Certified Hospice Program
Medicaid Rate Sheet
Effective: 04/02/2020 - 09/30/2020
- 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 | $171.19 | $3.85 | $9.92 | $184.96 |
3946 | Inpatient Respite | $428.63 | $9.64 | $9.92 | $448.19 |
3947 | General Inpatient Care | $906.13 | $20.39 | $9.92 | $936.44 |
3948 | Continuous Home Care - Min 8 Hours | $409.08 | $9.20 | $9.92 | $428.20 |
3949 | Continuous Home Care - Min 9 Hours | $460.22 | $10.35 | $9.92 | $480.49 |
3950 | Continuous Home Care - Min 10 Hours | $511.35 | $11.51 | $9.92 | $532.78 |
3951 | Continuous Home Care - Min 11 Hours | $562.49 | $12.66 | $9.92 | $585.07 |
3952 | Continuous Home Care - Min 12 Hours | $613.62 | $13.81 | $9.92 | $637.35 |
3953 | Continuous Home Care - Min 13 Hours | $664.76 | $14.96 | $9.92 | $689.64 |
3954 | Continuous Home Care - Min 14 Hours | $715.89 | $16.11 | $9.92 | $741.92 |
3955 | Continuous Home Care - Min 15 Hours | $767.03 | $17.26 | $9.92 | $794.21 |
3956 | Continuous Home Care - Min 16 Hours | $818.16 | $18.41 | $9.92 | $846.49 |
3957 | Continuous Home Care - Min 17 Hours | $869.30 | $19.56 | $9.92 | $898.78 |
3958 | Continuous Home Care - Min 18 Hours | $920.43 | $20.71 | $9.92 | $951.06 |
3959 | Continuous Home Care - Min 19 Hours | $971.57 | $21.86 | $9.92 | $1,003.35 |
3960 | Continuous Home Care - Min 20 Hours | $1,022.70 | $23.01 | $9.92 | $1,055.63 |
3961 | Continuous Home Care - Min 21 Hours | $1,073.84 | $24.16 | $9.92 | $1,107.92 |
3962 | Continuous Home Care - Min 22 Hours | $1,124.97 | $25.31 | $9.92 | $1,160.20 |
3963 | Continuous Home Care - Min 23 Hours | $1,176.11 | $26.46 | $9.92 | $1,212.49 |
3964 | Continuous Home Care - Min 24 Hours | $1,227.24 | $27.61 | $9.92 | $1,264.77 |
3965 | Hospice Inpatient Respite Care Coinsurance Rate - 5% of 3946 | $21.43 | $0.48 | $0.50 | $22.41 |
3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
3969 | Routine Home Care w/AIDS | $279.80 | $6.30 | $9.92 | $296.02 |
3970 | Routine Home Care w/Escort | $189.72 | $4.27 | $9.92 | $203.91 |
3971 | Continuous Home Care w/AIDS Min 8 Hours | $418.44 | $9.41 | $9.92 | $437.77 |
3972 | Continuous Home Care w/AIDS Min 9 Hours | $470.75 | $10.59 | $9.92 | $491.26 |
3973 | Continuous Home Care w/AIDS Min 10 Hours | $523.05 | $11.77 | $9.92 | $544.74 |
3974 | Continuous Home Care w/AIDS Min 11 Hours | $575.36 | $12.95 | $9.92 | $598.23 |
3975 | Continuous Home Care w/AIDS Min 12 Hours | $627.67 | $14.12 | $9.92 | $651.71 |
3976 | Continuous Home Care w/AIDS Min 13 Hours | $679.97 | $15.30 | $9.92 | $705.19 |
3977 | Continuous Home Care w/AIDS Min 14 Hours | $732.28 | $16.48 | $9.92 | $758.68 |
3978 | Continuous Home Care w/AIDS Min 15 Hours | $784.58 | $17.65 | $9.92 | $812.15 |
3979 | Continuous Home Care w/AIDS Min 16 Hours | $836.89 | $18.83 | $9.92 | $865.64 |
3980 | Continuous Home Care w/AIDS Min 17 Hours | $889.19 | $20.01 | $9.92 | $919.12 |
3981 | Continuous Home Care w/AIDS Min 18 Hours | $941.50 | $21.18 | $9.92 | $972.60 |
3982 | Continuous Home Care w/AIDS Min 19 Hours | $993.80 | $22.36 | $9.92 | $1,026.08 |
3983 | Continuous Home Care w/AIDS Min 20 Hours | $1,046.11 | $23.54 | $9.92 | $1,079.57 |
3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,098.41 | $24.71 | $9.92 | $1,133.04 |
3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,150.72 | $25.89 | $9.92 | $1,186.53 |
3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,203.02 | $27.07 | $9.92 | $1,240.01 |
3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,255.33 | $28.24 | $9.92 | $1,293.49 |
3988 | General Inpatient w/ AIDS | $1,007.07 | $22.66 | $9.92 | $1,039.65 |
3989 | Routine Home Care w/ AIDS Escort | $298.33 | $6.71 | $9.92 | $314.96 |
3991 | Service Intensity Add-on | $51.13 | $1.15 | $0.00 | $52.28 |
* 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 | $173.46 | $3.90 | $9.92 | $187.28 |
3946 | Inpatient Respite | $432.99 | $9.74 | $9.92 | $452.65 |
3947 | General Inpatient Care | $917.25 | $20.64 | $9.92 | $947.81 |
3948 | Continuous Home Care - Min 8 Hours | $414.51 | $9.33 | $9.92 | $433.76 |
3949 | Continuous Home Care - Min 9 Hours | $466.33 | $10.49 | $9.92 | $486.74 |
3950 | Continuous Home Care - Min 10 Hours | $518.14 | $11.66 | $9.92 | $539.72 |
3951 | Continuous Home Care - Min 11 Hours | $569.96 | $12.82 | $9.92 | $592.70 |
3952 | Continuous Home Care - Min 12 Hours | $621.77 | $13.99 | $9.92 | $645.68 |
3953 | Continuous Home Care - Min 13 Hours | $673.58 | $15.16 | $9.92 | $698.66 |
3954 | Continuous Home Care - Min 14 Hours | $725.40 | $16.32 | $9.92 | $751.64 |
3955 | Continuous Home Care - Min 15 Hours | $777.21 | $17.49 | $9.92 | $804.62 |
3956 | Continuous Home Care - Min 16 Hours | $829.03 | $18.65 | $9.92 | $857.60 |
3957 | Continuous Home Care - Min 17 Hours | $880.84 | $19.82 | $9.92 | $910.58 |
3958 | Continuous Home Care - Min 18 Hours | $932.66 | $20.98 | $9.92 | $963.56 |
3959 | Continuous Home Care - Min 19 Hours | $984.47 | $22.15 | $9.92 | $1,016.54 |
3960 | Continuous Home Care - Min 20 Hours | $1,036.28 | $23.32 | $9.92 | $1,069.52 |
3961 | Continuous Home Care - Min 21 Hours | $1,088.10 | $24.48 | $9.92 | $1,122.50 |
3962 | Continuous Home Care - Min 22 Hours | $1,139.91 | $25.65 | $9.92 | $1,175.48 |
3963 | Continuous Home Care - Min 23 Hours | $1,191.73 | $26.81 | $9.92 | $1,228.46 |
3964 | Continuous Home Care - Min 24 Hours | $1,243.54 | $27.98 | $9.92 | $1,281.44 |
3965 | Hospice Inpatient Respite Care Coinsurance Rate - 5% of 3946 | $21.65 | $0.49 | $0.50 | $22.64 |
3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
3969 | Routine Home Care w/AIDS | $283.52 | $6.38 | $9.92 | $299.82 |
3970 | Routine Home Care w/Escort | $191.99 | $4.32 | $9.92 | $206.23 |
3971 | Continuous Home Care w/AIDS Min 8 Hours | $426.28 | $9.59 | $9.92 | $445.79 |
3972 | Continuous Home Care w/AIDS Min 9 Hours | $479.56 | $10.79 | $9.92 | $500.27 |
3973 | Continuous Home Care w/AIDS Min 10 Hours | $532.85 | $11.99 | $9.92 | $554.76 |
3974 | Continuous Home Care w/AIDS Min 11 Hours | $586.13 | $13.19 | $9.92 | $609.24 |
3975 | Continuous Home Care w/AIDS Min 12 Hours | $639.42 | $14.39 | $9.92 | $663.73 |
3976 | Continuous Home Care w/AIDS Min 13 Hours | $692.70 | $15.59 | $9.92 | $718.21 |
3977 | Continuous Home Care w/AIDS Min 14 Hours | $745.98 | $16.78 | $9.92 | $772.68 |
3978 | Continuous Home Care w/AIDS Min 15 Hours | $799.27 | $17.98 | $9.92 | $827.17 |
