Certified Hospice Program
Medicaid Rate Sheet
Effective: 10/01/2018 – 09/30/2019
- Rates also available in Excel Format (XLSX)
Table of Contents |
---|
Albany–Schenectady–Troy |
Binghamton |
Buffalo |
Elmira |
Glens Falls |
Nassau Suffolk |
New York City |
Niagara Falls |
Orange County |
Poughkeepsie |
Rochester |
Syracuse |
Utica–Rome |
Rural |
SMSA: Albany–Schenectady–Troy
Hospice Rate Sheets for the Counties of: ALBANY, GREENE, MONTGOMERY, RENSSELAER, SARATOGA, SCHENECTADY
Rate Code |
Description | Base Rate | WRR Add–on * |
RTR Add–on * |
Total w/ addons |
---|---|---|---|---|---|
3945 | Routine Home Care | $171.72 | $5.15 | $9.92 | $186.79 |
3946 | Inpatient Respite | $166.87 | $5.01 | $9.92 | $181.80 |
3947 | General Inpatient Care | $669.03 | $20.07 | $9.92 | $699.02 |
3948 | Continuous Home Care – Min 8 Hours | $290.66 | $8.72 | $9.92 | $309.30 |
3949 | Continuous Home Care – Min 9 Hours | $326.99 | $9.81 | $9.92 | $346.72 |
3950 | Continuous Home Care – Min 10 Hours | $363.32 | $10.90 | $9.92 | $384.14 |
3951 | Continuous Home Care – Min 11 Hours | $399.65 | $11.99 | $9.92 | $421.56 |
3952 | Continuous Home Care – Min 12 Hours | $435.99 | $13.08 | $9.92 | $458.99 |
3953 | Continuous Home Care – Min 13 Hours | $472.32 | $14.17 | $9.92 | $496.41 |
3954 | Continuous Home Care – Min 14 Hours | $508.65 | $15.26 | $9.92 | $533.83 |
3955 | Continuous Home Care – Min 15 Hours | $544.98 | $16.35 | $9.92 | $571.25 |
3956 | Continuous Home Care – Min 16 Hours | $581.31 | $17.44 | $9.92 | $608.67 |
3957 | Continuous Home Care – Min 17 Hours | $617.65 | $18.53 | $9.92 | $646.10 |
3958 | Continuous Home Care – Min 18 Hours | $653.98 | $19.62 | $9.92 | $683.52 |
3959 | Continuous Home Care – Min 19 Hours | $690.31 | $20.71 | $9.92 | $720.94 |
3960 | Continuous Home Care – Min 20 Hours | $726.64 | $21.80 | $9.92 | $758.36 |
3961 | Continuous Home Care – Min 21 Hours | $762.97 | $22.89 | $9.92 | $795.78 |
3962 | Continuous Home Care – Min 22 Hours | $799.31 | $23.98 | $9.92 | $833.21 |
3963 | Continuous Home Care – Min 23 Hours | $835.64 | $25.07 | $9.92 | $870.63 |
3964 | Continuous Home Care – Min 24 Hours | $871.97 | $26.16 | $9.92 | $908.05 |
3965 | Hospice Inpatient Respite Care Coinsurance Rate – | ||||
5% of 3946 | $8.34 | $0.25 | $0.50 | $9.09 | |
3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
3969 | Routine Home Care w/AIDS | $277.39 | $8.32 | $9.92 | $295.63 |
3970 | Routine Home Care w/Escort | $189.85 | $5.70 | $9.92 | $205.47 |
3971 | Continuous Home Care w/AIDS Min 8 Hours | $304.10 | $9.12 | $9.92 | $323.14 |
3972 | Continuous Home Care w/AIDS Min 9 Hours | $342.11 | $10.26 | $9.92 | $362.29 |
3973 | Continuous Home Care w/AIDS Min 10 Hours | $380.12 | $11.40 | $9.92 | $401.44 |
3974 | Continuous Home Care w/AIDS Min 11 Hours | $418.13 | $12.54 | $9.92 | $440.59 |
3975 | Continuous Home Care w/AIDS Min 12 Hours | $456.15 | $13.68 | $9.92 | $479.75 |
3976 | Continuous Home Care w/AIDS Min 13 Hours | $494.16 | $14.82 | $9.92 | $518.90 |
3977 | Continuous Home Care w/AIDS Min 14 Hours | $532.17 | $15.97 | $9.92 | $558.06 |
3978 | Continuous Home Care w/AIDS Min 15 Hours | $570.18 | $17.11 | $9.92 | $597.21 |
3979 | Continuous Home Care w/AIDS Min 16 Hours | $608.19 | $18.25 | $9.92 | $636.36 |
3980 | Continuous Home Care w/AIDS Min 17 Hours | $646.21 | $19.39 | $9.92 | $675.52 |
3981 | Continuous Home Care w/AIDS Min 18 Hours | $684.22 | $20.53 | $9.92 | $714.67 |
3982 | Continuous Home Care w/AIDS Min 19 Hours | $722.23 | $21.67 | $9.92 | $753.82 |
3983 | Continuous Home Care w/AIDS Min 20 Hours | $760.24 | $22.81 | $9.92 | $792.97 |
3984 | Continuous Home Care w/AIDS Min 21 Hours | $798.25 | $23.95 | $9.92 | $832.12 |
3985 | Continuous Home Care w/AIDS Min 22 Hours | $836.27 | $25.09 | $9.92 | $871.28 |
3986 | Continuous Home Care w/AIDS Min 23 Hours | $874.28 | $26.23 | $9.92 | $910.43 |
3987 | Continuous Home Care w/AIDS Min 24 Hours | $912.29 | $27.37 | $9.92 | $949.58 |
3988 | General Inpatient w/ AIDS | $743.56 | $22.31 | $9.92 | $775.79 |
3989 | Routine Home Care w/ AIDS Escort | $295.52 | $8.87 | $9.92 | $314.31 |
3991 | Service Intensity Add–on | $37.61 | $1.13 | $0.00 | $38.74 |
* WRR =´Worker Recruitment and Retention addon´ if applicable
* RTR =´Recruitment, Training and Retention addon´ if applicable
SMSA: Binghamton
Hospice Rate Sheets for the Counties of: BROOME, TIOGA
Rate Code |
Description | Base Rate | WRP Add–on * |
RTR Add–on * |
Total w/ addons |
---|---|---|---|---|---|
3945 | Routine Home Care | $175.50 | $5.27 | $9.92 | $190.69 |
3946 | Inpatient Respite | $169.67 | $5.09 | $9.92 | $184.68 |
3947 | General Inpatient Care | $682.62 | $20.48 | $9.92 | $713.02 |
3948 | Continuous Home Care – Min 8 Hours | $297.05 | $8.91 | $9.92 | $315.88 |
3949 | Continuous Home Care – Min 9 Hours | $334.19 | $10.03 | $9.92 | $354.14 |
3950 | Continuous Home Care – Min 10 Hours | $371.32 | $11.14 | $9.92 | $392.38 |
3951 | Continuous Home Care – Min 11 Hours | $408.45 | $12.25 | $9.92 | $430.62 |
3952 | Continuous Home Care – Min 12 Hours | $445.58 | $13.37 | $9.92 | $468.87 |
3953 | Continuous Home Care – Min 13 Hours | $482.71 | $14.48 | $9.92 | $507.11 |
3954 | Continuous Home Care – Min 14 Hours | $519.84 | $15.60 | $9.92 | $545.36 |
3955 | Continuous Home Care – Min 15 Hours | $556.98 | $16.71 | $9.92 | $583.61 |
3956 | Continuous Home Care – Min 16 Hours | $594.11 | $17.82 | $9.92 | $621.85 |
3957 | Continuous Home Care – Min 17 Hours | $631.24 | $18.94 | $9.92 | $660.10 |
3958 | Continuous Home Care – Min 18 Hours | $668.37 | $20.05 | $9.92 | $698.34 |
3959 | Continuous Home Care – Min 19 Hours | $705.50 | $21.17 | $9.92 | $736.59 |
3960 | Continuous Home Care – Min 20 Hours | $742.63 | $22.28 | $9.92 | $774.83 |
3961 | Continuous Home Care – Min 21 Hours | $779.77 | $23.39 | $9.92 | $813.08 |
3962 | Continuous Home Care – Min 22 Hours | $816.90 | $24.51 | $9.92 | $851.33 |
3963 | Continuous Home Care – Min 23 Hours | $854.03 | $25.62 | $9.92 | $889.57 |
3964 | Continuous Home Care – Min 24 Hours | $891.16 | $26.73 | $9.92 | $927.81 |
3965 | Hospice Inpatient Respite Care Coinsurance Rate – | ||||
5% of 3946 | $8.48 | $0.25 | $0.50 | $9.23 | |
3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
3969 | Routine Home Care w/AIDS | $283.50 | $8.51 | $9.92 | $301.93 |
3970 | Routine Home Care w/Escort | $193.63 | $5.81 | $9.92 | $209.36 |
3971 | Continuous Home Care w/AIDS Min 8 Hours | $313.55 | $9.41 | $9.92 | $332.88 |
3972 | Continuous Home Care w/AIDS Min 9 Hours | $352.75 | $10.58 | $9.92 | $373.25 |
3973 | Continuous Home Care w/AIDS Min 10 Hours | $391.94 | $11.76 | $9.92 | $413.62 |
3974 | Continuous Home Care w/AIDS Min 11 Hours | $431.14 | $12.93 | $9.92 | $453.99 |
3975 | Continuous Home Care w/AIDS Min 12 Hours | $470.33 | $14.11 | $9.92 | $494.36 |
3976 | Continuous Home Care w/AIDS Min 13 Hours | $509.52 | $15.29 | $9.92 | $534.73 |
3977 | Continuous Home Care w/AIDS Min 14 Hours | $548.72 | $16.46 | $9.92 | $575.10 |
