Certified Home Health Agency (CHHA) Rates

New York State Medicaid - Episodic Payment System
1% Enhancement - Nassau, Suffolk and Westchester
Rate Code Rate Code Description 1/1/20 Effective Date - Latest Approved 4/1/22 Effective Date 1% Enhancement
4810 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 1 $2,036.63 $2,057.00
4811 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 2 $2,266.91 $2,289.58
4812 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 3 $2,266.91 $2,289.58
4813 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 4 $2,635.34 $2,661.69
4814 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 5 $2,635.34 $2,661.69
4815 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 6 $2,777.76 $2,805.54
4816 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 1 $3,161.71 $3,193.33
4817 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 2 $3,687.78 $3,724.66
4818 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 3 $3,687.78 $3,724.66
4819 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 4 $4,079.96 $4,120.76
4820 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 5 $4,079.96 $4,120.76
4821 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 6 $4,533.28 $4,578.61
4822 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 1 $3,820.52 $3,858.73
4823 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 2 $4,103.92 $4,144.96
4824 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 3 $4,103.92 $4,144.96
4825 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 4 $4,960.44 $5,010.04
4826 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 5 $4,960.44 $5,010.04
4827 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 6 $6,360.35 $6,423.95
4828 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 1 $2,291.03 $2,313.94
4829 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 2 $2,487.44 $2,512.31
4830 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 3 $2,487.44 $2,512.31
4831 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 4 $2,573.06 $2,598.79
4832 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 5 $2,573.06 $2,598.79
4833 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 6 $2,800.71 $2,828.72
4834 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 1 $3,512.24 $3,547.36
4835 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 2 $3,778.23 $3,816.01
4836 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 3 $3,778.23 $3,816.01
4837 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 4 $4,216.11 $4,258.27
4838 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 5 $4,216.11 $4,258.27
4839 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 6 $4,627.07 $4,673.34
4840 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 1 $4,915.44 $4,964.59
4841 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 2 $5,543.06 $5,598.49
4842 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 3 $5,543.06 $5,598.49
4843 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 4 $6,582.34 $6,648.16
4844 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 5 $6,582.34 $6,648.16
4845 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 6 $7,187.88 $7,259.76
4846 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 1 $2,511.16 $2,536.27
4847 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 2 $2,849.21 $2,877.70
4848 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 3 $2,849.21 $2,877.70
4849 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 4 $3,086.25 $3,117.11
4850 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 5 $3,086.25 $3,117.11
4851 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 6 $3,782.27 $3,820.09
4852 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 1 $4,511.25 $4,556.36
4853 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 2 $5,210.64 $5,262.75
4854 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 3 $5,210.64 $5,262.75
4855 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 4 $5,793.68 $5,851.62
4856 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 5 $5,793.68 $5,851.62
4857 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 6 $6,089.15 $6,150.04
4858 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 1 $5,647.17 $5,703.64
4859 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 2 $7,942.98 $8,022.41
4860 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 3 $7,942.98 $8,022.41
4861 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 4 $7,969.83 $8,049.53
4862 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 5 $7,969.83 $8,049.53
4863 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 6 $9,236.38 $9,328.74
4864 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 1 $1,496.68 $1,511.65
4865 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 2 $1,635.88 $1,652.24
4866 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 3 $1,635.88 $1,652.24
4867 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 4 $2,387.46 $2,411.33
4868 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 5 $2,387.46 $2,411.33
4869 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 6 $2,531.39 $2,556.70
4870 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 1 $3,560.28 $3,595.88
4871 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 2 $3,737.70 $3,775.08
4872 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 3 $3,737.70 $3,775.08
4873 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 4 $4,819.60 $4,867.80
4874 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 5 $4,819.60 $4,867.80
4875 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 6 $5,304.94 $5,357.99
4876 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 1 $4,412.54 $4,456.67
4877 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 2 $4,204.08 $4,246.12
4878 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 3 $4,204.08 $4,246.12
4879 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 4 $6,084.43 $6,145.27
4880 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 5 $6,084.43 $6,145.27
4881 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 6 $7,595.12 $7,671.07
4882 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 1 $1,748.99 $1,766.48
4883 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 2 $1,910.82 $1,929.93
4884 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 3 $1,910.82 $1,929.93
4885 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 4 $2,445.08 $2,469.53
4886 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 5 $2,445.08 $2,469.53
4887 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 6 $2,720.27 $2,747.47
4888 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 1 $3,692.48 $3,729.40
4889 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 2 $4,288.41 $4,331.29
4890 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 3 $4,288.41 $4,331.29
4891 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 4 $5,308.99 $5,362.08
4892 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 5 $5,308.99 $5,362.08
4893 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 6 $5,780.92 $5,838.73
4894 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 1 $5,019.77 $5,069.97
4895 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 2 $6,088.04 $6,148.92
4896 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 3 $6,088.04 $6,148.92
4897 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 4 $8,435.56 $8,519.92
4898 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 5 $8,435.56 $8,519.92
4899 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 6 $9,258.78 $9,351.37
4900 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 1 $1,783.87 $1,801.71
4901 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 2 $2,463.52 $2,488.16
4902 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 3 $2,463.52 $2,488.16
4903 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 4 $3,678.18 $3,714.96
4904 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 5 $3,678.18 $3,714.96
4905 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 6 $2,997.65 $3,027.63
4906 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 1 $4,803.16 $4,851.19
4907 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 2 $6,228.07 $6,290.35
4908 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 3 $6,228.07 $6,290.35
4909 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 4 $6,891.58 $6,960.50
4910 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 5 $6,891.58 $6,960.50
4911 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 6 $7,928.35 $8,007.63
4912 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 1 $7,412.10 $7,486.22
4913 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 2 $11,621.63 $11,737.85
4914 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 3 $11,621.63 $11,737.85
4915 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 4 $10,131.57 $10,232.88
4916 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 5 $10,131.57 $10,232.88
4917 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 6 $14,053.64 $14,194.17
4920 EPS MATERNITY, NO OASIS, 18 AND OLDER $1,496.68 $1,511.65