3979 | Continuous Home Care w/AIDS Min 16 Hours | $852.55 | $19.18 | $9.92 | $881.65 |
3980 | Continuous Home Care w/AIDS Min 17 Hours | $905.84 | $20.38 | $9.92 | $936.14 |
3981 | Continuous Home Care w/AIDS Min 18 Hours | $959.12 | $21.58 | $9.92 | $990.62 |
3982 | Continuous Home Care w/AIDS Min 19 Hours | $1,012.41 | $22.78 | $9.92 | $1,045.11 |
3983 | Continuous Home Care w/AIDS Min 20 Hours | $1,065.69 | $23.98 | $9.92 | $1,099.59 |
3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,118.98 | $25.18 | $9.92 | $1,154.08 |
3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,172.26 | $26.38 | $9.92 | $1,208.56 |
3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,225.55 | $27.57 | $9.92 | $1,263.04 |
3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,278.83 | $28.77 | $9.92 | $1,317.52 |
3988 | General Inpatient w/ AIDS | $1,019.43 | $22.94 | $9.92 | $1,052.29 |
3989 | Routine Home Care w/ AIDS Escort | $302.05 | $6.80 | $9.92 | $318.77 |
3991 | Service Intensity Add-on | $51.81 | $1.17 | $0.00 | $52.98 |
* 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 | $201.27 | $4.53 | $9.92 | $215.72 |
3946 | Inpatient Respite | $486.28 | $10.94 | $9.92 | $507.14 |
3947 | General Inpatient Care | $1,053.09 | $23.69 | $9.92 | $1,086.70 |
3948 | Continuous Home Care - Min 8 Hours | $480.96 | $10.82 | $9.92 | $501.70 |
3949 | Continuous Home Care - Min 9 Hours | $541.08 | $12.17 | $9.92 | $563.17 |
3950 | Continuous Home Care - Min 10 Hours | $601.20 | $13.53 | $9.92 | $624.65 |
3951 | Continuous Home Care - Min 11 Hours | $661.32 | $14.88 | $9.92 | $686.12 |
3952 | Continuous Home Care - Min 12 Hours | $721.45 | $16.23 | $9.92 | $747.60 |
3953 | Continuous Home Care - Min 13 Hours | $781.57 | $17.59 | $9.92 | $809.08 |
3954 | Continuous Home Care - Min 14 Hours | $841.69 | $18.94 | $9.92 | $870.55 |
3955 | Continuous Home Care - Min 15 Hours | $901.81 | $20.29 | $9.92 | $932.02 |
3956 | Continuous Home Care - Min 16 Hours | $961.93 | $21.64 | $9.92 | $993.49 |
3957 | Continuous Home Care - Min 17 Hours | $1,022.05 | $23.00 | $9.92 | $1,054.97 |
3958 | Continuous Home Care - Min 18 Hours | $1,082.17 | $24.35 | $9.92 | $1,116.44 |
3959 | Continuous Home Care - Min 19 Hours | $1,142.29 | $25.70 | $9.92 | $1,177.91 |
3960 | Continuous Home Care - Min 20 Hours | $1,202.41 | $27.05 | $9.92 | $1,239.38 |
3961 | Continuous Home Care - Min 21 Hours | $1,262.53 | $28.41 | $9.92 | $1,300.86 |
3962 | Continuous Home Care - Min 22 Hours | $1,322.65 | $29.76 | $9.92 | $1,362.33 |
3963 | Continuous Home Care - Min 23 Hours | $1,382.77 | $31.11 | $9.92 | $1,423.80 |
3964 | Continuous Home Care - Min 24 Hours | $1,442.89 | $32.47 | $9.92 | $1,485.28 |
3965 | Hospice Inpatient Respite Care Coinsurance Rate - 5% of 3946 | $24.31 | $0.55 | $0.50 | $25.36 |
3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
3969 | Routine Home Care w/AIDS | $328.97 | $7.40 | $9.92 | $346.29 |
3970 | Routine Home Care w/Escort | $219.80 | $4.95 | $9.92 | $234.67 |
3971 | Continuous Home Care w/AIDS Min 8 Hours | $522.04 | $11.75 | $9.92 | $543.71 |
3972 | Continuous Home Care w/AIDS Min 9 Hours | $587.29 | $13.21 | $9.92 | $610.42 |
3973 | Continuous Home Care w/AIDS Min 10 Hours | $652.55 | $14.68 | $9.92 | $677.15 |
3974 | Continuous Home Care w/AIDS Min 11 Hours | $717.80 | $16.15 | $9.92 | $743.87 |
3975 | Continuous Home Care w/AIDS Min 12 Hours | $783.06 | $17.62 | $9.92 | $810.60 |
3976 | Continuous Home Care w/AIDS Min 13 Hours | $848.31 | $19.09 | $9.92 | $877.32 |
3977 | Continuous Home Care w/AIDS Min 14 Hours | $913.56 | $20.56 | $9.92 | $944.04 |
3978 | Continuous Home Care w/AIDS Min 15 Hours | $978.82 | $22.02 | $9.92 | $1,010.76 |
3979 | Continuous Home Care w/AIDS Min 16 Hours | $1,044.07 | $23.49 | $9.92 | $1,077.48 |
3980 | Continuous Home Care w/AIDS Min 17 Hours | $1,109.33 | $24.96 | $9.92 | $1,144.21 |
3981 | Continuous Home Care w/AIDS Min 18 Hours | $1,174.58 | $26.43 | $9.92 | $1,210.93 |
3982 | Continuous Home Care w/AIDS Min 19 Hours | $1,239.84 | $27.90 | $9.92 | $1,277.66 |
3983 | Continuous Home Care w/AIDS Min 20 Hours | $1,305.09 | $29.36 | $9.92 | $1,344.37 |
3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,370.35 | $30.83 | $9.92 | $1,411.10 |
3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,435.60 | $32.30 | $9.92 | $1,477.82 |
3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,500.86 | $33.77 | $9.92 | $1,544.55 |
3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,566.11 | $35.24 | $9.92 | $1,611.27 |
3988 | General Inpatient w/ AIDS | $1,170.40 | $26.33 | $9.92 | $1,206.65 |
3989 | Routine Home Care w/ AIDS Escort | $347.50 | $7.82 | $9.92 | $365.24 |
3991 | Service Intensity Add-on | $60.12 | $1.35 | $0.00 | $61.47 |
* 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 | $175.64 | $3.95 | $9.92 | $189.51 |
3946 | Inpatient Respite | $437.17 | $9.84 | $9.92 | $456.93 |
3947 | General Inpatient Care | $927.90 | $20.88 | $9.92 | $958.70 |
3948 | Continuous Home Care - Min 8 Hours | $419.73 | $9.44 | $9.92 | $439.09 |
3949 | Continuous Home Care - Min 9 Hours | $472.19 | $10.62 | $9.92 | $492.73 |
3950 | Continuous Home Care - Min 10 Hours | $524.66 | $11.80 | $9.92 | $546.38 |
3951 | Continuous Home Care - Min 11 Hours | $577.12 | $12.99 | $9.92 | $600.03 |
3952 | Continuous Home Care - Min 12 Hours | $629.59 | $14.17 | $9.92 | $653.68 |
3953 | Continuous Home Care - Min 13 Hours | $682.06 | $15.35 | $9.92 | $707.33 |
3954 | Continuous Home Care - Min 14 Hours | $734.52 | $16.53 | $9.92 | $760.97 |
3955 | Continuous Home Care - Min 15 Hours | $786.99 | $17.71 | $9.92 | $814.62 |
3956 | Continuous Home Care - Min 16 Hours | $839.45 | $18.89 | $9.92 | $868.26 |
3957 | Continuous Home Care - Min 17 Hours | $891.92 | $20.07 | $9.92 | $921.91 |
3958 | Continuous Home Care - Min 18 Hours | $944.39 | $21.25 | $9.92 | $975.56 |
3959 | Continuous Home Care - Min 19 Hours | $996.85 | $22.43 | $9.92 | $1,029.20 |
3960 | Continuous Home Care - Min 20 Hours | $1,049.32 | $23.61 | $9.92 | $1,082.85 |
3961 | Continuous Home Care - Min 21 Hours | $1,101.78 | $24.79 | $9.92 | $1,136.49 |
3962 | Continuous Home Care - Min 22 Hours | $1,154.25 | $25.97 | $9.92 | $1,190.14 |
3963 | Continuous Home Care - Min 23 Hours | $1,206.71 | $27.15 | $9.92 | $1,243.78 |
3964 | Continuous Home Care - Min 24 Hours | $1,259.18 | $28.33 | $9.92 | $1,297.43 |