3978 | Continuous Home Care w/AIDS Min 15 Hours | $587.91 | $17.64 | $9.92 | $615.47 |
3979 | Continuous Home Care w/AIDS Min 16 Hours | $627.11 | $18.81 | $9.92 | $655.84 |
3980 | Continuous Home Care w/AIDS Min 17 Hours | $666.30 | $19.99 | $9.92 | $696.21 |
3981 | Continuous Home Care w/AIDS Min 18 Hours | $705.50 | $21.17 | $9.92 | $736.59 |
3982 | Continuous Home Care w/AIDS Min 19 Hours | $744.69 | $22.34 | $9.92 | $776.95 |
3983 | Continuous Home Care w/AIDS Min 20 Hours | $783.88 | $23.52 | $9.92 | $817.32 |
3984 | Continuous Home Care w/AIDS Min 21 Hours | $823.08 | $24.69 | $9.92 | $857.69 |
3985 | Continuous Home Care w/AIDS Min 22 Hours | $862.27 | $25.87 | $9.92 | $898.06 |
3986 | Continuous Home Care w/AIDS Min 23 Hours | $901.47 | $27.04 | $9.92 | $938.43 |
3987 | Continuous Home Care w/AIDS Min 24 Hours | $940.66 | $28.22 | $9.92 | $978.80 |
3988 | General Inpatient w/ AIDS | $758.66 | $22.76 | $9.92 | $791.34 |
3989 | Routine Home Care w/ AIDS Escort | $301.63 | $9.05 | $9.92 | $320.60 |
3991 | Service Intensity Add–on | $38.44 | $1.15 | $0.00 | $39.59 |
* WRR =´Worker Recruitment and Retention addon´ if applicable
* RTR =´Recruitment, Training and Retention addon´ if applicable
SMSA: Buffalo
Hospice Rate Sheets for the Counties of: ERIE
Rate Code |
Description | Base Rate | WRP Add–on * |
RTR Add–on * |
Total w/ addons |
---|---|---|---|---|---|
3945 | Routine Home Care | $204.55 | $6.14 | $9.92 | $220.61 |
3946 | Inpatient Respite | $191.25 | $5.74 | $9.92 | $206.91 |
3947 | General Inpatient Care | $786.99 | $23.61 | $9.92 | $820.52 |
3948 | Continuous Home Care – Min 8 Hours | $346.21 | $10.39 | $9.92 | $366.52 |
3949 | Continuous Home Care – Min 9 Hours | $389.49 | $11.68 | $9.92 | $411.09 |
3950 | Continuous Home Care – Min 10 Hours | $432.76 | $12.98 | $9.92 | $455.66 |
3951 | Continuous Home Care – Min 11 Hours | $476.04 | $14.28 | $9.92 | $500.24 |
3952 | Continuous Home Care – Min 12 Hours | $519.32 | $15.58 | $9.92 | $544.82 |
3953 | Continuous Home Care – Min 13 Hours | $562.59 | $16.88 | $9.92 | $589.39 |
3954 | Continuous Home Care – Min 14 Hours | $605.87 | $18.18 | $9.92 | $633.97 |
3955 | Continuous Home Care – Min 15 Hours | $649.14 | $19.47 | $9.92 | $678.53 |
3956 | Continuous Home Care – Min 16 Hours | $692.42 | $20.77 | $9.92 | $723.11 |
3957 | Continuous Home Care – Min 17 Hours | $735.70 | $22.07 | $9.92 | $767.69 |
3958 | Continuous Home Care – Min 18 Hours | $778.97 | $23.37 | $9.92 | $812.26 |
3959 | Continuous Home Care – Min 19 Hours | $822.25 | $24.67 | $9.92 | $856.84 |
3960 | Continuous Home Care – Min 20 Hours | $865.53 | $25.97 | $9.92 | $901.42 |
3961 | Continuous Home Care – Min 21 Hours | $908.80 | $27.26 | $9.92 | $945.98 |
3962 | Continuous Home Care – Min 22 Hours | $952.08 | $28.56 | $9.92 | $990.56 |
3963 | Continuous Home Care – Min 23 Hours | $995.35 | $29.86 | $9.92 | $1,035.13 |
3964 | Continuous Home Care – Min 24 Hours | $1,038.63 | $31.16 | $9.92 | $1,079.71 |
3965 | Hospice Inpatient Respite Care Coinsurance Rate – | ||||
5% of 3946 | $9.56 | $0.29 | $0.50 | $10.35 | |
3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
3969 | Routine Home Care w/AIDS | $330.41 | $9.91 | $9.92 | $350.24 |
3970 | Routine Home Care w/Escort | $222.68 | $6.68 | $9.92 | $239.28 |
3971 | Continuous Home Care w/AIDS Min 8 Hours | $386.18 | $11.59 | $9.92 | $407.69 |
3972 | Continuous Home Care w/AIDS Min 9 Hours | $434.45 | $13.03 | $9.92 | $457.40 |
3973 | Continuous Home Care w/AIDS Min 10 Hours | $482.73 | $14.48 | $9.92 | $507.13 |
3974 | Continuous Home Care w/AIDS Min 11 Hours | $531.00 | $15.93 | $9.92 | $556.85 |
3975 | Continuous Home Care w/AIDS Min 12 Hours | $579.27 | $17.38 | $9.92 | $606.57 |
3976 | Continuous Home Care w/AIDS Min 13 Hours | $627.54 | $18.83 | $9.92 | $656.29 |
3977 | Continuous Home Care w/AIDS Min 14 Hours | $675.82 | $20.27 | $9.92 | $706.01 |
3978 | Continuous Home Care w/AIDS Min 15 Hours | $724.09 | $21.72 | $9.92 | $755.73 |
3979 | Continuous Home Care w/AIDS Min 16 Hours | $772.36 | $23.17 | $9.92 | $805.45 |
3980 | Continuous Home Care w/AIDS Min 17 Hours | $820.63 | $24.62 | $9.92 | $855.17 |
3981 | Continuous Home Care w/AIDS Min 18 Hours | $868.91 | $26.07 | $9.92 | $904.90 |
3982 | Continuous Home Care w/AIDS Min 19 Hours | $917.18 | $27.52 | $9.92 | $954.62 |
3983 | Continuous Home Care w/AIDS Min 20 Hours | $965.45 | $28.96 | $9.92 | $1,004.33 |
3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,013.72 | $30.41 | $9.92 | $1,054.05 |
3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,062.00 | $31.86 | $9.92 | $1,103.78 |
3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,110.27 | $33.31 | $9.92 | $1,153.50 |
3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,158.54 | $34.76 | $9.92 | $1,203.22 |
3988 | General Inpatient w/ AIDS | $874.66 | $26.24 | $9.92 | $910.82 |
3989 | Routine Home Care w/ AIDS Escort | $348.54 | $10.46 | $9.92 | $368.92 |
3991 | Service Intensity Add–on | $44.80 | $1.34 | $0.00 | $46.14 |
* WRR =´Worker Recruitment and Retention addon´ if applicable
* RTR =´Recruitment, Training and Retention addon´ if applicable
SMSA: Elmira
Hospice Rate Sheets for the Counties of: CHEMUNG
Rate Code |
Description | Base Rate | WRP Add–on * |
RTR Add–on * |
Total w/ addons |
---|---|---|---|---|---|
3945 | Routine Home Care | $176.27 | $5.29 | $9.92 | $191.48 |
3946 | Inpatient Respite | $170.25 | $5.11 | $9.92 | $185.28 |
3947 | General Inpatient Care | $685.38 | $20.56 | $9.92 | $715.86 |
3948 | Continuous Home Care – Min 8 Hours | $298.36 | $8.95 | $9.92 | $317.23 |
3949 | Continuous Home Care – Min 9 Hours | $335.65 | $10.07 | $9.92 | $355.64 |
3950 | Continuous Home Care – Min 10 Hours | $372.95 | $11.19 | $9.92 | $394.06 |
3951 | Continuous Home Care – Min 11 Hours | $410.24 | $12.31 | $9.92 | $432.47 |
3952 | Continuous Home Care – Min 12 Hours | $447.54 | $13.43 | $9.92 | $470.89 |
3953 | Continuous Home Care – Min 13 Hours | $484.83 | $14.54 | $9.92 | $509.29 |
3954 | Continuous Home Care – Min 14 Hours | $522.12 | $15.66 | $9.92 | $547.70 |
3955 | Continuous Home Care – Min 15 Hours | $559.42 | $16.78 | $9.92 | $586.12 |
3956 | Continuous Home Care – Min 16 Hours | $596.71 | $17.90 | $9.92 | $624.53 |
3957 | Continuous Home Care – Min 17 Hours | $634.01 | $19.02 | $9.92 | $662.95 |
3958 | Continuous Home Care – Min 18 Hours | $671.30 | $20.14 | $9.92 | $701.36 |
3959 | Continuous Home Care – Min 19 Hours | $708.60 | $21.26 | $9.92 | $739.78 |
3960 | Continuous Home Care – Min 20 Hours | $745.89 | $22.38 | $9.92 | $778.19 |
3961 | Continuous Home Care – Min 21 Hours | $783.19 | $23.50 | $9.92 | $816.61 |
3962 | Continuous Home Care – Min 22 Hours | $820.48 | $24.61 | $9.92 | $855.01 |
3963 | Continuous Home Care – Min 23 Hours | $857.78 | $25.73 | $9.92 | $893.43 |
3964 | Continuous Home Care – Min 24 Hours | $895.07 | $26.85 | $9.92 | $931.84 |
