Initial Foster Care Rates with Mental Health Add-On

December 1, 2011

Schedule II

Provider KEY Agency Name Program Effective
Date		 Total 2010
MH FFS Costs		 Estimated
Care Days		 MH
Add-On		 Rate
00333808 Abbott House General 12/1/2011 $3,517 14,493 $0.24 $16.98
00333808 Abbott House Hard/Place 12/1/2011 $39,475 20,275 $1.95 $26.61
00333808 Abbott House Therapeutic 12/1/2011 $68,625 74,913 $0.92 $34.28
00333808 Abbott House Diagnostic 12/1/2011 $1,069 10,972 $0.10 $30.45
00333808 Abbott House FBH 12/1/2011 $327,796 139,316 $2.35 $10.87
00339482 Astor Home For Children General 12/1/2011 $363 3,176 $0.11 $36.77
00339482 Astor Home For Children Therapeutic 12/1/2011 $18,494 13,658 $1.35 $32.14
00465834 Baker Victory Services General 12/1/2011 $2,168 4,342 $0.50 $22.39
00465834 Baker Victory Services FBH 12/1/2011 $10,447 1,996 $5.23 $5.34
00327899 Berkshire Farm Center General 12/1/2011 $35,110 38,795 $0.91 $25.21
00327899 Berkshire Farm Center Hard/Place 12/1/2011 $1,405 18,480 $0.08 $56.72
00327899 Berkshire Farm Center FBH 12/1/2011 $140,518 90,039 $1.56 $20.19
00327931 Cardinal McCloskey Sch & Home General 12/1/2011 $12,668 6,988 $1.81 $26.00
00327931 Cardinal McCloskey Sch & Home Therapeutic 12/1/2011 $28,559 13,403 $2.13 $29.48
00327931 Cardinal McCloskey Sch & Home FBH 12/1/2011 $146,645 129,019 $1.14 $9.52
00327959 Catholic Guardian Soc NY General 12/1/2011 $974 15,387 $0.06 $8.01
00327959 Catholic Guardian Soc NY Hard/Place 12/1/2011 $3,889 24,594 $0.16 $84.11
00327959 Catholic Guardian Soc NY Therapeutic 12/1/2011 $167,027 29,558 $5.65 $50.32
00327959 Catholic Guardian Soc NY FBH 12/1/2011 $854,767 358,052 $2.39 $8.63
00353333 - Cayuga Home for Children General 12/1/2011 $377 11,317 $0.03 $21.91
00353526 Charlton School The General 12/1/2011 $1,224 10,277 $0.12 $32.40
00353677 Child and Family Svcs 824 General 12/1/2011 $11,362 9,895 $1.15 $12.18
00353677 Child and Family Svcs 824 FBH 12/1/2011 $26,185 14,394 $1.82 $5.51
00333793 Childrens Aid Society, The Boarder/Babies 12/1/2011 $14,197 55,728 $0.25 $60.01
00333793 Childrens Aid Society, The Therapeutic 12/1/2011 $275,750 88,602 $3.11 $16.29
00333793 Childrens Aid Society, The FBH 12/1/2011 $38,380 82,000 $0.47 $10.23
00487210 Childrens Home Jefferson Co General 12/1/2011 $2,234 11,551 $0.19 $35.97
00487210 Childrens Home Jefferson Co FBH 12/1/2011 $4,305 17,370 $0.25 $21.27
00353580 Childrens Home Wyoming Conf General 12/1/2011 $6,227 23,945 $0.26 $26.50
00353580 Childrens Home Wyoming Conf Diagnostic 12/1/2011 $72 3,976 $0.02 $55.32
00353580 Childrens Home Wyoming Conf FBH 12/1/2011 $9,664 28,001 $0.35 $20.99
00343357 Childrens Village General 12/1/2011 $215 28,522 $0.01 $31.18
00343357 Childrens Village Hard/Place 12/1/2011 $5,533 53,623 $0.10 $63.67
00343357 Childrens Village Therapeutic 12/1/2011 $55,655 15,743 $3.54 $26.13
00343357 Childrens Village FBH 12/1/2011 $125,423 74,028 $1.69 $10.64