3965 | Hospice Inpatient Respite Care Coinsurance Rate - 5% of 3946 | $21.86 | $0.49 | $0.50 | $22.85 |
3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
3969 | Routine Home Care w/AIDS | $287.09 | $6.46 | $9.92 | $303.47 |
3970 | Routine Home Care w/Escort | $194.17 | $4.37 | $9.92 | $208.46 |
3971 | Continuous Home Care w/AIDS Min 8 Hours | $433.79 | $9.76 | $9.92 | $453.47 |
3972 | Continuous Home Care w/AIDS Min 9 Hours | $488.01 | $10.98 | $9.92 | $508.91 |
3973 | Continuous Home Care w/AIDS Min 10 Hours | $542.23 | $12.20 | $9.92 | $564.35 |
3974 | Continuous Home Care w/AIDS Min 11 Hours | $596.46 | $13.42 | $9.92 | $619.80 |
3975 | Continuous Home Care w/AIDS Min 12 Hours | $650.68 | $14.64 | $9.92 | $675.24 |
3976 | Continuous Home Care w/AIDS Min 13 Hours | $704.90 | $15.86 | $9.92 | $730.68 |
3977 | Continuous Home Care w/AIDS Min 14 Hours | $759.13 | $17.08 | $9.92 | $786.13 |
3978 | Continuous Home Care w/AIDS Min 15 Hours | $813.35 | $18.30 | $9.92 | $841.57 |
3979 | Continuous Home Care w/AIDS Min 16 Hours | $867.57 | $19.52 | $9.92 | $897.01 |
3980 | Continuous Home Care w/AIDS Min 17 Hours | $921.80 | $20.74 | $9.92 | $952.46 |
3981 | Continuous Home Care w/AIDS Min 18 Hours | $976.02 | $21.96 | $9.92 | $1,007.90 |
3982 | Continuous Home Care w/AIDS Min 19 Hours | $1,030.24 | $23.18 | $9.92 | $1,063.34 |
3983 | Continuous Home Care w/AIDS Min 20 Hours | $1,084.47 | $24.40 | $9.92 | $1,118.79 |
3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,138.69 | $25.62 | $9.92 | $1,174.23 |
3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,192.91 | $26.84 | $9.92 | $1,229.67 |
3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,247.14 | $28.06 | $9.92 | $1,285.12 |
3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,301.36 | $29.28 | $9.92 | $1,340.56 |
3988 | General Inpatient w/ AIDS | $1,031.27 | $23.20 | $9.92 | $1,064.39 |
3989 | Routine Home Care w/ AIDS Escort | $305.62 | $6.88 | $9.92 | $322.42 |
3991 | Service Intensity Add-on | $52.46 | $1.18 | $0.00 | $53.64 |
* 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 | $168.47 | $3.79 | $9.92 | $182.18 |
3946 | Inpatient Respite | $423.42 | $9.53 | $9.92 | $442.87 |
3947 | General Inpatient Care | $892.86 | $20.09 | $9.92 | $922.87 |
3948 | Continuous Home Care - Min 8 Hours | $402.59 | $9.06 | $9.92 | $421.57 |
3949 | Continuous Home Care - Min 9 Hours | $452.91 | $10.19 | $9.92 | $473.02 |
3950 | Continuous Home Care - Min 10 Hours | $503.23 | $11.32 | $9.92 | $524.47 |
3951 | Continuous Home Care - Min 11 Hours | $553.56 | $12.46 | $9.92 | $575.94 |
3952 | Continuous Home Care - Min 12 Hours | $603.88 | $13.59 | $9.92 | $627.39 |
3953 | Continuous Home Care - Min 13 Hours | $654.20 | $14.72 | $9.92 | $678.84 |
3954 | Continuous Home Care - Min 14 Hours | $704.53 | $15.85 | $9.92 | $730.30 |
3955 | Continuous Home Care - Min 15 Hours | $754.85 | $16.98 | $9.92 | $781.75 |
3956 | Continuous Home Care - Min 16 Hours | $805.17 | $18.12 | $9.92 | $833.21 |
3957 | Continuous Home Care - Min 17 Hours | $855.50 | $19.25 | $9.92 | $884.67 |
3958 | Continuous Home Care - Min 18 Hours | $905.82 | $20.38 | $9.92 | $936.12 |
3959 | Continuous Home Care - Min 19 Hours | $956.14 | $21.51 | $9.92 | $987.57 |
3960 | Continuous Home Care - Min 20 Hours | $1,006.47 | $22.65 | $9.92 | $1,039.04 |
3961 | Continuous Home Care - Min 21 Hours | $1,056.79 | $23.78 | $9.92 | $1,090.49 |
3962 | Continuous Home Care - Min 22 Hours | $1,107.11 | $24.91 | $9.92 | $1,141.94 |
3963 | Continuous Home Care - Min 23 Hours | $1,157.44 | $26.04 | $9.92 | $1,193.40 |
3964 | Continuous Home Care - Min 24 Hours | $1,207.76 | $27.17 | $9.92 | $1,244.85 |
3965 | Hospice Inpatient Respite Care Coinsurance Rate - 5% of 3946 | $21.17 | $0.48 | $0.50 | $22.15 |
3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
3969 | Routine Home Care w/AIDS | $275.36 | $6.20 | $9.92 | $291.48 |
3970 | Routine Home Care w/Escort | $187.00 | $4.21 | $9.92 | $201.13 |
3971 | Continuous Home Care w/AIDS Min 8 Hours | $409.09 | $9.20 | $9.92 | $428.21 |
3972 | Continuous Home Care w/AIDS Min 9 Hours | $460.22 | $10.35 | $9.92 | $480.49 |
3973 | Continuous Home Care w/AIDS Min 10 Hours | $511.36 | $11.51 | $9.92 | $532.79 |
3974 | Continuous Home Care w/AIDS Min 11 Hours | $562.49 | $12.66 | $9.92 | $585.07 |
3975 | Continuous Home Care w/AIDS Min 12 Hours | $613.63 | $13.81 | $9.92 | $637.36 |
3976 | Continuous Home Care w/AIDS Min 13 Hours | $664.77 | $14.96 | $9.92 | $689.65 |
3977 | Continuous Home Care w/AIDS Min 14 Hours | $715.90 | $16.11 | $9.92 | $741.93 |
3978 | Continuous Home Care w/AIDS Min 15 Hours | $767.04 | $17.26 | $9.92 | $794.22 |
3979 | Continuous Home Care w/AIDS Min 16 Hours | $818.17 | $18.41 | $9.92 | $846.50 |
3980 | Continuous Home Care w/AIDS Min 17 Hours | $869.31 | $19.56 | $9.92 | $898.79 |
3981 | Continuous Home Care w/AIDS Min 18 Hours | $920.45 | $20.71 | $9.92 | $951.08 |
3982 | Continuous Home Care w/AIDS Min 19 Hours | $971.58 | $21.86 | $9.92 | $1,003.36 |
3983 | Continuous Home Care w/AIDS Min 20 Hours | $1,022.72 | $23.01 | $9.92 | $1,055.65 |
3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,073.85 | $24.16 | $9.92 | $1,107.93 |
3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,124.99 | $25.31 | $9.92 | $1,160.22 |
3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,176.12 | $26.46 | $9.92 | $1,212.50 |
3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,227.26 | $27.61 | $9.92 | $1,264.79 |
3988 | General Inpatient w/ AIDS | $992.32 | $22.33 | $9.92 | $1,024.57 |
3989 | Routine Home Care w/ AIDS Escort | $293.89 | $6.61 | $9.92 | $310.42 |
3991 | Service Intensity Add-on | $50.32 | $1.13 | $0.00 | $51.45 |
* 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 | $233.21 | $5.25 | $9.92 | $248.38 |
3946 | Inpatient Respite | $547.50 | $12.32 | $9.92 | $569.74 |
3947 | General Inpatient Care | $1,209.12 | $27.21 | $9.92 | $1,246.25 |
3948 | Continuous Home Care - Min 8 Hours | $557.29 | $12.54 | $9.92 | $579.75 |
3949 | Continuous Home Care - Min 9 Hours | $626.96 | $14.11 | $9.92 | $650.99 |
3950 | Continuous Home Care - Min 10 Hours | $696.62 | $15.67 | $9.92 | $722.21 |
3951 | Continuous Home Care - Min 11 Hours | $766.28 | $17.24 | $9.92 | $793.44 |
3952 | Continuous Home Care - Min 12 Hours | $835.94 | $18.81 | $9.92 | $864.67 |