3965 | Hospice Inpatient Respite Care Coinsurance Rate – | ||||
5% of 3946 | $8.51 | $0.26 | $0.50 | $9.27 | |
3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
3969 | Routine Home Care w/AIDS | $284.74 | $8.54 | $9.92 | $303.20 |
3970 | Routine Home Care w/Escort | $194.40 | $5.83 | $9.92 | $210.15 |
3971 | Continuous Home Care w/AIDS Min 8 Hours | $315.48 | $9.46 | $9.92 | $334.86 |
3972 | Continuous Home Care w/AIDS Min 9 Hours | $354.91 | $10.65 | $9.92 | $375.48 |
3973 | Continuous Home Care w/AIDS Min 10 Hours | $394.35 | $11.83 | $9.92 | $416.10 |
3974 | Continuous Home Care w/AIDS Min 11 Hours | $433.78 | $13.01 | $9.92 | $456.71 |
3975 | Continuous Home Care w/AIDS Min 12 Hours | $473.22 | $14.20 | $9.92 | $497.34 |
3976 | Continuous Home Care w/AIDS Min 13 Hours | $512.65 | $15.38 | $9.92 | $537.95 |
3977 | Continuous Home Care w/AIDS Min 14 Hours | $552.08 | $16.56 | $9.92 | $578.56 |
3978 | Continuous Home Care w/AIDS Min 15 Hours | $591.52 | $17.75 | $9.92 | $619.19 |
3979 | Continuous Home Care w/AIDS Min 16 Hours | $630.95 | $18.93 | $9.92 | $659.80 |
3980 | Continuous Home Care w/AIDS Min 17 Hours | $670.39 | $20.11 | $9.92 | $700.42 |
3981 | Continuous Home Care w/AIDS Min 18 Hours | $709.82 | $21.29 | $9.92 | $741.03 |
3982 | Continuous Home Care w/AIDS Min 19 Hours | $749.26 | $22.48 | $9.92 | $781.66 |
3983 | Continuous Home Care w/AIDS Min 20 Hours | $788.69 | $23.66 | $9.92 | $822.27 |
3984 | Continuous Home Care w/AIDS Min 21 Hours | $828.13 | $24.84 | $9.92 | $862.89 |
3985 | Continuous Home Care w/AIDS Min 22 Hours | $867.56 | $26.03 | $9.92 | $903.51 |
3986 | Continuous Home Care w/AIDS Min 23 Hours | $907.00 | $27.21 | $9.92 | $944.13 |
3987 | Continuous Home Care w/AIDS Min 24 Hours | $946.43 | $28.39 | $9.92 | $984.74 |
3988 | General Inpatient w/ AIDS | $761.73 | $22.85 | $9.92 | $794.50 |
3989 | Routine Home Care w/ AIDS Escort | $302.87 | $9.09 | $9.92 | $321.88 |
3991 | Service Intensity Add–on | $38.61 | $1.16 | $0.00 | $39.77 |
* WRR =´Worker Recruitment and Retention addon´ if applicable
* RTR =´Recruitment, Training and Retention addon´ if applicable
SMSA: Glens Falls
Hospice Rate Sheets for the Counties of:WARREN, WASHINGTON
Rate Code |
Description | Base Rate | WRP Add–on * |
RTR Add–on * |
Total w/ addons |
---|---|---|---|---|---|
3945 | Routine Home Care | $174.30 | $5.23 | $9.92 | $189.45 |
3946 | Inpatient Respite | $168.78 | $5.06 | $9.92 | $183.76 |
3947 | General Inpatient Care | $678.30 | $20.35 | $9.92 | $708.57 |
3948 | Continuous Home Care – Min 8 Hours | $295.02 | $8.85 | $9.92 | $313.79 |
3949 | Continuous Home Care – Min 9 Hours | $331.90 | $9.96 | $9.92 | $351.78 |
3950 | Continuous Home Care – Min 10 Hours | $368.78 | $11.06 | $9.92 | $389.76 |
3951 | Continuous Home Care – Min 11 Hours | $405.65 | $12.17 | $9.92 | $427.74 |
3952 | Continuous Home Care – Min 12 Hours | $442.53 | $13.28 | $9.92 | $465.73 |
3953 | Continuous Home Care – Min 13 Hours | $479.41 | $14.38 | $9.92 | $503.71 |
3954 | Continuous Home Care – Min 14 Hours | $516.29 | $15.49 | $9.92 | $541.70 |
3955 | Continuous Home Care – Min 15 Hours | $553.16 | $16.59 | $9.92 | $579.67 |
3956 | Continuous Home Care – Min 16 Hours | $590.04 | $17.70 | $9.92 | $617.66 |
3957 | Continuous Home Care – Min 17 Hours | $626.92 | $18.81 | $9.92 | $655.65 |
3958 | Continuous Home Care – Min 18 Hours | $663.80 | $19.91 | $9.92 | $693.63 |
3959 | Continuous Home Care – Min 19 Hours | $700.67 | $21.02 | $9.92 | $731.61 |
3960 | Continuous Home Care – Min 20 Hours | $737.55 | $22.13 | $9.92 | $769.60 |
3961 | Continuous Home Care – Min 21 Hours | $774.43 | $23.23 | $9.92 | $807.58 |
3962 | Continuous Home Care – Min 22 Hours | $811.31 | $24.34 | $9.92 | $845.57 |
3963 | Continuous Home Care – Min 23 Hours | $848.18 | $25.45 | $9.92 | $883.55 |
3964 | Continuous Home Care – Min 24 Hours | $885.06 | $26.55 | $9.92 | $921.53 |
3965 | Hospice Inpatient Respite Care Coinsurance Rate – | ||||
5% of 3946 | $8.44 | $0.25 | $0.50 | $9.19 | |
3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
3969 | Routine Home Care w/AIDS | $281.56 | $8.45 | $9.92 | $299.93 |
3970 | Routine Home Care w/Escort | $192.43 | $5.77 | $9.92 | $208.12 |
3971 | Continuous Home Care w/AIDS Min 8 Hours | $310.55 | $9.32 | $9.92 | $329.79 |
3972 | Continuous Home Care w/AIDS Min 9 Hours | $349.37 | $10.48 | $9.92 | $369.77 |
3973 | Continuous Home Care w/AIDS Min 10 Hours | $388.18 | $11.65 | $9.92 | $409.75 |
3974 | Continuous Home Care w/AIDS Min 11 Hours | $427.00 | $12.81 | $9.92 | $449.73 |
3975 | Continuous Home Care w/AIDS Min 12 Hours | $465.82 | $13.97 | $9.92 | $489.71 |
3976 | Continuous Home Care w/AIDS Min 13 Hours | $504.64 | $15.14 | $9.92 | $529.70 |
3977 | Continuous Home Care w/AIDS Min 14 Hours | $543.46 | $16.30 | $9.92 | $569.68 |
3978 | Continuous Home Care w/AIDS Min 15 Hours | $582.28 | $17.47 | $9.92 | $609.67 |
3979 | Continuous Home Care w/AIDS Min 16 Hours | $621.09 | $18.63 | $9.92 | $649.64 |
3980 | Continuous Home Care w/AIDS Min 17 Hours | $659.91 | $19.80 | $9.92 | $689.63 |
3981 | Continuous Home Care w/AIDS Min 18 Hours | $698.73 | $20.96 | $9.92 | $729.61 |
3982 | Continuous Home Care w/AIDS Min 19 Hours | $737.55 | $22.13 | $9.92 | $769.60 |
3983 | Continuous Home Care w/AIDS Min 20 Hours | $776.37 | $23.29 | $9.92 | $809.58 |
3984 | Continuous Home Care w/AIDS Min 21 Hours | $815.19 | $24.46 | $9.92 | $849.57 |
3985 | Continuous Home Care w/AIDS Min 22 Hours | $854.00 | $25.62 | $9.92 | $889.54 |
3986 | Continuous Home Care w/AIDS Min 23 Hours | $892.82 | $26.78 | $9.92 | $929.52 |
3987 | Continuous Home Care w/AIDS Min 24 Hours | $931.64 | $27.95 | $9.92 | $969.51 |
3988 | General Inpatient w/ AIDS | $753.86 | $22.62 | $9.92 | $786.40 |
3989 | Routine Home Care w/ AIDS Escort | $299.69 | $8.99 | $9.92 | $318.60 |
3991 | Service Intensity Add–on | $38.18 | $1.15 | $0.00 | $39.33 |
* WRR =´Worker Recruitment and Retention addon´ if applicable
* RTR =´Recruitment, Training and Retention addon´ if applicable
SMSA: Nassau Suffolk
Hospice Rate Sheets for the Counties of: NASSAU, SUFFOLK
Rate Code |
Description | Base Rate | WRP Add–on * |
RTR Add–on * |
Total w/ addons |
---|---|---|---|---|---|
3945 | Routine Home Care | $234.05 | $7.02 | $9.92 | $250.99 |
3946 | Inpatient Respite | $213.16 | $6.39 | $9.92 | $229.47 |
3947 | General Inpatient Care | $893.02 | $26.79 | $9.92 | $929.73 |
3948 | Continuous Home Care – Min 8 Hours | $396.14 | $11.88 | $9.92 | $417.94 |
3949 | Continuous Home Care – Min 9 Hours | $445.66 | $13.37 | $9.92 | $468.95 |
3950 | Continuous Home Care – Min 10 Hours | $495.18 | $14.86 | $9.92 | $519.96 |
3951 | Continuous Home Care – Min 11 Hours | $544.70 | $16.34 | $9.92 | $570.96 |
3952 | Continuous Home Care – Min 12 Hours | $594.22 | $17.83 | $9.92 | $621.97 |
3953 | Continuous Home Care – Min 13 Hours | $643.73 | $19.31 | $9.92 | $672.96 |
3954 | Continuous Home Care – Min 14 Hours | $693.25 | $20.80 | $9.92 | $723.97 |
