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.