3953 | Continuous Home Care - Min 13 Hours | $905.60 | $20.38 | $9.92 | $935.90 |
3954 | Continuous Home Care - Min 14 Hours | $975.26 | $21.94 | $9.92 | $1,007.12 |
3955 | Continuous Home Care - Min 15 Hours | $1,044.93 | $23.51 | $9.92 | $1,078.36 |
3956 | Continuous Home Care - Min 16 Hours | $1,114.59 | $25.08 | $9.92 | $1,149.59 |
3957 | Continuous Home Care - Min 17 Hours | $1,184.25 | $26.65 | $9.92 | $1,220.82 |
3958 | Continuous Home Care - Min 18 Hours | $1,253.91 | $28.21 | $9.92 | $1,292.04 |
3959 | Continuous Home Care - Min 19 Hours | $1,323.57 | $29.78 | $9.92 | $1,363.27 |
3960 | Continuous Home Care - Min 20 Hours | $1,393.23 | $31.35 | $9.92 | $1,434.50 |
3961 | Continuous Home Care - Min 21 Hours | $1,462.90 | $32.92 | $9.92 | $1,505.74 |
3962 | Continuous Home Care - Min 22 Hours | $1,532.56 | $34.48 | $9.92 | $1,576.96 |
3963 | Continuous Home Care - Min 23 Hours | $1,602.22 | $36.05 | $9.92 | $1,648.19 |
3964 | Continuous Home Care - Min 24 Hours | $1,671.88 | $37.62 | $9.92 | $1,719.42 |
3965 | Hospice Inpatient Respite Care Coinsurance Rate - 5% of 3946 | $27.38 | $0.62 | $0.50 | $28.50 |
3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
3969 | Routine Home Care w/AIDS | $381.18 | $8.58 | $9.92 | $399.68 |
3970 | Routine Home Care w/Escort | $251.74 | $5.66 | $9.92 | $267.32 |
3971 | Continuous Home Care w/AIDS Min 8 Hours | $632.03 | $14.22 | $9.92 | $656.17 |
3972 | Continuous Home Care w/AIDS Min 9 Hours | $711.04 | $16.00 | $9.92 | $736.96 |
3973 | Continuous Home Care w/AIDS Min 10 Hours | $790.04 | $17.78 | $9.92 | $817.74 |
3974 | Continuous Home Care w/AIDS Min 11 Hours | $869.05 | $19.55 | $9.92 | $898.52 |
3975 | Continuous Home Care w/AIDS Min 12 Hours | $948.05 | $21.33 | $9.92 | $979.30 |
3976 | Continuous Home Care w/AIDS Min 13 Hours | $1,027.05 | $23.11 | $9.92 | $1,060.08 |
3977 | Continuous Home Care w/AIDS Min 14 Hours | $1,106.06 | $24.89 | $9.92 | $1,140.87 |
3978 | Continuous Home Care w/AIDS Min 15 Hours | $1,185.06 | $26.66 | $9.92 | $1,221.64 |
3979 | Continuous Home Care w/AIDS Min 16 Hours | $1,264.07 | $28.44 | $9.92 | $1,302.43 |
3980 | Continuous Home Care w/AIDS Min 17 Hours | $1,343.07 | $30.22 | $9.92 | $1,383.21 |
3981 | Continuous Home Care w/AIDS Min 18 Hours | $1,422.08 | $32.00 | $9.92 | $1,464.00 |
3982 | Continuous Home Care w/AIDS Min 19 Hours | $1,501.08 | $33.77 | $9.92 | $1,544.77 |
3983 | Continuous Home Care w/AIDS Min 20 Hours | $1,580.08 | $35.55 | $9.92 | $1,625.55 |
3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,659.09 | $37.33 | $9.92 | $1,706.34 |
3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,738.09 | $39.11 | $9.92 | $1,787.12 |
3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,817.10 | $40.88 | $9.92 | $1,867.90 |
3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,896.10 | $42.66 | $9.92 | $1,948.68 |
3988 | General Inpatient w/ AIDS | $1,343.82 | $30.24 | $9.92 | $1,383.98 |
3989 | Routine Home Care w/ AIDS Escort | $399.71 | $8.99 | $9.92 | $418.62 |
3991 | Service Intensity Add-on | $69.66 | $1.57 | $0.00 | $71.23 |
* 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 | $231.48 | $5.21 | $9.92 | $246.61 |
3946 | Inpatient Respite | $544.19 | $12.24 | $9.92 | $566.35 |
3947 | General Inpatient Care | $1,200.69 | $27.02 | $9.92 | $1,237.63 |
3948 | Continuous Home Care - Min 8 Hours | $553.17 | $12.45 | $9.92 | $575.54 |
3949 | Continuous Home Care - Min 9 Hours | $622.31 | $14.00 | $9.92 | $646.23 |
3950 | Continuous Home Care - Min 10 Hours | $691.46 | $15.56 | $9.92 | $716.94 |
3951 | Continuous Home Care - Min 11 Hours | $760.60 | $17.11 | $9.92 | $787.63 |
3952 | Continuous Home Care - Min 12 Hours | $829.75 | $18.67 | $9.92 | $858.34 |
3953 | Continuous Home Care - Min 13 Hours | $898.90 | $20.23 | $9.92 | $929.05 |
3954 | Continuous Home Care - Min 14 Hours | $968.04 | $21.78 | $9.92 | $999.74 |
3955 | Continuous Home Care - Min 15 Hours | $1,037.19 | $23.34 | $9.92 | $1,070.45 |
3956 | Continuous Home Care - Min 16 Hours | $1,106.33 | $24.89 | $9.92 | $1,141.14 |
3957 | Continuous Home Care - Min 17 Hours | $1,175.48 | $26.45 | $9.92 | $1,211.85 |
3958 | Continuous Home Care - Min 18 Hours | $1,244.63 | $28.00 | $9.92 | $1,282.55 |
3959 | Continuous Home Care - Min 19 Hours | $1,313.77 | $29.56 | $9.92 | $1,353.25 |
3960 | Continuous Home Care - Min 20 Hours | $1,382.92 | $31.12 | $9.92 | $1,423.96 |
3961 | Continuous Home Care - Min 21 Hours | $1,452.06 | $32.67 | $9.92 | $1,494.65 |
3962 | Continuous Home Care - Min 22 Hours | $1,521.21 | $34.23 | $9.92 | $1,565.36 |
3963 | Continuous Home Care - Min 23 Hours | $1,590.35 | $35.78 | $9.92 | $1,636.05 |
3964 | Continuous Home Care - Min 24 Hours | $1,659.50 | $37.34 | $9.92 | $1,706.76 |
3965 | Hospice Inpatient Respite Care Coinsurance Rate - 5% of 3946 | $27.21 | $0.61 | $0.50 | $28.32 |
3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
3969 | Routine Home Care w/AIDS | $378.36 | $8.51 | $9.92 | $396.79 |
3970 | Routine Home Care w/Escort | $250.01 | $5.63 | $9.92 | $265.56 |
3971 | Continuous Home Care w/AIDS Min 8 Hours | $626.09 | $14.09 | $9.92 | $650.10 |
3972 | Continuous Home Care w/AIDS Min 9 Hours | $704.35 | $15.85 | $9.92 | $730.12 |
3973 | Continuous Home Care w/AIDS Min 10 Hours | $782.61 | $17.61 | $9.92 | $810.14 |
3974 | Continuous Home Care w/AIDS Min 11 Hours | $860.87 | $19.37 | $9.92 | $890.16 |
3975 | Continuous Home Care w/AIDS Min 12 Hours | $939.14 | $21.13 | $9.92 | $970.19 |
3976 | Continuous Home Care w/AIDS Min 13 Hours | $1,017.40 | $22.89 | $9.92 | $1,050.21 |
3977 | Continuous Home Care w/AIDS Min 14 Hours | $1,095.66 | $24.65 | $9.92 | $1,130.23 |
3978 | Continuous Home Care w/AIDS Min 15 Hours | $1,173.92 | $26.41 | $9.92 | $1,210.25 |
3979 | Continuous Home Care w/AIDS Min 16 Hours | $1,252.18 | $28.17 | $9.92 | $1,290.27 |
3980 | Continuous Home Care w/AIDS Min 17 Hours | $1,330.44 | $29.93 | $9.92 | $1,370.29 |
3981 | Continuous Home Care w/AIDS Min 18 Hours | $1,408.70 | $31.70 | $9.92 | $1,450.32 |
3982 | Continuous Home Care w/AIDS Min 19 Hours | $1,486.96 | $33.46 | $9.92 | $1,530.34 |
3983 | Continuous Home Care w/AIDS Min 20 Hours | $1,565.23 | $35.22 | $9.92 | $1,610.37 |
3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,643.49 | $36.98 | $9.92 | $1,690.39 |