3955 | Continuous Home Care – Min 15 Hours | $742.77 | $22.28 | $9.92 | $774.97 |
3956 | Continuous Home Care – Min 16 Hours | $792.29 | $23.77 | $9.92 | $825.98 |
3957 | Continuous Home Care – Min 17 Hours | $841.80 | $25.25 | $9.92 | $876.97 |
3958 | Continuous Home Care – Min 18 Hours | $891.32 | $26.74 | $9.92 | $927.98 |
3959 | Continuous Home Care – Min 19 Hours | $940.84 | $28.23 | $9.92 | $978.99 |
3960 | Continuous Home Care – Min 20 Hours | $990.36 | $29.71 | $9.92 | $1,029.99 |
3961 | Continuous Home Care – Min 21 Hours | $1,039.88 | $31.20 | $9.92 | $1,081.00 |
3962 | Continuous Home Care – Min 22 Hours | $1,089.39 | $32.68 | $9.92 | $1,131.99 |
3963 | Continuous Home Care – Min 23 Hours | $1,138.91 | $34.17 | $9.92 | $1,183.00 |
3964 | Continuous Home Care – Min 24 Hours | $1,188.43 | $35.65 | $9.92 | $1,234.00 |
3965 | Hospice Inpatient Respite Care Coinsurance Rate – | ||||
5% of 3946 | $10.66 | $0.32 | $0.50 | $11.48 | |
3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
3969 | Routine Home Care w/AIDS | $378.06 | $11.34 | $9.92 | $399.32 |
3970 | Routine Home Care w/Escort | $252.18 | $7.57 | $9.92 | $269.67 |
3971 | Continuous Home Care w/AIDS Min 8 Hours | $459.96 | $13.80 | $9.92 | $483.68 |
3972 | Continuous Home Care w/AIDS Min 9 Hours | $517.45 | $15.52 | $9.92 | $542.89 |
3973 | Continuous Home Care w/AIDS Min 10 Hours | $574.95 | $17.25 | $9.92 | $602.12 |
3974 | Continuous Home Care w/AIDS Min 11 Hours | $632.44 | $18.97 | $9.92 | $661.33 |
3975 | Continuous Home Care w/AIDS Min 12 Hours | $689.94 | $20.70 | $9.92 | $720.56 |
3976 | Continuous Home Care w/AIDS Min 13 Hours | $747.43 | $22.42 | $9.92 | $779.77 |
3977 | Continuous Home Care w/AIDS Min 14 Hours | $804.92 | $24.15 | $9.92 | $838.99 |
3978 | Continuous Home Care w/AIDS Min 15 Hours | $862.42 | $25.87 | $9.92 | $898.21 |
3979 | Continuous Home Care w/AIDS Min 16 Hours | $919.91 | $27.60 | $9.92 | $957.43 |
3980 | Continuous Home Care w/AIDS Min 17 Hours | $977.41 | $29.32 | $9.92 | $1,016.65 |
3981 | Continuous Home Care w/AIDS Min 18 Hours | $1,034.90 | $31.05 | $9.92 | $1,075.87 |
3982 | Continuous Home Care w/AIDS Min 19 Hours | $1,092.40 | $32.77 | $9.92 | $1,135.09 |
3983 | Continuous Home Care w/AIDS Min 20 Hours | $1,149.89 | $34.50 | $9.92 | $1,194.31 |
3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,207.39 | $36.22 | $9.92 | $1,253.53 |
3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,264.88 | $37.95 | $9.92 | $1,312.75 |
3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,322.38 | $39.67 | $9.92 | $1,371.97 |
3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,379.87 | $41.40 | $9.92 | $1,431.19 |
3988 | General Inpatient w/ AIDS | $992.50 | $29.78 | $9.92 | $1,032.20 |
3989 | Routine Home Care w/ AIDS Escort | $396.19 | $11.89 | $9.92 | $418.00 |
3991 | Service Intensity Add–on | $51.26 | $1.54 | $0.00 | $52.80 |
* WRR =´Worker Recruitment and Retention addon´ if applicable
* RTR =´Recruitment, Training and Retention addon´ if applicable
SMSA: New York City
Hospice Rate Sheets for the Counties of: BRONX, KINGS, NEW YORK, PUTNAM, QUEENS, RICHMOND, ROCKLAND, WESTCHESTER
Rate Code |
Description | Base Rate | WRP Add–on * |
RTR Add–on * |
Total w/ addons |
---|---|---|---|---|---|
3945 | Routine Home Care | $234.48 | $7.03 | $9.92 | $251.43 |
3946 | Inpatient Respite | $213.48 | $6.40 | $9.92 | $229.80 |
3947 | General Inpatient Care | $894.57 | $26.84 | $9.92 | $931.33 |
3948 | Continuous Home Care – Min 8 Hours | $396.87 | $11.91 | $9.92 | $418.70 |
3949 | Continuous Home Care – Min 9 Hours | $446.48 | $13.39 | $9.92 | $469.79 |
3950 | Continuous Home Care – Min 10 Hours | $496.09 | $14.88 | $9.92 | $520.89 |
3951 | Continuous Home Care – Min 11 Hours | $545.70 | $16.37 | $9.92 | $571.99 |
3952 | Continuous Home Care – Min 12 Hours | $595.31 | $17.86 | $9.92 | $623.09 |
3953 | Continuous Home Care – Min 13 Hours | $644.92 | $19.35 | $9.92 | $674.19 |
3954 | Continuous Home Care – Min 14 Hours | $694.53 | $20.84 | $9.92 | $725.29 |
3955 | Continuous Home Care – Min 15 Hours | $744.14 | $22.32 | $9.92 | $776.38 |
3956 | Continuous Home Care – Min 16 Hours | $793.75 | $23.81 | $9.92 | $827.48 |
3957 | Continuous Home Care – Min 17 Hours | $843.36 | $25.30 | $9.92 | $878.58 |
3958 | Continuous Home Care – Min 18 Hours | $892.97 | $26.79 | $9.92 | $929.68 |
3959 | Continuous Home Care – Min 19 Hours | $942.57 | $28.28 | $9.92 | $980.77 |
3960 | Continuous Home Care – Min 20 Hours | $992.18 | $29.77 | $9.92 | $1,031.87 |
3961 | Continuous Home Care – Min 21 Hours | $1,041.79 | $31.25 | $9.92 | $1,082.96 |
3962 | Continuous Home Care – Min 22 Hours | $1,091.40 | $32.74 | $9.92 | $1,134.06 |
3963 | Continuous Home Care – Min 23 Hours | $1,141.01 | $34.23 | $9.92 | $1,185.16 |
3964 | Continuous Home Care – Min 24 Hours | $1,190.62 | $35.72 | $9.92 | $1,236.26 |
3965 | Hospice Inpatient Respite Care Coinsurance Rate – | ||||
5% of 3946 | $10.67 | $0.32 | $0.50 | $11.49 | |
3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
3969 | Routine Home Care w/AIDS | $378.76 | $11.36 | $9.92 | $400.04 |
3970 | Routine Home Care w/Escort | $252.61 | $7.58 | $9.92 | $270.11 |
3971 | Continuous Home Care w/AIDS Min 8 Hours | $461.04 | $13.83 | $9.92 | $484.79 |
3972 | Continuous Home Care w/AIDS Min 9 Hours | $518.67 | $15.56 | $9.92 | $544.15 |
3973 | Continuous Home Care w/AIDS Min 10 Hours | $576.30 | $17.29 | $9.92 | $603.51 |
3974 | Continuous Home Care w/AIDS Min 11 Hours | $633.93 | $19.02 | $9.92 | $662.87 |
3975 | Continuous Home Care w/AIDS Min 12 Hours | $691.56 | $20.75 | $9.92 | $722.23 |
3976 | Continuous Home Care w/AIDS Min 13 Hours | $749.18 | $22.48 | $9.92 | $781.58 |
3977 | Continuous Home Care w/AIDS Min 14 Hours | $806.81 | $24.20 | $9.92 | $840.93 |
3978 | Continuous Home Care w/AIDS Min 15 Hours | $864.44 | $25.93 | $9.92 | $900.29 |
3979 | Continuous Home Care w/AIDS Min 16 Hours | $922.07 | $27.66 | $9.92 | $959.65 |
3980 | Continuous Home Care w/AIDS Min 17 Hours | $979.70 | $29.39 | $9.92 | $1,019.01 |
3981 | Continuous Home Care w/AIDS Min 18 Hours | $1,037.33 | $31.12 | $9.92 | $1,078.37 |
3982 | Continuous Home Care w/AIDS Min 19 Hours | $1,094.96 | $32.85 | $9.92 | $1,137.73 |
3983 | Continuous Home Care w/AIDS Min 20 Hours | $1,152.59 | $34.58 | $9.92 | $1,197.09 |
3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,210.22 | $36.31 | $9.92 | $1,256.45 |
3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,267.85 | $38.04 | $9.92 | $1,315.81 |
3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,325.48 | $39.76 | $9.92 | $1,375.16 |
3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,383.11 | $41.49 | $9.92 | $1,434.52 |
3988 | General Inpatient w/ AIDS | $994.23 | $29.83 | $9.92 | $1,033.98 |
3989 | Routine Home Care w/ AIDS Escort | $396.89 | $11.91 | $9.92 | $418.72 |
3991 | Service Intensity Add–on | $51.36 | $1.54 | $0.00 | $52.90 |
* WRR =´Worker Recruitment and Retention addon´ if applicable