00353342 - Chldrns Hm of Kston 26 Grove General 12/1/2011 $414 17,031 $0.02 $23.75
00353640 Chldrns Hm of Pkeepsie Hillmn General 12/1/2011 $33,074 22,449 $1.47 $38.37
01200944 - Coalition for Hispanic Serv FBH 12/1/2011 $56,256 72,647 $0.77 $5.56
00353475 Community Maternity Svcs Bfc Maternity 12/1/2011 $320 10,223 $0.03 $25.67
00353475 Community Maternity Svcs Bfc Diagnostic 12/1/2011 $7,770 1,960 $3.96 $43.11
00342461 Edwin Gould Svc for Children General 12/1/2011 $500 7,638 $0.07 $6.27
00342461 Edwin Gould Svc for Children FBH 12/1/2011 $774,569 317,064 $2.44 $7.64
00343311 Elmcrest Childrens Center Inc General 12/1/2011 $8,602 18,712 $0.46 $29.89
00343311 Elmcrest Childrens Center Inc Hard/Place 12/1/2011 $938 12,024 $0.08 $70.16
00327702 Episcopal Social Services General 12/1/2011 $969 8,483 $0.11 $27.17
00327702 Episcopal Social Services FBH 12/1/2011 $428,115 150,510 $2.84 $13.41
01228679 Father Flanagans Boystown NYC General 12/1/2011 $262 4,273 $0.06 $9.96
00343320 Forestdale, Inc Hard/Place 12/1/2011 $4,292 102,964 $0.04 $16.53
00343320 Forestdale, Inc FBH 12/1/2011 $10,828 47,378 $0.23 $12.55
00356538 Gateway-Longview, Inc. General 12/1/2011 $7,477 25,098 $0.30 $20.87
00356538 Gateway-Longview, Inc. FBH 12/1/2011 $65,653 26,136 $2.51 $2.88
00353562 - George Junior Republic Assoc General 12/1/2011 $3,334 64,379 $0.05 $26.61
02377044 Glove House General 12/1/2011 $18,998 19,845 $0.96 $31.91
02377044 Glove House FBH 12/1/2011 $8,084 13,359 $0.61 $14.51
00327817 Good Shepherd Services Therapeutic 12/1/2011 $13,099 10,248 $1.28 $120.64
00327817 Good Shepherd Services Diagnostic 12/1/2011 $7,812 15,486 $0.50 $56.81
00327817 Good Shepherd Services FBH 12/1/2011 $372,733 155,219 $2.40 $11.51
00327995 Graham-Windham General 12/1/2011 $3,092 54,618 $0.06 $27.43
00327995 Graham-Windham Therapeutic 12/1/2011 $185,147 36,427 $5.08 $20.11
00327995 Graham-Windham FBH 12/1/2011 $546,617 269,426 $2.03 $11.42
00328001 Green Chimneys Childrens Serv Hard/Place 12/1/2011 $10,576 28,906 $0.37 $109.88
00356547 Gustavus Adolphus Child Home General 12/1/2011 $625 15,609 $0.04 $23.18
00356547 Gustavus Adolphus Child Home FBH 12/1/2011 $13,639 17,162 $0.79 $15.71
00343068 Harlem Dowling Children Svc FBH 12/1/2011 $314,229 95,514 $3.29 $9.11
00343068 * Harlem Dowling Children Svc* Therapeutic 12/1/2011 $9,974 16,060 $0.62 $102.33
00327940 Heartshare Human Services FBH 12/1/2011 $310,989 173,234 $1.80 $6.79
00353219 Hillside Chldrns Ctr Laburnum Hard/Place 12/1/2011 $2,476 40,277 $0.06 $90.64
00353219 Hillside Chldrns Ctr Laburnum Therapeutic 12/1/2011 $83,562 62,589 $1.34 $31.52
00353219 Hillside Chldrns Ctr Laburnum Diagnostic 12/1/2011 $7,959 12,127 $0.66 $117.26
00353282 Hope for Youth Aiken General 12/1/2011 $11,464 14,757 $0.78 $26.23
00353282 Hope for Youth Aiken FBH 12/1/2011 $2,243 15,764 $0.14 $12.22
00353556 - Hopevale General 12/1/2011 $3,047 29,017 $0.11 $32.77
00328038 Inwood House Maternity 12/1/2011 $1,439 16,428 $0.09 $25.01