3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,721.75 | $38.74 | $9.92 | $1,770.41 |
3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,800.01 | $40.50 | $9.92 | $1,850.43 |
3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,878.27 | $42.26 | $9.92 | $1,930.45 |
3988 | General Inpatient w/ AIDS | $1,334.45 | $30.03 | $9.92 | $1,374.40 |
3989 | Routine Home Care w/ AIDS Escort | $396.89 | $8.93 | $9.92 | $415.74 |
3991 | Service Intensity Add-on | $69.14 | $1.56 | $0.00 | $70.70 |
* 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 | $201.27 | $4.53 | $9.92 | $215.72 |
3946 | Inpatient Respite | $486.28 | $10.94 | $9.92 | $507.14 |
3947 | General Inpatient Care | $1,053.09 | $23.69 | $9.92 | $1,086.70 |
3948 | Continuous Home Care - Min 8 Hours | $480.96 | $10.82 | $9.92 | $501.70 |
3949 | Continuous Home Care - Min 9 Hours | $541.08 | $12.17 | $9.92 | $563.17 |
3950 | Continuous Home Care - Min 10 Hours | $601.20 | $13.53 | $9.92 | $624.65 |
3951 | Continuous Home Care - Min 11 Hours | $661.32 | $14.88 | $9.92 | $686.12 |
3952 | Continuous Home Care - Min 12 Hours | $721.45 | $16.23 | $9.92 | $747.60 |
3953 | Continuous Home Care - Min 13 Hours | $781.57 | $17.59 | $9.92 | $809.08 |
3954 | Continuous Home Care - Min 14 Hours | $841.69 | $18.94 | $9.92 | $870.55 |
3955 | Continuous Home Care - Min 15 Hours | $901.81 | $20.29 | $9.92 | $932.02 |
3956 | Continuous Home Care - Min 16 Hours | $961.93 | $21.64 | $9.92 | $993.49 |
3957 | Continuous Home Care - Min 17 Hours | $1,022.05 | $23.00 | $9.92 | $1,054.97 |
3958 | Continuous Home Care - Min 18 Hours | $1,082.17 | $24.35 | $9.92 | $1,116.44 |
3959 | Continuous Home Care - Min 19 Hours | $1,142.29 | $25.70 | $9.92 | $1,177.91 |
3960 | Continuous Home Care - Min 20 Hours | $1,202.41 | $27.05 | $9.92 | $1,239.38 |
3961 | Continuous Home Care - Min 21 Hours | $1,262.53 | $28.41 | $9.92 | $1,300.86 |
3962 | Continuous Home Care - Min 22 Hours | $1,322.65 | $29.76 | $9.92 | $1,362.33 |
3963 | Continuous Home Care - Min 23 Hours | $1,382.77 | $31.11 | $9.92 | $1,423.80 |
3964 | Continuous Home Care - Min 24 Hours | $1,442.89 | $32.47 | $9.92 | $1,485.28 |
3965 | Hospice Inpatient Respite Care Coinsurance Rate - 5% of 3946 | $24.31 | $0.55 | $0.50 | $25.36 |
3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
3969 | Routine Home Care w/AIDS | $328.97 | $7.40 | $9.92 | $346.29 |
3970 | Routine Home Care w/Escort | $219.80 | $4.95 | $9.92 | $234.67 |
3971 | Continuous Home Care w/AIDS Min 8 Hours | $522.04 | $11.75 | $9.92 | $543.71 |
3972 | Continuous Home Care w/AIDS Min 9 Hours | $587.29 | $13.21 | $9.92 | $610.42 |
3973 | Continuous Home Care w/AIDS Min 10 Hours | $652.55 | $14.68 | $9.92 | $677.15 |
3974 | Continuous Home Care w/AIDS Min 11 Hours | $717.80 | $16.15 | $9.92 | $743.87 |
3975 | Continuous Home Care w/AIDS Min 12 Hours | $783.06 | $17.62 | $9.92 | $810.60 |
3976 | Continuous Home Care w/AIDS Min 13 Hours | $848.31 | $19.09 | $9.92 | $877.32 |
3977 | Continuous Home Care w/AIDS Min 14 Hours | $913.56 | $20.56 | $9.92 | $944.04 |
3978 | Continuous Home Care w/AIDS Min 15 Hours | $978.82 | $22.02 | $9.92 | $1,010.76 |
3979 | Continuous Home Care w/AIDS Min 16 Hours | $1,044.07 | $23.49 | $9.92 | $1,077.48 |
3980 | Continuous Home Care w/AIDS Min 17 Hours | $1,109.33 | $24.96 | $9.92 | $1,144.21 |
3981 | Continuous Home Care w/AIDS Min 18 Hours | $1,174.58 | $26.43 | $9.92 | $1,210.93 |
3982 | Continuous Home Care w/AIDS Min 19 Hours | $1,239.84 | $27.90 | $9.92 | $1,277.66 |
3983 | Continuous Home Care w/AIDS Min 20 Hours | $1,305.09 | $29.36 | $9.92 | $1,344.37 |
3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,370.35 | $30.83 | $9.92 | $1,411.10 |
3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,435.60 | $32.30 | $9.92 | $1,477.82 |
3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,500.86 | $33.77 | $9.92 | $1,544.55 |
3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,566.11 | $35.24 | $9.92 | $1,611.27 |
3988 | General Inpatient w/ AIDS | $1,170.40 | $26.33 | $9.92 | $1,206.65 |
3989 | Routine Home Care w/ AIDS Escort | $347.50 | $7.82 | $9.92 | $365.24 |
3991 | Service Intensity Add-on | $60.12 | $1.35 | $0.00 | $61.47 |
* 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 | $231.48 | $5.21 | $9.92 | $246.61 |
3946 | Inpatient Respite | $544.19 | $12.24 | $9.92 | $566.35 |
3947 | General Inpatient Care | $1,200.69 | $27.02 | $9.92 | $1,237.63 |
3948 | Continuous Home Care - Min 8 Hours | $553.17 | $12.45 | $9.92 | $575.54 |
3949 | Continuous Home Care - Min 9 Hours | $622.31 | $14.00 | $9.92 | $646.23 |
3950 | Continuous Home Care - Min 10 Hours | $691.46 | $15.56 | $9.92 | $716.94 |
3951 | Continuous Home Care - Min 11 Hours | $760.60 | $17.11 | $9.92 | $787.63 |
3952 | Continuous Home Care - Min 12 Hours | $829.75 | $18.67 | $9.92 | $858.34 |
3953 | Continuous Home Care - Min 13 Hours | $898.90 | $20.23 | $9.92 | $929.05 |
3954 | Continuous Home Care - Min 14 Hours | $968.04 | $21.78 | $9.92 | $999.74 |
3955 | Continuous Home Care - Min 15 Hours | $1,037.19 | $23.34 | $9.92 | $1,070.45 |
3956 | Continuous Home Care - Min 16 Hours | $1,106.33 | $24.89 | $9.92 | $1,141.14 |
3957 | Continuous Home Care - Min 17 Hours | $1,175.48 | $26.45 | $9.92 | $1,211.85 |
3958 | Continuous Home Care - Min 18 Hours | $1,244.63 | $28.00 | $9.92 | $1,282.55 |
3959 | Continuous Home Care - Min 19 Hours | $1,313.77 | $29.56 | $9.92 | $1,353.25 |
3960 | Continuous Home Care - Min 20 Hours | $1,382.92 | $31.12 | $9.92 | $1,423.96 |
3961 | Continuous Home Care - Min 21 Hours | $1,452.06 | $32.67 | $9.92 | $1,494.65 |
3962 | Continuous Home Care - Min 22 Hours | $1,521.21 | $34.23 | $9.92 | $1,565.36 |
3963 | Continuous Home Care - Min 23 Hours | $1,590.35 | $35.78 | $9.92 | $1,636.05 |
3964 | Continuous Home Care - Min 24 Hours | $1,659.50 | $37.34 | $9.92 | $1,706.76 |
3965 | Hospice Inpatient Respite Care Coinsurance Rate - 5% of 3946 | $27.21 | $0.61 | $0.50 | $28.32 |
3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
3969 | Routine Home Care w/AIDS | $378.36 | $8.51 | $9.92 | $396.79 |
3970 | Routine Home Care w/Escort | $250.01 | $5.63 | $9.92 | $265.56 |
3971 | Continuous Home Care w/AIDS Min 8 Hours | $626.09 | $14.09 | $9.92 | $650.10 |
3972 | Continuous Home Care w/AIDS Min 9 Hours | $704.35 | $15.85 | $9.92 | $730.12 |
3973 | Continuous Home Care w/AIDS Min 10 Hours | $782.61 | $17.61 | $9.92 | $810.14 |
