Episodic Payment System for Certified Home Health Agencies

Interim Rebasing Rate Adjustment Effective April 1, 2015

Effective April 1, 2015

All Counties Except New York City

CHHA EPS - Interim Rebasing Rates Non-NYC is also available in Excel Format (XLS, 41KB)

Rate Code Description Previous Rate Interim Rate
4810 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 1 $1,371.20 $1,206.66
4811 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 2 $1,522.06 $1,339.41
4812 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 3 $1,989.42 $1,750.69
4813 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 4 $2,206.74 $1,941.93
4814 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 5 $2,353.57 $2,071.14
4815 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 6 $2,552.95 $2,246.60
4816 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 1 $2,508.54 $2,207.52
4817 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 2 $3,128.55 $2,753.12
4818 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 3 $3,513.23 $3,091.64
4819 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 4 $3,680.98 $3,239.26
4820 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 5 $3,927.85 $3,456.51
4821 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 6 $4,503.59 $3,963.16
4822 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 1 $4,161.46 $3,662.08
4823 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 2 $4,445.85 $3,912.35
4824 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 3 $6,558.59 $5,771.56
4825 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 4 $6,185.98 $5,443.66
4826 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 5 $6,662.41 $5,862.92
4827 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 6 $8,225.68 $7,238.60
4828 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 1 $1,845.55 $1,624.08
4829 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 2 $2,024.70 $1,781.74
4830 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 3 $2,307.69 $2,030.77
4831 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 4 $2,431.91 $2,140.08
4832 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 5 $2,281.76 $2,007.95
4833 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 6 $2,125.21 $1,870.18
4834 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 1 $3,119.85 $2,745.47
4835 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 2 $3,895.60 $3,428.13
4836 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 3 $4,199.22 $3,695.31
4837 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 4 $4,532.01 $3,988.17
4838 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 5 $5,042.89 $4,437.74
4839 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 6 $5,941.16 $5,228.22
4840 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 1 $5,193.76 $4,570.51
4841 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 2 $6,330.24 $5,570.61
4842 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 3 $7,239.45 $6,370.72
4843 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 4 $8,058.64 $7,091.60
4844 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 5 $9,209.63 $8,104.47
4845 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 6 $10,463.54 $9,207.92
4846 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 1 $2,324.55 $2,045.60
4847 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 2 $2,269.19 $1,996.89
4848 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 3 $3,599.85 $3,167.87
4849 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 4 $3,761.67 $3,310.27
4850 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 5 $4,867.86 $4,283.72
4851 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 6 $4,171.28 $3,670.73
4852 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 1 $4,440.12 $3,907.31
4853 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 2 $4,504.07 $3,963.58
4854 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 3 $5,948.91 $5,235.04
4855 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 4 $6,553.37 $5,766.97
4856 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 5 $8,120.08 $7,145.67
4857 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 6 $8,347.64 $7,345.92
4858 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 1 $7,324.56 $6,445.61
4859 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 2 $9,969.25 $8,772.94
4860 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 3 $11,060.95 $9,733.64
4861 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 4 $11,301.00 $9,944.88
4862 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 5 $11,905.41 $10,476.76
4863 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 6 $12,326.09 $10,846.96
4864 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 1 $1,627.93 $1,432.58
4865 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 2 $2,237.10 $1,968.65
4866 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 3 $2,761.41 $2,430.04
4867 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 4 $2,901.74 $2,553.53
4868 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 5 $2,807.26 $2,470.39
4869 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 6 $2,776.22 $2,443.07
4870 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 1 $3,902.65 $3,434.33
4871 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 2 $4,443.91 $3,910.64
4872 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 3 $4,709.15 $4,144.05
4873 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 4 $5,186.21 $4,563.86
4874 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 5 $5,669.41 $4,989.08
4875 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 6 $5,762.75 $5,071.22
4876 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 1 $5,285.23 $4,651.00
4877 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 2 $5,045.20 $4,439.78
4878 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 3 $7,361.51 $6,478.13
4879 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 4 $7,978.42 $7,021.01
4880 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 5 $9,369.39 $8,245.06
4881 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 6 $9,789.43 $8,614.70
4882 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 1 $2,338.15 $2,057.57
4883 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 2 $2,545.50 $2,240.04
4884 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 3 $2,910.58 $2,561.31
4885 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 4 $2,916.89 $2,566.86
4886 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 5 $2,800.32 $2,464.28
4887 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 6 $2,485.84 $2,187.54
4888 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 1 $4,308.21 $3,791.22
4889 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 2 $4,963.50 $4,367.88
4890 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 3 $5,261.83 $4,630.41
4891 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 4 $5,647.09 $4,969.44
4892 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 5 $6,294.35 $5,539.03
4893 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 6 $6,834.11 $6,014.02
4894 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 1 $6,374.07 $5,609.18
4895 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 2 $9,495.44 $8,355.99
4896 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 3 $11,230.82 $9,883.12
4897 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 4 $11,052.08 $9,725.83
4898 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 5 $11,867.84 $10,443.70
4899 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 6 $12,649.63 $11,131.67
4900 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 1 $2,880.30 $2,534.66
4901 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 2 $3,322.62 $2,923.91
4902 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 3 $4,192.78 $3,689.65
4903 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 4 $4,311.39 $3,794.02
4904 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 5 $4,576.89 $4,027.66
4905 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 6 $4,341.58 $3,820.59
4906 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 1 $4,589.64 $4,038.88
4907 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 2 $5,703.07 $5,018.70
4908 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 3 $7,442.34 $6,549.26
4909 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 4 $9,160.91 $8,061.60
4910 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 5 $10,190.42 $8,967.57
4911 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 6 $11,483.79 $10,105.74
4912 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 1 $9,050.84 $7,964.74
4913 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 2 $13,133.16 $11,557.18
4914 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 3 $14,728.25 $12,960.86
4915 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 4 $14,189.85 $12,487.07
4916 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 5 $14,226.22 $12,519.07
4917 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 6 $13,975.10 $12,298.09
4919 ASSESSMENTS (LUPA ONLY) $5.63 $5.63
4920 EPS MATERNITY, NO OASIS, 18 AND OLDER $1,371.20 $1,206.66