00328056 JCCA Edenwald General 12/1/2011 $17,689 33,053 $0.54 $40.55
00013098 JCCA FH Division General 12/1/2011 $36,811 56,655 $0.65 $30.46
00013098 JCCA FH Division Therapeutic 12/1/2011 $128,944 39,740 $3.24 $65.34
00013098 JCCA FH Division Diagnostic 12/1/2011 $5,462 11,788 $0.46 $133.52
00013098 JCCA FH Division FBH 12/1/2011 $411,068 146,904 $2.80 $12.03
00343504 Jewish Board Linden Hill General 12/1/2011 $1,489 30,518 $0.05 $46.75
00343504 Jewish Board Linden Hill Hard/Place 12/1/2011 $4,728 13,445 $0.35 $60.43
00931246 Kinship Family and Youth Srvc Therapeutic 12/1/2011 $53,522 8,441 $6.34 $18.38
00892773 - Lake Grove School General 12/1/2011 $1,350 31,406 $0.04 $23.87
00328074 Leake and Watts Chl Home General 12/1/2011 $2,367 14,746 $0.16 $25.56
00328074 Leake and Watts Chl Home AIDS 12/1/2011 $4,031 11,738 $0.34 $33.30
00328074 Leake and Watts Chl Home Hard/Place 12/1/2011 $3,874 15,778 $0.25 $43.63
00328074 Leake and Watts Chl Home FBH 12/1/2011 $134,026 122,850 $1.09 $11.29
00343384 Lincoln Hall General 12/1/2011 $2,570 68,901 $0.04 $43.87
00328083 Little Flower Childrens Svcs General 12/1/2011 $424 28,167 $0.02 $44.82
00328083 Little Flower Childrens Svcs AIDS 12/1/2011 $480 687 $0.70 $50.57
00328083 Little Flower Childrens Svcs Therapeutic 12/1/2011 $7,373 37,132 $0.20 $33.62
00328083 Little Flower Childrens Svcs FBH 12/1/2011 $1,324,154 393,816 $3.36 $11.52
01352203 Long Island Adolescent General 12/1/2011 $2,330 5,441 $0.43 $25.66
01352203 Long Island Adolescent Hard/Place 12/1/2011 $5,540 7,138 $0.78 $124.41
00343408 Lutheran Social Svcs Metro NY General 12/1/2011 $2,274 8,476 $0.27 $6.34
00343408 * Lutheran Social Svcs Metro NY Sp Oth 01 12/1/2011 $59,619 17,885 $3.33 $136.29
00343408 Lutheran Social Svcs Metro NY FBH 12/1/2011 $81,077 69,806 $1.16 $7.21
00328116 Martin de Porres Group Homes Hard/Place 12/1/2011 $200 4,797 $0.04 $49.50
00327766 mercyFirst General 12/1/2011 $646 19,920 $0.03 $21.73
00327766 mercyFirst Hard/Place 12/1/2011 $117,491 74,410 $1.58 $50.85
00327766 mercyFirst Diagnostic 12/1/2011 $397 8,302 $0.05 $45.19
00327766 mercyFirst FBH 12/1/2011 $364,481 149,861 $2.43 $12.46
01949242 Mountain Lake Childrens Res General 12/1/2011 $1,304 14,566 $0.09 $28.21
00353553 New Directions Youth & Family General 12/1/2011 $1,526 45,046 $0.03 $17.77
00353553 New Directions Youth & Family FBH 12/1/2011 $1,207 15,162 $0.08 $16.63
00327835 New York Foundling Hospital General 12/1/2011 $1,658 12,816 $0.13 $22.32
00327835 New York Foundling Hospital Maternity 12/1/2011 $1,956 29,443 $0.07 $31.13
00327835 New York Foundling Hospital Hard/Place 12/1/2011 $14,782 16,045 $0.92 $19.21
00327835 New York Foundling Hospital Therapeutic 12/1/2011 $68,890 19,042 $3.62 $18.21
00327835 New York Foundling Hospital FBH 12/1/2011 $849,569 285,931 $2.97 $13.75
02842446 North American Family Institute Therapeutic 12/1/2011 $14,217 6,072 $2.34 $95.30