* RTR =´Recruitment, Training and Retention addon´ if applicable
SMSA: Niagara Falls
Hospice Rate Sheets for the Counties of: NIAGARA
Rate Code |
Description | Base Rate | WRP Add–on * |
RTR Add–on * |
Total w/ addons |
---|---|---|---|---|---|
3945 | Routine Home Care | $204.55 | $6.14 | $9.92 | $220.61 |
3946 | Inpatient Respite | $191.25 | $5.74 | $9.92 | $206.91 |
3947 | General Inpatient Care | $786.99 | $23.61 | $9.92 | $820.52 |
3948 | Continuous Home Care – Min 8 Hours | $346.21 | $10.39 | $9.92 | $366.52 |
3949 | Continuous Home Care – Min 9 Hours | $389.49 | $11.68 | $9.92 | $411.09 |
3950 | Continuous Home Care – Min 10 Hours | $432.76 | $12.98 | $9.92 | $455.66 |
3951 | Continuous Home Care – Min 11 Hours | $476.04 | $14.28 | $9.92 | $500.24 |
3952 | Continuous Home Care – Min 12 Hours | $519.32 | $15.58 | $9.92 | $544.82 |
3953 | Continuous Home Care – Min 13 Hours | $562.59 | $16.88 | $9.92 | $589.39 |
3954 | Continuous Home Care – Min 14 Hours | $605.87 | $18.18 | $9.92 | $633.97 |
3955 | Continuous Home Care – Min 15 Hours | $649.14 | $19.47 | $9.92 | $678.53 |
3956 | Continuous Home Care – Min 16 Hours | $692.42 | $20.77 | $9.92 | $723.11 |
3957 | Continuous Home Care – Min 17 Hours | $735.70 | $22.07 | $9.92 | $767.69 |
3958 | Continuous Home Care – Min 18 Hours | $778.97 | $23.37 | $9.92 | $812.26 |
3959 | Continuous Home Care – Min 19 Hours | $822.25 | $24.67 | $9.92 | $856.84 |
3960 | Continuous Home Care – Min 20 Hours | $865.53 | $25.97 | $9.92 | $901.42 |
3961 | Continuous Home Care – Min 21 Hours | $908.80 | $27.26 | $9.92 | $945.98 |
3962 | Continuous Home Care – Min 22 Hours | $952.08 | $28.56 | $9.92 | $990.56 |
3963 | Continuous Home Care – Min 23 Hours | $995.35 | $29.86 | $9.92 | $1,035.13 |
3964 | Continuous Home Care – Min 24 Hours | $1,038.63 | $31.16 | $9.92 | $1,079.71 |
3965 | Hospice Inpatient Respite Care Coinsurance Rate – | ||||
5% of 3946 | $9.56 | $0.29 | $0.50 | $10.35 | |
3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
3969 | Routine Home Care w/AIDS | $330.41 | $9.91 | $9.92 | $350.24 |
3970 | Routine Home Care w/Escort | $222.68 | $6.68 | $9.92 | $239.28 |
3971 | Continuous Home Care w/AIDS Min 8 Hours | $386.18 | $11.59 | $9.92 | $407.69 |
3972 | Continuous Home Care w/AIDS Min 9 Hours | $434.45 | $13.03 | $9.92 | $457.40 |
3973 | Continuous Home Care w/AIDS Min 10 Hours | $482.73 | $14.48 | $9.92 | $507.13 |
3974 | Continuous Home Care w/AIDS Min 11 Hours | $531.00 | $15.93 | $9.92 | $556.85 |
3975 | Continuous Home Care w/AIDS Min 12 Hours | $579.27 | $17.38 | $9.92 | $606.57 |
3976 | Continuous Home Care w/AIDS Min 13 Hours | $627.54 | $18.83 | $9.92 | $656.29 |
3977 | Continuous Home Care w/AIDS Min 14 Hours | $675.82 | $20.27 | $9.92 | $706.01 |
3978 | Continuous Home Care w/AIDS Min 15 Hours | $724.09 | $21.72 | $9.92 | $755.73 |
3979 | Continuous Home Care w/AIDS Min 16 Hours | $772.36 | $23.17 | $9.92 | $805.45 |
3980 | Continuous Home Care w/AIDS Min 17 Hours | $820.63 | $24.62 | $9.92 | $855.17 |
3981 | Continuous Home Care w/AIDS Min 18 Hours | $868.91 | $26.07 | $9.92 | $904.90 |
3982 | Continuous Home Care w/AIDS Min 19 Hours | $917.18 | $27.52 | $9.92 | $954.62 |
3983 | Continuous Home Care w/AIDS Min 20 Hours | $965.45 | $28.96 | $9.92 | $1,004.33 |
3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,013.72 | $30.41 | $9.92 | $1,054.05 |
3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,062.00 | $31.86 | $9.92 | $1,103.78 |
3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,110.27 | $33.31 | $9.92 | $1,153.50 |
3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,158.54 | $34.76 | $9.92 | $1,203.22 |
3988 | General Inpatient w/ AIDS | $874.66 | $26.24 | $9.92 | $910.82 |
3989 | Routine Home Care w/ AIDS Escort | $348.54 | $10.46 | $9.92 | $368.92 |
3991 | Service Intensity Add–on | $44.80 | $1.34 | $0.00 | $46.14 |
* WRR =´Worker Recruitment and Retention addon´ if applicable
* RTR =´Recruitment, Training and Retention addon´ if applicable
SMSA: Orange
Hospice Rate Sheets for the Counties of: ORANGE
Rate Code |
Description | Base Rate | WRP Add–on * |
RTR Add–on * |
Total w/ addons |
---|---|---|---|---|---|
3945 | Routine Home Care | $234.48 | $7.03 | $9.92 | $251.43 |
3946 | Inpatient Respite | $213.48 | $6.40 | $9.92 | $229.80 |
3947 | General Inpatient Care | $894.57 | $26.84 | $9.92 | $931.33 |
3948 | Continuous Home Care – Min 8 Hours | $396.87 | $11.91 | $9.92 | $418.70 |
3949 | Continuous Home Care – Min 9 Hours | $446.48 | $13.39 | $9.92 | $469.79 |
3950 | Continuous Home Care – Min 10 Hours | $496.09 | $14.88 | $9.92 | $520.89 |
3951 | Continuous Home Care – Min 11 Hours | $545.70 | $16.37 | $9.92 | $571.99 |
3952 | Continuous Home Care – Min 12 Hours | $595.31 | $17.86 | $9.92 | $623.09 |
3953 | Continuous Home Care – Min 13 Hours | $644.92 | $19.35 | $9.92 | $674.19 |
3954 | Continuous Home Care – Min 14 Hours | $694.53 | $20.84 | $9.92 | $725.29 |
3955 | Continuous Home Care – Min 15 Hours | $744.14 | $22.32 | $9.92 | $776.38 |
3956 | Continuous Home Care – Min 16 Hours | $793.75 | $23.81 | $9.92 | $827.48 |
3957 | Continuous Home Care – Min 17 Hours | $843.36 | $25.30 | $9.92 | $878.58 |
3958 | Continuous Home Care – Min 18 Hours | $892.97 | $26.79 | $9.92 | $929.68 |
3959 | Continuous Home Care – Min 19 Hours | $942.57 | $28.28 | $9.92 | $980.77 |
3960 | Continuous Home Care – Min 20 Hours | $992.18 | $29.77 | $9.92 | $1,031.87 |
3961 | Continuous Home Care – Min 21 Hours | $1,041.79 | $31.25 | $9.92 | $1,082.96 |
3962 | Continuous Home Care – Min 22 Hours | $1,091.40 | $32.74 | $9.92 | $1,134.06 |
3963 | Continuous Home Care – Min 23 Hours | $1,141.01 | $34.23 | $9.92 | $1,185.16 |
3964 | Continuous Home Care – Min 24 Hours | $1,190.62 | $35.72 | $9.92 | $1,236.26 |
3965 | Hospice Inpatient Respite Care Coinsurance Rate – | ||||
5% of 3946 | $10.67 | $0.32 | $0.50 | $11.49 | |
3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
3969 | Routine Home Care w/AIDS | $378.76 | $11.36 | $9.92 | $400.04 |
3970 | Routine Home Care w/Escort | $252.61 | $7.58 | $9.92 | $270.11 |
3971 | Continuous Home Care w/AIDS Min 8 Hours | $461.04 | $13.83 | $9.92 | $484.79 |
3972 | Continuous Home Care w/AIDS Min 9 Hours | $518.67 | $15.56 | $9.92 | $544.15 |
3973 | Continuous Home Care w/AIDS Min 10 Hours | $576.30 | $17.29 | $9.92 | $603.51 |
3974 | Continuous Home Care w/AIDS Min 11 Hours | $633.93 | $19.02 | $9.92 | $662.87 |
3975 | Continuous Home Care w/AIDS Min 12 Hours | $691.56 | $20.75 | $9.92 | $722.23 |
3976 | Continuous Home Care w/AIDS Min 13 Hours | $749.18 | $22.48 | $9.92 | $781.58 |
3977 | Continuous Home Care w/AIDS Min 14 Hours | $806.81 | $24.20 | $9.92 | $840.93 |
3978 | Continuous Home Care w/AIDS Min 15 Hours | $864.44 | $25.93 | $9.92 | $900.29 |
3979 | Continuous Home Care w/AIDS Min 16 Hours | $922.07 | $27.66 | $9.92 | $959.65 |
3980 | Continuous Home Care w/AIDS Min 17 Hours | $979.70 | $29.39 | $9.92 | $1,019.01 |
