Fiscal Intermediaries Three Tiered Administrate Fee Schedule
- Schedule are also available in Portable Document Format (PDF)
Fiscal Intermediaries: One Percent Enhancement Effective April 1, 2022
Tier | Rate Code | Number of Direct Care Hours Authorized Per Month Per Consumer | FI PMPM Reimbursement Effective April 1, 2022 |
---|---|---|---|
1 | 8400 | 1 – 159 Hours | $146.45 |
2 | 8401 | 160 – 479 Hours | $387.84 |
3 | 8402 | 480 Hours and above | $1,046.36 |
This change applies to Fiscal Intermediaries performing administrative services under the Consumer Directed Personal Assistance Program (CDPAP). It's a three-tier Per Member Per Month rate structure for reimbursement of the administrative services component for CDPAP initially effective 4/1/2021 now increased by the 1% enhancement effective 4/1/2022.