3974 | Continuous Home Care w/AIDS Min 11 Hours | $860.87 | $19.37 | $9.92 | $890.16 |
3975 | Continuous Home Care w/AIDS Min 12 Hours | $939.14 | $21.13 | $9.92 | $970.19 |
3976 | Continuous Home Care w/AIDS Min 13 Hours | $1,017.40 | $22.89 | $9.92 | $1,050.21 |
3977 | Continuous Home Care w/AIDS Min 14 Hours | $1,095.66 | $24.65 | $9.92 | $1,130.23 |
3978 | Continuous Home Care w/AIDS Min 15 Hours | $1,173.92 | $26.41 | $9.92 | $1,210.25 |
3979 | Continuous Home Care w/AIDS Min 16 Hours | $1,252.18 | $28.17 | $9.92 | $1,290.27 |
3980 | Continuous Home Care w/AIDS Min 17 Hours | $1,330.44 | $29.93 | $9.92 | $1,370.29 |
3981 | Continuous Home Care w/AIDS Min 18 Hours | $1,408.70 | $31.70 | $9.92 | $1,450.32 |
3982 | Continuous Home Care w/AIDS Min 19 Hours | $1,486.96 | $33.46 | $9.92 | $1,530.34 |
3983 | Continuous Home Care w/AIDS Min 20 Hours | $1,565.23 | $35.22 | $9.92 | $1,610.37 |
3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,643.49 | $36.98 | $9.92 | $1,690.39 |
3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,721.75 | $38.74 | $9.92 | $1,770.41 |
3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,800.01 | $40.50 | $9.92 | $1,850.43 |
3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,878.27 | $42.26 | $9.92 | $1,930.45 |
3988 | General Inpatient w/ AIDS | $1,334.45 | $30.03 | $9.92 | $1,374.40 |
3989 | Routine Home Care w/ AIDS Escort | $396.89 | $8.93 | $9.92 | $415.74 |
3991 | Service Intensity Add-on | $69.14 | $1.56 | $0.00 | $70.70 |
* 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 | $228.91 | $5.15 | $9.92 | $243.98 |
3946 | Inpatient Respite | $539.26 | $12.13 | $9.92 | $561.31 |
3947 | General Inpatient Care | $1,188.14 | $26.73 | $9.92 | $1,224.79 |
3948 | Continuous Home Care - Min 8 Hours | $547.03 | $12.31 | $9.92 | $569.26 |
3949 | Continuous Home Care - Min 9 Hours | $615.41 | $13.85 | $9.92 | $639.18 |
3950 | Continuous Home Care - Min 10 Hours | $683.78 | $15.39 | $9.92 | $709.09 |
3951 | Continuous Home Care - Min 11 Hours | $752.16 | $16.92 | $9.92 | $779.00 |
3952 | Continuous Home Care - Min 12 Hours | $820.54 | $18.46 | $9.92 | $848.92 |
3953 | Continuous Home Care - Min 13 Hours | $888.92 | $20.00 | $9.92 | $918.84 |
3954 | Continuous Home Care - Min 14 Hours | $957.30 | $21.54 | $9.92 | $988.76 |
3955 | Continuous Home Care - Min 15 Hours | $1,025.68 | $23.08 | $9.92 | $1,058.68 |
3956 | Continuous Home Care - Min 16 Hours | $1,094.05 | $24.62 | $9.92 | $1,128.59 |
3957 | Continuous Home Care - Min 17 Hours | $1,162.43 | $26.15 | $9.92 | $1,198.50 |
3958 | Continuous Home Care - Min 18 Hours | $1,230.81 | $27.69 | $9.92 | $1,268.42 |
3959 | Continuous Home Care - Min 19 Hours | $1,299.19 | $29.23 | $9.92 | $1,338.34 |
3960 | Continuous Home Care - Min 20 Hours | $1,367.57 | $30.77 | $9.92 | $1,408.26 |
3961 | Continuous Home Care - Min 21 Hours | $1,435.95 | $32.31 | $9.92 | $1,478.18 |
3962 | Continuous Home Care - Min 22 Hours | $1,504.32 | $33.85 | $9.92 | $1,548.09 |
3963 | Continuous Home Care - Min 23 Hours | $1,572.70 | $35.39 | $9.92 | $1,618.01 |
3964 | Continuous Home Care - Min 24 Hours | $1,641.08 | $36.92 | $9.92 | $1,687.92 |
3965 | Hospice Inpatient Respite Care Coinsurance Rate - 5% of 3946 | $26.96 | $0.61 | $0.50 | $28.07 |
3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
3969 | Routine Home Care w/AIDS | $374.16 | $8.42 | $9.92 | $392.50 |
3970 | Routine Home Care w/Escort | $247.44 | $5.57 | $9.92 | $262.93 |
3971 | Continuous Home Care w/AIDS Min 8 Hours | $617.24 | $13.89 | $9.92 | $641.05 |
3972 | Continuous Home Care w/AIDS Min 9 Hours | $694.40 | $15.62 | $9.92 | $719.94 |
3973 | Continuous Home Care w/AIDS Min 10 Hours | $771.55 | $17.36 | $9.92 | $798.83 |
3974 | Continuous Home Care w/AIDS Min 11 Hours | $848.71 | $19.10 | $9.92 | $877.73 |
3975 | Continuous Home Care w/AIDS Min 12 Hours | $925.86 | $20.83 | $9.92 | $956.61 |
3976 | Continuous Home Care w/AIDS Min 13 Hours | $1,003.02 | $22.57 | $9.92 | $1,035.51 |
3977 | Continuous Home Care w/AIDS Min 14 Hours | $1,080.17 | $24.30 | $9.92 | $1,114.39 |
3978 | Continuous Home Care w/AIDS Min 15 Hours | $1,157.33 | $26.04 | $9.92 | $1,193.29 |
3979 | Continuous Home Care w/AIDS Min 16 Hours | $1,234.48 | $27.78 | $9.92 | $1,272.18 |
3980 | Continuous Home Care w/AIDS Min 17 Hours | $1,311.64 | $29.51 | $9.92 | $1,351.07 |
3981 | Continuous Home Care w/AIDS Min 18 Hours | $1,388.79 | $31.25 | $9.92 | $1,429.96 |
3982 | Continuous Home Care w/AIDS Min 19 Hours | $1,465.95 | $32.98 | $9.92 | $1,508.85 |
3983 | Continuous Home Care w/AIDS Min 20 Hours | $1,543.10 | $34.72 | $9.92 | $1,587.74 |
3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,620.26 | $36.46 | $9.92 | $1,666.64 |
3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,697.41 | $38.19 | $9.92 | $1,745.52 |
3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,774.57 | $39.93 | $9.92 | $1,824.42 |
3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,851.72 | $41.66 | $9.92 | $1,903.30 |
3988 | General Inpatient w/ AIDS | $1,320.50 | $29.71 | $9.92 | $1,360.13 |
3989 | Routine Home Care w/ AIDS Escort | $392.69 | $8.84 | $9.92 | $411.45 |
3991 | Service Intensity Add-on | $68.37 | $1.54 | $0.00 | $69.91 |
* 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 | $174.22 | $3.92 | $9.92 | $188.06 |
3946 | Inpatient Respite | $434.45 | $9.78 | $9.92 | $454.15 |
3947 | General Inpatient Care | $920.97 | $20.72 | $9.92 | $951.61 |
3948 | Continuous Home Care - Min 8 Hours | $416.34 | $9.37 | $9.92 | $435.63 |
3949 | Continuous Home Care - Min 9 Hours | $468.38 | $10.54 | $9.92 | $488.84 |
3950 | Continuous Home Care - Min 10 Hours | $520.42 | $11.71 | $9.92 | $542.05 |
3951 | Continuous Home Care - Min 11 Hours | $572.46 | $12.88 | $9.92 | $595.26 |
3952 | Continuous Home Care - Min 12 Hours | $624.51 | $14.05 | $9.92 | $648.48 |
3953 | Continuous Home Care - Min 13 Hours | $676.55 | $15.22 | $9.92 | $701.69 |
3954 | Continuous Home Care - Min 14 Hours | $728.59 | $16.39 | $9.92 | $754.90 |
3955 | Continuous Home Care - Min 15 Hours | $780.63 | $17.56 | $9.92 | $808.11 |
3956 | Continuous Home Care - Min 16 Hours | $832.67 | $18.74 | $9.92 | $861.33 |
3957 | Continuous Home Care - Min 17 Hours | $884.72 | $19.91 | $9.92 | $914.55 |
3958 | Continuous Home Care - Min 18 Hours | $936.76 | $21.08 | $9.92 | $967.76 |