3981 | Continuous Home Care w/AIDS Min 18 Hours | $1,037.33 | $31.12 | $9.92 | $1,078.37 |
3982 | Continuous Home Care w/AIDS Min 19 Hours | $1,094.96 | $32.85 | $9.92 | $1,137.73 |
3983 | Continuous Home Care w/AIDS Min 20 Hours | $1,152.59 | $34.58 | $9.92 | $1,197.09 |
3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,210.22 | $36.31 | $9.92 | $1,256.45 |
3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,267.85 | $38.04 | $9.92 | $1,315.81 |
3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,325.48 | $39.76 | $9.92 | $1,375.16 |
3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,383.11 | $41.49 | $9.92 | $1,434.52 |
3988 | General Inpatient w/ AIDS | $994.23 | $29.83 | $9.92 | $1,033.98 |
3989 | Routine Home Care w/ AIDS Escort | $396.89 | $11.91 | $9.92 | $418.72 |
3991 | Service Intensity Add–on | $51.36 | $1.54 | $0.00 | $52.90 |
* WRR =´Worker Recruitment and Retention addon´ if applicable
* RTR =´Recruitment, Training and Retention addon´ if applicable
SMSA: Poughkeepsie
Hospice Rate Sheets for the Counties of: DUTCHESS
Rate Code |
Description | Base Rate | WRP Add–on * |
RTR Add–on * |
Total w/ addons |
---|---|---|---|---|---|
3945 | Routine Home Care | $212.77 | $6.38 | $9.92 | $229.07 |
3946 | Inpatient Respite | $197.35 | $5.92 | $9.92 | $213.19 |
3947 | General Inpatient Care | $816.54 | $24.50 | $9.92 | $850.96 |
3948 | Continuous Home Care – Min 8 Hours | $360.13 | $10.80 | $9.92 | $380.85 |
3949 | Continuous Home Care – Min 9 Hours | $405.14 | $12.15 | $9.92 | $427.21 |
3950 | Continuous Home Care – Min 10 Hours | $450.16 | $13.50 | $9.92 | $473.58 |
3951 | Continuous Home Care – Min 11 Hours | $495.17 | $14.86 | $9.92 | $519.95 |
3952 | Continuous Home Care – Min 12 Hours | $540.19 | $16.21 | $9.92 | $566.32 |
3953 | Continuous Home Care – Min 13 Hours | $585.21 | $17.56 | $9.92 | $612.69 |
3954 | Continuous Home Care – Min 14 Hours | $630.22 | $18.91 | $9.92 | $659.05 |
3955 | Continuous Home Care – Min 15 Hours | $675.24 | $20.26 | $9.92 | $705.42 |
3956 | Continuous Home Care – Min 16 Hours | $720.25 | $21.61 | $9.92 | $751.78 |
3957 | Continuous Home Care – Min 17 Hours | $765.27 | $22.96 | $9.92 | $798.15 |
3958 | Continuous Home Care – Min 18 Hours | $810.29 | $24.31 | $9.92 | $844.52 |
3959 | Continuous Home Care – Min 19 Hours | $855.30 | $25.66 | $9.92 | $890.88 |
3960 | Continuous Home Care – Min 20 Hours | $900.32 | $27.01 | $9.92 | $937.25 |
3961 | Continuous Home Care – Min 21 Hours | $945.33 | $28.36 | $9.92 | $983.61 |
3962 | Continuous Home Care – Min 22 Hours | $990.35 | $29.71 | $9.92 | $1,029.98 |
3963 | Continuous Home Care – Min 23 Hours | $1,035.36 | $31.06 | $9.92 | $1,076.34 |
3964 | Continuous Home Care – Min 24 Hours | $1,080.38 | $32.41 | $9.92 | $1,122.71 |
3965 | Hospice Inpatient Respite Care Coinsurance Rate – | ||||
5% of 3946 | $9.87 | $0.30 | $0.50 | $10.67 | |
3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
3969 | Routine Home Care w/AIDS | $343.69 | $10.31 | $9.92 | $363.92 |
3970 | Routine Home Care w/Escort | $230.90 | $6.93 | $9.92 | $247.75 |
3971 | Continuous Home Care w/AIDS Min 8 Hours | $406.74 | $12.20 | $9.92 | $428.86 |
3972 | Continuous Home Care w/AIDS Min 9 Hours | $457.59 | $13.73 | $9.92 | $481.24 |
3973 | Continuous Home Care w/AIDS Min 10 Hours | $508.43 | $15.25 | $9.92 | $533.60 |
3974 | Continuous Home Care w/AIDS Min 11 Hours | $559.27 | $16.78 | $9.92 | $585.97 |
3975 | Continuous Home Care w/AIDS Min 12 Hours | $610.12 | $18.30 | $9.92 | $638.34 |
3976 | Continuous Home Care w/AIDS Min 13 Hours | $660.96 | $19.83 | $9.92 | $690.71 |
3977 | Continuous Home Care w/AIDS Min 14 Hours | $711.80 | $21.35 | $9.92 | $743.07 |
3978 | Continuous Home Care w/AIDS Min 15 Hours | $762.64 | $22.88 | $9.92 | $795.44 |
3979 | Continuous Home Care w/AIDS Min 16 Hours | $813.49 | $24.40 | $9.92 | $847.81 |
3980 | Continuous Home Care w/AIDS Min 17 Hours | $864.33 | $25.93 | $9.92 | $900.18 |
3981 | Continuous Home Care w/AIDS Min 18 Hours | $915.17 | $27.46 | $9.92 | $952.55 |
3982 | Continuous Home Care w/AIDS Min 19 Hours | $966.02 | $28.98 | $9.92 | $1,004.92 |
3983 | Continuous Home Care w/AIDS Min 20 Hours | $1,016.86 | $30.51 | $9.92 | $1,057.29 |
3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,067.70 | $32.03 | $9.92 | $1,109.65 |
3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,118.54 | $33.56 | $9.92 | $1,162.02 |
3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,169.39 | $35.08 | $9.92 | $1,214.39 |
3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,220.23 | $36.61 | $9.92 | $1,266.76 |
3988 | General Inpatient w/ AIDS | $907.50 | $27.23 | $9.92 | $944.65 |
3989 | Routine Home Care w/ AIDS Escort | $361.82 | $10.85 | $9.92 | $382.59 |
3991 | Service Intensity Add–on | $46.60 | $1.40 | $0.00 | $48.00 |
* WRR =´Worker Recruitment and Retention addon´ if applicable
* RTR =´Recruitment, Training and Retention addon´ if applicable
SMSA: Rochester
Hospice Rate Sheets for the Counties of: LIVINGSTON, MONROE, ONTARIO, ORLEANS, WAYNE
Rate Code |
Description | Base Rate | WRP Add–on * |
RTR Add–on * |
Total w/ addons |
---|---|---|---|---|---|
3945 | Routine Home Care | $180.05 | $5.40 | $9.92 | $195.37 |
3946 | Inpatient Respite | $173.05 | $5.19 | $9.92 | $188.16 |
3947 | General Inpatient Care | $698.97 | $20.97 | $9.92 | $729.86 |
3948 | Continuous Home Care – Min 8 Hours | $304.76 | $9.14 | $9.92 | $323.82 |
3949 | Continuous Home Care – Min 9 Hours | $342.85 | $10.29 | $9.92 | $363.06 |
3950 | Continuous Home Care – Min 10 Hours | $380.95 | $11.43 | $9.92 | $402.30 |
3951 | Continuous Home Care – Min 11 Hours | $419.04 | $12.57 | $9.92 | $441.53 |
3952 | Continuous Home Care – Min 12 Hours | $457.14 | $13.71 | $9.92 | $480.77 |
3953 | Continuous Home Care – Min 13 Hours | $495.23 | $14.86 | $9.92 | $520.01 |
3954 | Continuous Home Care – Min 14 Hours | $533.32 | $16.00 | $9.92 | $559.24 |
3955 | Continuous Home Care – Min 15 Hours | $571.42 | $17.14 | $9.92 | $598.48 |
3956 | Continuous Home Care – Min 16 Hours | $609.51 | $18.29 | $9.92 | $637.72 |
3957 | Continuous Home Care – Min 17 Hours | $647.61 | $19.43 | $9.92 | $676.96 |
3958 | Continuous Home Care – Min 18 Hours | $685.70 | $20.57 | $9.92 | $716.19 |
3959 | Continuous Home Care – Min 19 Hours | $723.80 | $21.71 | $9.92 | $755.43 |
3960 | Continuous Home Care – Min 20 Hours | $761.89 | $22.86 | $9.92 | $794.67 |
3961 | Continuous Home Care – Min 21 Hours | $799.99 | $24.00 | $9.92 | $833.91 |
3962 | Continuous Home Care – Min 22 Hours | $838.08 | $25.14 | $9.92 | $873.14 |
3963 | Continuous Home Care – Min 23 Hours | $876.18 | $26.29 | $9.92 | $912.39 |
3964 | Continuous Home Care – Min 24 Hours | $914.27 | $27.43 | $9.92 | $951.62 |
3965 | Hospice Inpatient Respite Care Coinsurance Rate – | ||||
5% of 3946 | $8.65 | $0.26 | $0.50 | $9.41 | |
3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
3969 | Routine Home Care w/AIDS | $290.85 | $8.73 | $9.92 | $309.50 |
