:
Region:

Rate Components Consumer Directed Services
Consumer Directed Consumer Directed Enhanced Consumer Directed Live-in
1. Direct Care & Training Costs
(1) Direct Care & Training cost by service (Sch 3c col 005 & 007-010)      
(2) Hours/Visits by service (Sch 5c col 023 or 024))      
(3) Direct Care & Training cost per hour/visit $0.00 $0.00 $0.00
2. Admin Cost (excluding Capital and Background & Fingerprinting)
(1) Program admin cost by service (Sch 3c col 004)      
(2) Total program admin cost across Sch 3c (Sch 3c col 004 line 007)  
(3) Admin Percent [(1) / (2)]      
(4) Hours/Visits by service (Sch 5c col 023 or col 024)      
(5) Admin Cost per hour/visit [(1) / (4)] NA*
(6) Capital Cost across Sch 4c (Sch 4c total of col 004 lines 002-003 & 005-011 & 015)  
(7) Capital Cost per hour/visit by service [(3) * (6) / (4)]      
(8) Background & Fingerprinting across Sch 4c (Sch 4c col 003 line 001)  
(9) Background & Fingerprinting Cost per hour/visit by service [(3) * (8) / (4)]      
(10) Admin Cost (excluding Capital and Background & Fingerprinting) [(5) - (7) - (9)] NA
      * Outside of Capital Cost and Background & Fingerprinting, admin reimbursement for FIs occurs separately through a tiered utilization approach.
3. Profit / Surplus Add-On
(1) Admin and Direct Care & Training Rate      
(2) Allowable costs for aide wages and benefits across Sch 3c (Sch 3c col 005 & col 008-010)  
(3) Total Allowable cost across Sch 3c (Sch 3c col 003)  
(4) 6 Months T-Bill rate (As on 30 Sept 2022)  
(5) Profit / Surplus Percentage Adjustment [(2) / (3) * (4)]  
(6) Profit / Surplus Add-On [(5) / (1 − (5)) * (1)] $0.00 $0.00 $0.00
4. Public Charge Rate
(1) Public Charge Rate (Sch 7c col 001)      
5. Minimum Wage Adjustment
  2023 2022 2021 2020 2019 2018 2017
(1) Base Rate Increase
Downstate $1.50 $1.50 $1.00 $1.00 $1.00 $1.00 $0.00
Upstate $2.50 $1.20 $0.70 $0.70 $0.70 $0.70 $0.70
(2) Fringe Benefits
Downstate $0.26 $0.26 $0.18 $0.18 $0.18 $0.28 $0.00
Upstate $0.43 $0.21 $0.12 $0.12 $0.12 $0.20 $0.20
(3) Fringe Benefits
Downstate (Base Rate + Fringe Benefits) $1.76 $1.76 $1.18 $1.18 $1.18 $1.28 $0.00
Upstate (Base Rate + Fringe Benefits) $2.93 $1.41 $0.82 $0.82 $0.82 $0.90 $0.90
2023 MW Adjustment Live-in
(13 hours)
Other CDPAS Services
Downstate $108.33 $8.33
Upstate $111.73 $8.59