3959 | Continuous Home Care - Min 19 Hours | $988.80 | $22.25 | $9.92 | $1,020.97 |
3960 | Continuous Home Care - Min 20 Hours | $1,040.84 | $23.42 | $9.92 | $1,074.18 |
3961 | Continuous Home Care - Min 21 Hours | $1,092.88 | $24.59 | $9.92 | $1,127.39 |
3962 | Continuous Home Care - Min 22 Hours | $1,144.93 | $25.76 | $9.92 | $1,180.61 |
3963 | Continuous Home Care - Min 23 Hours | $1,196.97 | $26.93 | $9.92 | $1,233.82 |
3964 | Continuous Home Care - Min 24 Hours | $1,249.01 | $28.10 | $9.92 | $1,287.03 |
3965 | Hospice Inpatient Respite Care Coinsurance Rate - 5% of 3946 | $21.72 | $0.49 | $0.50 | $22.71 |
3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
3969 | Routine Home Care w/AIDS | $284.77 | $6.41 | $9.92 | $301.10 |
3970 | Routine Home Care w/Escort | $192.75 | $4.34 | $9.92 | $207.01 |
3971 | Continuous Home Care w/AIDS Min 8 Hours | $428.90 | $9.65 | $9.92 | $448.47 |
3972 | Continuous Home Care w/AIDS Min 9 Hours | $482.52 | $10.86 | $9.92 | $503.30 |
3973 | Continuous Home Care w/AIDS Min 10 Hours | $536.13 | $12.06 | $9.92 | $558.11 |
3974 | Continuous Home Care w/AIDS Min 11 Hours | $589.74 | $13.27 | $9.92 | $612.93 |
3975 | Continuous Home Care w/AIDS Min 12 Hours | $643.36 | $14.48 | $9.92 | $667.76 |
3976 | Continuous Home Care w/AIDS Min 13 Hours | $696.97 | $15.68 | $9.92 | $722.57 |
3977 | Continuous Home Care w/AIDS Min 14 Hours | $750.58 | $16.89 | $9.92 | $777.39 |
3978 | Continuous Home Care w/AIDS Min 15 Hours | $804.19 | $18.09 | $9.92 | $832.20 |
3979 | Continuous Home Care w/AIDS Min 16 Hours | $857.81 | $19.30 | $9.92 | $887.03 |
3980 | Continuous Home Care w/AIDS Min 17 Hours | $911.42 | $20.51 | $9.92 | $941.85 |
3981 | Continuous Home Care w/AIDS Min 18 Hours | $965.03 | $21.71 | $9.92 | $996.66 |
3982 | Continuous Home Care w/AIDS Min 19 Hours | $1,018.65 | $22.92 | $9.92 | $1,051.49 |
3983 | Continuous Home Care w/AIDS Min 20 Hours | $1,072.26 | $24.13 | $9.92 | $1,106.31 |
3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,125.87 | $25.33 | $9.92 | $1,161.12 |
3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,179.48 | $26.54 | $9.92 | $1,215.94 |
3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,233.10 | $27.74 | $9.92 | $1,270.76 |
3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,286.71 | $28.95 | $9.92 | $1,325.58 |
3988 | General Inpatient w/ AIDS | $1,023.57 | $23.03 | $9.92 | $1,056.52 |
3989 | Routine Home Care w/ AIDS Escort | $303.30 | $6.82 | $9.92 | $320.04 |
3991 | Service Intensity Add-on | $52.04 | $1.17 | $0.00 | $53.21 |
* 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 | $196.84 | $4.43 | $9.92 | $211.19 |
3946 | Inpatient Respite | $477.79 | $10.75 | $9.92 | $498.46 |
3947 | General Inpatient Care | $1,031.45 | $23.21 | $9.92 | $1,064.58 |
3948 | Continuous Home Care - Min 8 Hours | $470.38 | $10.58 | $9.92 | $490.88 |
3949 | Continuous Home Care - Min 9 Hours | $529.18 | $11.91 | $9.92 | $551.01 |
3950 | Continuous Home Care - Min 10 Hours | $587.98 | $13.23 | $9.92 | $611.13 |
3951 | Continuous Home Care - Min 11 Hours | $646.77 | $14.55 | $9.92 | $671.24 |
3952 | Continuous Home Care - Min 12 Hours | $705.57 | $15.88 | $9.92 | $731.37 |
3953 | Continuous Home Care - Min 13 Hours | $764.37 | $17.20 | $9.92 | $791.49 |
3954 | Continuous Home Care - Min 14 Hours | $823.17 | $18.52 | $9.92 | $851.61 |
3955 | Continuous Home Care - Min 15 Hours | $881.96 | $19.84 | $9.92 | $911.72 |
3956 | Continuous Home Care - Min 16 Hours | $940.76 | $21.17 | $9.92 | $971.85 |
3957 | Continuous Home Care - Min 17 Hours | $999.56 | $22.49 | $9.92 | $1,031.97 |
3958 | Continuous Home Care - Min 18 Hours | $1,058.36 | $23.81 | $9.92 | $1,092.09 |
3959 | Continuous Home Care - Min 19 Hours | $1,117.15 | $25.14 | $9.92 | $1,152.21 |
3960 | Continuous Home Care - Min 20 Hours | $1,175.95 | $26.46 | $9.92 | $1,212.33 |
3961 | Continuous Home Care - Min 21 Hours | $1,234.75 | $27.78 | $9.92 | $1,272.45 |
3962 | Continuous Home Care - Min 22 Hours | $1,293.55 | $29.10 | $9.92 | $1,332.57 |
3963 | Continuous Home Care - Min 23 Hours | $1,352.34 | $30.43 | $9.92 | $1,392.69 |
3964 | Continuous Home Care - Min 24 Hours | $1,411.14 | $31.75 | $9.92 | $1,452.81 |
3965 | Hospice Inpatient Respite Care Coinsurance Rate - 5% of 3946 | $23.89 | $0.54 | $0.50 | $24.93 |
3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
3969 | Routine Home Care w/AIDS | $321.73 | $7.24 | $9.92 | $338.89 |
3970 | Routine Home Care w/Escort | $215.37 | $4.85 | $9.92 | $230.14 |
3971 | Continuous Home Care w/AIDS Min 8 Hours | $506.78 | $11.40 | $9.92 | $528.10 |
3972 | Continuous Home Care w/AIDS Min 9 Hours | $570.13 | $12.83 | $9.92 | $592.88 |
3973 | Continuous Home Care w/AIDS Min 10 Hours | $633.48 | $14.25 | $9.92 | $657.65 |
3974 | Continuous Home Care w/AIDS Min 11 Hours | $696.83 | $15.68 | $9.92 | $722.43 |
3975 | Continuous Home Care w/AIDS Min 12 Hours | $760.18 | $17.10 | $9.92 | $787.20 |
3976 | Continuous Home Care w/AIDS Min 13 Hours | $823.52 | $18.53 | $9.92 | $851.97 |
3977 | Continuous Home Care w/AIDS Min 14 Hours | $886.87 | $19.95 | $9.92 | $916.74 |
3978 | Continuous Home Care w/AIDS Min 15 Hours | $950.22 | $21.38 | $9.92 | $981.52 |
3979 | Continuous Home Care w/AIDS Min 16 Hours | $1,013.57 | $22.81 | $9.92 | $1,046.30 |
3980 | Continuous Home Care w/AIDS Min 17 Hours | $1,076.91 | $24.23 | $9.92 | $1,111.06 |
3981 | Continuous Home Care w/AIDS Min 18 Hours | $1,140.26 | $25.66 | $9.92 | $1,175.84 |
3982 | Continuous Home Care w/AIDS Min 19 Hours | $1,203.61 | $27.08 | $9.92 | $1,240.61 |
3983 | Continuous Home Care w/AIDS Min 20 Hours | $1,266.96 | $28.51 | $9.92 | $1,305.39 |
3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,330.31 | $29.93 | $9.92 | $1,370.16 |
3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,393.65 | $31.36 | $9.92 | $1,434.93 |
3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,457.00 | $32.78 | $9.92 | $1,499.70 |
3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,520.35 | $34.21 | $9.92 | $1,564.48 |
3988 | General Inpatient w/ AIDS | $1,146.35 | $25.79 | $9.92 | $1,182.06 |
3989 | Routine Home Care w/ AIDS Escort | $340.26 | $7.66 | $9.92 | $357.84 |
3991 | Service Intensity Add-on | $58.79 | $1.32 | $0.00 | $60.11 |
* 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: HERKIMER, ONEIDA
Rate Code |
Description | Base Rate | WRP Add-on * |