3970 | Routine Home Care w/Escort | $198.18 | $5.95 | $9.92 | $214.05 |
3971 | Continuous Home Care w/AIDS Min 8 Hours | $324.93 | $9.75 | $9.92 | $344.60 |
3972 | Continuous Home Care w/AIDS Min 9 Hours | $365.55 | $10.97 | $9.92 | $386.44 |
3973 | Continuous Home Care w/AIDS Min 10 Hours | $406.16 | $12.18 | $9.92 | $428.26 |
3974 | Continuous Home Care w/AIDS Min 11 Hours | $446.78 | $13.40 | $9.92 | $470.10 |
3975 | Continuous Home Care w/AIDS Min 12 Hours | $487.40 | $14.62 | $9.92 | $511.94 |
3976 | Continuous Home Care w/AIDS Min 13 Hours | $528.01 | $15.84 | $9.92 | $553.77 |
3977 | Continuous Home Care w/AIDS Min 14 Hours | $568.63 | $17.06 | $9.92 | $595.61 |
3978 | Continuous Home Care w/AIDS Min 15 Hours | $609.24 | $18.28 | $9.92 | $637.44 |
3979 | Continuous Home Care w/AIDS Min 16 Hours | $649.86 | $19.50 | $9.92 | $679.28 |
3980 | Continuous Home Care w/AIDS Min 17 Hours | $690.48 | $20.71 | $9.92 | $721.11 |
3981 | Continuous Home Care w/AIDS Min 18 Hours | $731.09 | $21.93 | $9.92 | $762.94 |
3982 | Continuous Home Care w/AIDS Min 19 Hours | $771.71 | $23.15 | $9.92 | $804.78 |
3983 | Continuous Home Care w/AIDS Min 20 Hours | $812.33 | $24.37 | $9.92 | $846.62 |
3984 | Continuous Home Care w/AIDS Min 21 Hours | $852.94 | $25.59 | $9.92 | $888.45 |
3985 | Continuous Home Care w/AIDS Min 22 Hours | $893.56 | $26.81 | $9.92 | $930.29 |
3986 | Continuous Home Care w/AIDS Min 23 Hours | $934.17 | $28.03 | $9.92 | $972.12 |
3987 | Continuous Home Care w/AIDS Min 24 Hours | $974.79 | $29.24 | $9.92 | $1,013.95 |
3988 | General Inpatient w/ AIDS | $776.84 | $23.31 | $9.92 | $810.07 |
3989 | Routine Home Care w/ AIDS Escort | $308.98 | $9.27 | $9.92 | $328.17 |
3991 | Service Intensity Add–on | $39.44 | $1.18 | $0.00 | $40.62 |
* WRR =´Worker Recruitment and Retention addon´ if applicable
* RTR =´Recruitment, Training and Retention addon´ if applicable
SMSA: Syracuse
Hospice Rate Sheets for the Counties of: MADISON, ONONDAGA, OSWEGO
Rate Code |
Description | Base Rate | WRP Add–on * |
RTR Add–on * |
Total w/ addons |
---|---|---|---|---|---|
3945 | Routine Home Care | $196.78 | $5.90 | $9.92 | $212.60 |
3946 | Inpatient Respite | $185.48 | $5.56 | $9.92 | $200.96 |
3947 | General Inpatient Care | $759.09 | $22.77 | $9.92 | $791.78 |
3948 | Continuous Home Care – Min 8 Hours | $333.07 | $9.99 | $9.92 | $352.98 |
3949 | Continuous Home Care – Min 9 Hours | $374.70 | $11.24 | $9.92 | $395.86 |
3950 | Continuous Home Care – Min 10 Hours | $416.34 | $12.49 | $9.92 | $438.75 |
3951 | Continuous Home Care – Min 11 Hours | $457.97 | $13.74 | $9.92 | $481.63 |
3952 | Continuous Home Care – Min 12 Hours | $499.61 | $14.99 | $9.92 | $524.52 |
3953 | Continuous Home Care – Min 13 Hours | $541.24 | $16.24 | $9.92 | $567.40 |
3954 | Continuous Home Care – Min 14 Hours | $582.87 | $17.49 | $9.92 | $610.28 |
3955 | Continuous Home Care – Min 15 Hours | $624.51 | $18.74 | $9.92 | $653.17 |
3956 | Continuous Home Care – Min 16 Hours | $666.14 | $19.98 | $9.92 | $696.04 |
3957 | Continuous Home Care – Min 17 Hours | $707.77 | $21.23 | $9.92 | $738.92 |
3958 | Continuous Home Care – Min 18 Hours | $749.41 | $22.48 | $9.92 | $781.81 |
3959 | Continuous Home Care – Min 19 Hours | $791.04 | $23.73 | $9.92 | $824.69 |
3960 | Continuous Home Care – Min 20 Hours | $832.68 | $24.98 | $9.92 | $867.58 |
3961 | Continuous Home Care – Min 21 Hours | $874.31 | $26.23 | $9.92 | $910.46 |
3962 | Continuous Home Care – Min 22 Hours | $915.94 | $27.48 | $9.92 | $953.34 |
3963 | Continuous Home Care – Min 23 Hours | $957.58 | $28.73 | $9.92 | $996.23 |
3964 | Continuous Home Care – Min 24 Hours | $999.21 | $29.98 | $9.92 | $1,039.11 |
3965 | Hospice Inpatient Respite Care Coinsurance Rate – | ||||
5% of 3946 | $9.27 | $0.28 | $0.50 | $10.05 | |
3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
3969 | Routine Home Care w/AIDS | $317.87 | $9.54 | $9.92 | $337.33 |
3970 | Routine Home Care w/Escort | $214.91 | $6.45 | $9.92 | $231.28 |
3971 | Continuous Home Care w/AIDS Min 8 Hours | $366.77 | $11.00 | $9.92 | $387.69 |
3972 | Continuous Home Care w/AIDS Min 9 Hours | $412.61 | $12.38 | $9.92 | $434.91 |
3973 | Continuous Home Care w/AIDS Min 10 Hours | $458.46 | $13.75 | $9.92 | $482.13 |
3974 | Continuous Home Care w/AIDS Min 11 Hours | $504.30 | $15.13 | $9.92 | $529.35 |
3975 | Continuous Home Care w/AIDS Min 12 Hours | $550.15 | $16.50 | $9.92 | $576.57 |
3976 | Continuous Home Care w/AIDS Min 13 Hours | $596.00 | $17.88 | $9.92 | $623.80 |
3977 | Continuous Home Care w/AIDS Min 14 Hours | $641.84 | $19.26 | $9.92 | $671.02 |
3978 | Continuous Home Care w/AIDS Min 15 Hours | $687.69 | $20.63 | $9.92 | $718.24 |
3979 | Continuous Home Care w/AIDS Min 16 Hours | $733.53 | $22.01 | $9.92 | $765.46 |
3980 | Continuous Home Care w/AIDS Min 17 Hours | $779.38 | $23.38 | $9.92 | $812.68 |
3981 | Continuous Home Care w/AIDS Min 18 Hours | $825.23 | $24.76 | $9.92 | $859.91 |
3982 | Continuous Home Care w/AIDS Min 19 Hours | $871.07 | $26.13 | $9.92 | $907.12 |
3983 | Continuous Home Care w/AIDS Min 20 Hours | $916.92 | $27.51 | $9.92 | $954.35 |
3984 | Continuous Home Care w/AIDS Min 21 Hours | $962.76 | $28.88 | $9.92 | $1,001.56 |
3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,008.61 | $30.26 | $9.92 | $1,048.79 |
3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,054.45 | $31.63 | $9.92 | $1,096.00 |
3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,100.30 | $33.01 | $9.92 | $1,143.23 |
3988 | General Inpatient w/ AIDS | $843.65 | $25.31 | $9.92 | $878.88 |
3989 | Routine Home Care w/ AIDS Escort | $336.00 | $10.08 | $9.92 | $356.00 |
3991 | Service Intensity Add–on | $43.10 | $1.29 | $0.00 | $44.39 |
* WRR =´Worker Recruitment and Retention addon´ if applicable
* RTR =´Recruitment, Training and Retention addon´ if applicable
SMSA: Utica–Rome
Hospice Rate Sheets for the Counties of: MADISON, ONONDAGA, OSWEGO
Rate Code |
Description | Base Rate | WRP Add–on * |
RTR Add–on * |
Total w/ addons |
---|---|---|---|---|---|
3945 | Routine Home Care | $187.33 | $5.62 | $9.92 | $202.87 |
3946 | Inpatient Respite | $178.46 | $5.35 | $9.92 | $193.73 |
3947 | General Inpatient Care | $725.12 | $21.75 | $9.92 | $756.79 |
3948 | Continuous Home Care – Min 8 Hours | $317.07 | $9.51 | $9.92 | $336.50 |
3949 | Continuous Home Care – Min 9 Hours | $356.71 | $10.70 | $9.92 | $377.33 |
3950 | Continuous Home Care – Min 10 Hours | $396.34 | $11.89 | $9.92 | $418.15 |
3951 | Continuous Home Care – Min 11 Hours | $435.98 | $13.08 | $9.92 | $458.98 |
3952 | Continuous Home Care – Min 12 Hours | $475.61 | $14.27 | $9.92 | $499.80 |
3953 | Continuous Home Care – Min 13 Hours | $515.24 | $15.46 | $9.92 | $540.62 |
3954 | Continuous Home Care – Min 14 Hours | $554.88 | $16.65 | $9.92 | $581.45 |
3955 | Continuous Home Care – Min 15 Hours | $594.51 | $17.84 | $9.92 | $622.27 |
3956 | Continuous Home Care – Min 16 Hours | $634.15 | $19.02 | $9.92 | $663.09 |