00784730 Northeast Parent Child Soc General 12/1/2011 $11,829 38,695 $0.31 $23.87
00475916 * Occupations (McQuade) General 12/1/2011 $4,856 27,634 $0.18 $29.74
01431745 - Ofc Children & Family Svc General 12/1/2011 $22,289 60,734 $0.37 $30.04
01431745 - Ofc Children & Family Svc FBH 12/1/2011 $1,310 2,216 $0.59 $15.66
00327660 Ohel Children Home Hard/Place 12/1/2011 $8,667 2,251 $3.85 $39.29
00327660 Ohel Children Home FBH 12/1/2011 $614 13,291 $0.05 $11.87
00353195 Parsons Child and Family Ctr General 12/1/2011 $1,514 7,592 $0.20 $20.68
00353195 Parsons Child and Family Ctr Hard/Place 12/1/2011 $12,578 14,644 $0.86 $48.51
00353195 Parsons Child and Family Ctr Therapeutic 12/1/2011 $781 6,532 $0.12 $47.78
00353195 Parsons Child and Family Ctr FBH 12/1/2011 $10,428 18,735 $0.56 $19.99
02645696 Snell Farms Hard/Place 12/1/2011 $92 10,129 $0.01 $57.80
00327793 Society for Seamen´s Children Therapeutic 12/1/2011 $64,089 8,924 $7.18 $17.72
00327793 Society for Seamen´s Children FBH 12/1/2011 $125,823 148,735 $0.85 $9.46
00353535 St Anne Institute General 12/1/2011 $2,912 26,896 $0.11 $28.59
00353535 St Anne Institute Hard/Place 12/1/2011 $1,296 7,637 $0.17 $114.31
00327711 St Cabrini Home General 12/1/2011 $8,307 26,198 $0.32 $29.47
00353177 St Catherine Center for Child General 12/1/2011 $5,680 14,118 $0.40 $33.57
00353177 St Catherine Center for Child FBH 12/1/2011 $3,754 4,707 $0.80 $19.28
00327720 St Chris Jen Clrksn C C Ser General 12/1/2011 $526 2,950 $0.18 $43.41
00327853 St Christopher-Ottilie General 12/1/2011 $196 5,388 $0.04 $4.85
00327853 St Christopher-Ottilie Maternity 12/1/2011 $124 20,447 $0.01 $21.26
00327853 St Christopher-Ottilie Hard/Place 12/1/2011 $1,368 81,695 $0.02 $81.37
00327853 St Christopher-Ottilie Therapeutic 12/1/2011 $186,820 65,950 $2.83 $41.61
00327853 St Christopher-Ottilie FBH 12/1/2011 $523,856 425,432 $1.23 $11.43
00353622 St Colmans Home General 12/1/2011 $863 11,666 $0.07 $27.06
00353571 St Josephs Villa Institution General 12/1/2011 $9,978 36,294 $0.27 $27.01
03160116 St Vincents Springfield Home General 12/1/2011 $5,438 38,264 $0.14 $15.32
03160116 St Vincents Springfield Home AIDS 12/1/2011 $84,558 25,180 $3.36 $28.76
03160116 St Vincents Springfield Home FBH 12/1/2011 $763,116 232,989 $3.28 $10.94
00327739 St. Dominic´s Home Therapeutic 12/1/2011 $132,471 66,179 $2.00 $20.92
00327739 St. Dominic´s Home FBH 12/1/2011 $25,025 78,903 $0.32 $8.29
00671738 + Timothy Hill Childrens Ranch General 12/1/2011 $699 9,850 $0.07 $27.41
00784721 Toomey Res & Comm Srvcs Corp General 12/1/2011 $23,045 6,710 $3.43 $34.71
00784721 Toomey Res & Comm Srvcs Corp FBH 12/1/2011 $1,055 11,650 $0.09 $11.65
00784547 Transitional Serv Assoc Inc General 12/1/2011 $12,064 1,678 $7.19 $28.99
00353493 Vanderheyden Hall,Inc General 12/1/2011 $7,007 30,428 $0.23 $31.51

KEY
Symbol Definition
* Budgeted rate
+ Budgeted rate carried over from 2009/2010
- Cost-based rate carried over from 2010 due to non-submittal
|top of page|