3957 | Continuous Home Care – Min 17 Hours | $673.78 | $20.21 | $9.92 | $703.91 |
3958 | Continuous Home Care – Min 18 Hours | $713.42 | $21.40 | $9.92 | $744.74 |
3959 | Continuous Home Care – Min 19 Hours | $753.05 | $22.59 | $9.92 | $785.56 |
3960 | Continuous Home Care – Min 20 Hours | $792.68 | $23.78 | $9.92 | $826.38 |
3961 | Continuous Home Care – Min 21 Hours | $832.32 | $24.97 | $9.92 | $867.21 |
3962 | Continuous Home Care – Min 22 Hours | $871.95 | $26.16 | $9.92 | $908.03 |
3963 | Continuous Home Care – Min 23 Hours | $911.59 | $27.35 | $9.92 | $948.86 |
3964 | Continuous Home Care – Min 24 Hours | $951.22 | $28.54 | $9.92 | $989.68 |
3965 | Hospice Inpatient Respite Care Coinsurance Rate – | ||||
5% of 3946 | $8.92 | $0.27 | $0.50 | $9.69 | |
3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
3969 | Routine Home Care w/AIDS | $302.60 | $9.08 | $9.92 | $321.60 |
3970 | Routine Home Care w/Escort | $205.46 | $6.16 | $9.92 | $221.54 |
3971 | Continuous Home Care w/AIDS Min 8 Hours | $343.13 | $10.29 | $9.92 | $363.34 |
3972 | Continuous Home Care w/AIDS Min 9 Hours | $386.02 | $11.58 | $9.92 | $407.52 |
3973 | Continuous Home Care w/AIDS Min 10 Hours | $428.91 | $12.87 | $9.92 | $451.70 |
3974 | Continuous Home Care w/AIDS Min 11 Hours | $471.80 | $14.15 | $9.92 | $495.87 |
3975 | Continuous Home Care w/AIDS Min 12 Hours | $514.70 | $15.44 | $9.92 | $540.06 |
3976 | Continuous Home Care w/AIDS Min 13 Hours | $557.59 | $16.73 | $9.92 | $584.24 |
3977 | Continuous Home Care w/AIDS Min 14 Hours | $600.48 | $18.01 | $9.92 | $628.41 |
3978 | Continuous Home Care w/AIDS Min 15 Hours | $643.37 | $19.30 | $9.92 | $672.59 |
3979 | Continuous Home Care w/AIDS Min 16 Hours | $686.26 | $20.59 | $9.92 | $716.77 |
3980 | Continuous Home Care w/AIDS Min 17 Hours | $729.15 | $21.87 | $9.92 | $760.94 |
3981 | Continuous Home Care w/AIDS Min 18 Hours | $772.04 | $23.16 | $9.92 | $805.12 |
3982 | Continuous Home Care w/AIDS Min 19 Hours | $814.93 | $24.45 | $9.92 | $849.30 |
3983 | Continuous Home Care w/AIDS Min 20 Hours | $857.83 | $25.73 | $9.92 | $893.48 |
3984 | Continuous Home Care w/AIDS Min 21 Hours | $900.72 | $27.02 | $9.92 | $937.66 |
3985 | Continuous Home Care w/AIDS Min 22 Hours | $943.61 | $28.31 | $9.92 | $981.84 |
3986 | Continuous Home Care w/AIDS Min 23 Hours | $986.50 | $29.60 | $9.92 | $1,026.02 |
3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,029.39 | $30.88 | $9.92 | $1,070.19 |
3988 | General Inpatient w/ AIDS | $805.90 | $24.18 | $9.92 | $840.00 |
3989 | Routine Home Care w/ AIDS Escort | $320.73 | $9.62 | $9.92 | $340.27 |
3991 | Service Intensity Add–on | $41.03 | $1.23 | $0.00 | $42.26 |
* WRR =´Worker Recruitment and Retention addon´ if applicable
* RTR =´Recruitment, Training and Retention addon´ if applicable
SMSA: Rural
Hospice Rate Sheets for the Counties of: ALLEGANY, CATTARAUGUS, CAYUGA, CHAUTAUQUA, CHENANGO, CLINTON, COLUMBIA, CORTLAND, DELAWARE, ESSEX, FRANKLIN, FULTON, GENESEE, HAMILTON, JEFFERSON, LEWIS, OTSEGO, SCHOHARIE, SCHUYLER, SENECA, ST. LAWRENCE, STEUBEN, SULLIVAN, TOMPKINS, ULSTER, WYOMING, YATES
Rate Code |
Description | Base Rate | WRP Add–on * |
RTR Add–on * |
Total w/ addons |
---|---|---|---|---|---|
3945 | Routine Home Care | $176.23 | $5.29 | $9.92 | $191.44 |
3946 | Inpatient Respite | $170.22 | $5.11 | $9.92 | $185.25 |
3947 | General Inpatient Care | $685.24 | $20.56 | $9.92 | $715.72 |
3948 | Continuous Home Care – Min 8 Hours | $298.29 | $8.95 | $9.92 | $317.16 |
3949 | Continuous Home Care – Min 9 Hours | $335.58 | $10.07 | $9.92 | $355.57 |
3950 | Continuous Home Care – Min 10 Hours | $372.86 | $11.19 | $9.92 | $393.97 |
3951 | Continuous Home Care – Min 11 Hours | $410.15 | $12.30 | $9.92 | $432.37 |
3952 | Continuous Home Care – Min 12 Hours | $447.44 | $13.42 | $9.92 | $470.78 |
3953 | Continuous Home Care – Min 13 Hours | $484.72 | $14.54 | $9.92 | $509.18 |
3954 | Continuous Home Care – Min 14 Hours | $522.01 | $15.66 | $9.92 | $547.59 |
3955 | Continuous Home Care – Min 15 Hours | $559.29 | $16.78 | $9.92 | $585.99 |
3956 | Continuous Home Care – Min 16 Hours | $596.58 | $17.90 | $9.92 | $624.40 |
3957 | Continuous Home Care – Min 17 Hours | $633.87 | $19.02 | $9.92 | $662.81 |
3958 | Continuous Home Care – Min 18 Hours | $671.15 | $20.13 | $9.92 | $701.20 |
3959 | Continuous Home Care – Min 19 Hours | $708.44 | $21.25 | $9.92 | $739.61 |
3960 | Continuous Home Care – Min 20 Hours | $745.73 | $22.37 | $9.92 | $778.02 |
3961 | Continuous Home Care – Min 21 Hours | $783.01 | $23.49 | $9.92 | $816.42 |
3962 | Continuous Home Care – Min 22 Hours | $820.30 | $24.61 | $9.92 | $854.83 |
3963 | Continuous Home Care – Min 23 Hours | $857.58 | $25.73 | $9.92 | $893.23 |
3964 | Continuous Home Care – Min 24 Hours | $894.87 | $26.85 | $9.92 | $931.64 |
3965 | Hospice Inpatient Respite Care Coinsurance Rate – | ||||
5% of 3946 | $8.51 | $0.26 | $0.50 | $9.27 | |
3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
3969 | Routine Home Care w/AIDS | $284.67 | $8.54 | $9.92 | $303.13 |
3970 | Routine Home Care w/Escort | $194.36 | $5.83 | $9.92 | $210.11 |
3971 | Continuous Home Care w/AIDS Min 8 Hours | $315.38 | $9.46 | $9.92 | $334.76 |
3972 | Continuous Home Care w/AIDS Min 9 Hours | $354.80 | $10.64 | $9.92 | $375.36 |
3973 | Continuous Home Care w/AIDS Min 10 Hours | $394.22 | $11.83 | $9.92 | $415.97 |
3974 | Continuous Home Care w/AIDS Min 11 Hours | $433.64 | $13.01 | $9.92 | $456.57 |
3975 | Continuous Home Care w/AIDS Min 12 Hours | $473.07 | $14.19 | $9.92 | $497.18 |
3976 | Continuous Home Care w/AIDS Min 13 Hours | $512.49 | $15.37 | $9.92 | $537.78 |
3977 | Continuous Home Care w/AIDS Min 14 Hours | $551.91 | $16.56 | $9.92 | $578.39 |
3978 | Continuous Home Care w/AIDS Min 15 Hours | $591.33 | $17.74 | $9.92 | $618.99 |
3979 | Continuous Home Care w/AIDS Min 16 Hours | $630.75 | $18.92 | $9.92 | $659.59 |
3980 | Continuous Home Care w/AIDS Min 17 Hours | $670.18 | $20.11 | $9.92 | $700.21 |
3981 | Continuous Home Care w/AIDS Min 18 Hours | $709.60 | $21.29 | $9.92 | $740.81 |
3982 | Continuous Home Care w/AIDS Min 19 Hours | $749.02 | $22.47 | $9.92 | $781.41 |
3983 | Continuous Home Care w/AIDS Min 20 Hours | $788.44 | $23.65 | $9.92 | $822.01 |
3984 | Continuous Home Care w/AIDS Min 21 Hours | $827.86 | $24.84 | $9.92 | $862.62 |
3985 | Continuous Home Care w/AIDS Min 22 Hours | $867.29 | $26.02 | $9.92 | $903.23 |
3986 | Continuous Home Care w/AIDS Min 23 Hours | $906.71 | $27.20 | $9.92 | $943.83 |
3987 | Continuous Home Care w/AIDS Min 24 Hours | $946.13 | $28.38 | $9.92 | $984.43 |
3988 | General Inpatient w/ AIDS | $761.58 | $22.85 | $9.92 | $794.35 |
3989 | Routine Home Care w/ AIDS Escort | $302.80 | $9.08 | $9.92 | $321.80 |
3991 | Service Intensity Add–on | $38.60 | $1.16 | $0.00 | $39.76 |
* WRR =´Worker Recruitment and Retention addon´ if applicable
* RTR =´Recruitment, Training and Retention addon´ if applicable