RTR Add-on * |
Total w/ addons |
---|---|---|---|---|---|
3945 | Routine Home Care | $184.37 | $4.15 | $9.92 | $198.44 |
3946 | Inpatient Respite | $453.89 | $10.21 | $9.92 | $474.02 |
3947 | General Inpatient Care | $970.52 | $21.84 | $9.92 | $1,002.28 |
3948 | Continuous Home Care - Min 8 Hours | $440.58 | $9.91 | $9.92 | $460.41 |
3949 | Continuous Home Care - Min 9 Hours | $495.65 | $11.15 | $9.92 | $516.72 |
3950 | Continuous Home Care - Min 10 Hours | $550.72 | $12.39 | $9.92 | $573.03 |
3951 | Continuous Home Care - Min 11 Hours | $605.79 | $13.63 | $9.92 | $629.34 |
3952 | Continuous Home Care - Min 12 Hours | $660.87 | $14.87 | $9.92 | $685.66 |
3953 | Continuous Home Care - Min 13 Hours | $715.94 | $16.11 | $9.92 | $741.97 |
3954 | Continuous Home Care - Min 14 Hours | $771.01 | $17.35 | $9.92 | $798.28 |
3955 | Continuous Home Care - Min 15 Hours | $826.08 | $18.59 | $9.92 | $854.59 |
3956 | Continuous Home Care - Min 16 Hours | $881.15 | $19.83 | $9.92 | $910.90 |
3957 | Continuous Home Care - Min 17 Hours | $936.23 | $21.07 | $9.92 | $967.22 |
3958 | Continuous Home Care - Min 18 Hours | $991.30 | $22.30 | $9.92 | $1,023.52 |
3959 | Continuous Home Care - Min 19 Hours | $1,046.37 | $23.54 | $9.92 | $1,079.83 |
3960 | Continuous Home Care - Min 20 Hours | $1,101.44 | $24.78 | $9.92 | $1,136.14 |
3961 | Continuous Home Care - Min 21 Hours | $1,156.51 | $26.02 | $9.92 | $1,192.45 |
3962 | Continuous Home Care - Min 22 Hours | $1,211.59 | $27.26 | $9.92 | $1,248.77 |
3963 | Continuous Home Care - Min 23 Hours | $1,266.66 | $28.50 | $9.92 | $1,305.08 |
3964 | Continuous Home Care - Min 24 Hours | $1,321.73 | $29.74 | $9.92 | $1,361.39 |
3965 | Hospice Inpatient Respite Care Coinsurance Rate - 5% of 3946 | $22.69 | $0.51 | $0.50 | $23.70 |
3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
3969 | Routine Home Care w/AIDS | $301.35 | $6.78 | $9.92 | $318.05 |
3970 | Routine Home Care w/Escort | $202.90 | $4.57 | $9.92 | $217.39 |
3971 | Continuous Home Care w/AIDS Min 8 Hours | $463.83 | $10.44 | $9.92 | $484.19 |
3972 | Continuous Home Care w/AIDS Min 9 Hours | $521.81 | $11.74 | $9.92 | $543.47 |
3973 | Continuous Home Care w/AIDS Min 10 Hours | $579.79 | $13.05 | $9.92 | $602.76 |
3974 | Continuous Home Care w/AIDS Min 11 Hours | $637.77 | $14.35 | $9.92 | $662.04 |
3975 | Continuous Home Care w/AIDS Min 12 Hours | $695.75 | $15.65 | $9.92 | $721.32 |
3976 | Continuous Home Care w/AIDS Min 13 Hours | $753.73 | $16.96 | $9.92 | $780.61 |
3977 | Continuous Home Care w/AIDS Min 14 Hours | $811.71 | $18.26 | $9.92 | $839.89 |
3978 | Continuous Home Care w/AIDS Min 15 Hours | $869.69 | $19.57 | $9.92 | $899.18 |
3979 | Continuous Home Care w/AIDS Min 16 Hours | $927.67 | $20.87 | $9.92 | $958.46 |
3980 | Continuous Home Care w/AIDS Min 17 Hours | $985.65 | $22.18 | $9.92 | $1,017.75 |
3981 | Continuous Home Care w/AIDS Min 18 Hours | $1,043.63 | $23.48 | $9.92 | $1,077.03 |
3982 | Continuous Home Care w/AIDS Min 19 Hours | $1,101.60 | $24.79 | $9.92 | $1,136.31 |
3983 | Continuous Home Care w/AIDS Min 20 Hours | $1,159.58 | $26.09 | $9.92 | $1,195.59 |
3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,217.56 | $27.40 | $9.92 | $1,254.88 |
3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,275.54 | $28.70 | $9.92 | $1,314.16 |
3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,333.52 | $30.00 | $9.92 | $1,373.44 |
3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,391.50 | $31.31 | $9.92 | $1,432.73 |
3988 | General Inpatient w/ AIDS | $1,078.64 | $24.27 | $9.92 | $1,112.83 |
3989 | Routine Home Care w/ AIDS Escort | $319.88 | $7.20 | $9.92 | $337.00 |
3991 | Service Intensity Add-on | $55.07 | $1.24 | $0.00 | $56.31 |
* 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 | $173.98 | $3.91 | $9.92 | $187.81 |
3946 | Inpatient Respite | $433.99 | $9.76 | $9.92 | $453.67 |
3947 | General Inpatient Care | $919.80 | $20.70 | $9.92 | $950.42 |
3948 | Continuous Home Care - Min 8 Hours | $415.76 | $9.35 | $9.92 | $435.03 |
3949 | Continuous Home Care - Min 9 Hours | $467.73 | $10.52 | $9.92 | $488.17 |
3950 | Continuous Home Care - Min 10 Hours | $519.70 | $11.69 | $9.92 | $541.31 |
3951 | Continuous Home Care - Min 11 Hours | $571.67 | $12.86 | $9.92 | $594.45 |
3952 | Continuous Home Care - Min 12 Hours | $623.65 | $14.03 | $9.92 | $647.60 |
3953 | Continuous Home Care - Min 13 Hours | $675.62 | $15.20 | $9.92 | $700.74 |
3954 | Continuous Home Care - Min 14 Hours | $727.59 | $16.37 | $9.92 | $753.88 |
3955 | Continuous Home Care - Min 15 Hours | $779.56 | $17.54 | $9.92 | $807.02 |
3956 | Continuous Home Care - Min 16 Hours | $831.53 | $18.71 | $9.92 | $860.16 |
3957 | Continuous Home Care - Min 17 Hours | $883.50 | $19.88 | $9.92 | $913.30 |
3958 | Continuous Home Care - Min 18 Hours | $935.47 | $21.05 | $9.92 | $966.44 |
3959 | Continuous Home Care - Min 19 Hours | $987.44 | $22.22 | $9.92 | $1,019.58 |
3960 | Continuous Home Care - Min 20 Hours | $1,039.41 | $23.39 | $9.92 | $1,072.72 |
3961 | Continuous Home Care - Min 21 Hours | $1,091.38 | $24.56 | $9.92 | $1,125.86 |
3962 | Continuous Home Care - Min 22 Hours | $1,143.35 | $25.73 | $9.92 | $1,179.00 |
3963 | Continuous Home Care - Min 23 Hours | $1,195.32 | $26.89 | $9.92 | $1,232.13 |
3964 | Continuous Home Care - Min 24 Hours | $1,247.29 | $28.06 | $9.92 | $1,285.27 |
3965 | Hospice Inpatient Respite Care Coinsurance Rate - 5% of 3946 | $21.70 | $0.49 | $0.50 | $22.69 |
3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
3969 | Routine Home Care w/AIDS | $284.37 | $6.40 | $9.92 | $300.69 |
3970 | Routine Home Care w/Escort | $192.51 | $4.33 | $9.92 | $206.76 |
3971 | Continuous Home Care w/AIDS Min 8 Hours | $428.07 | $9.63 | $9.92 | $447.62 |
3972 | Continuous Home Care w/AIDS Min 9 Hours | $481.58 | $10.84 | $9.92 | $502.34 |
3973 | Continuous Home Care w/AIDS Min 10 Hours | $535.09 | $12.04 | $9.92 | $557.05 |
3974 | Continuous Home Care w/AIDS Min 11 Hours | $588.60 | $13.24 | $9.92 | $611.76 |
3975 | Continuous Home Care w/AIDS Min 12 Hours | $642.11 | $14.45 | $9.92 | $666.48 |
3976 | Continuous Home Care w/AIDS Min 13 Hours | $695.62 | $15.65 | $9.92 | $721.19 |
3977 | Continuous Home Care w/AIDS Min 14 Hours | $749.13 | $16.86 | $9.92 | $775.91 |
3978 | Continuous Home Care w/AIDS Min 15 Hours | $802.64 | $18.06 | $9.92 | $830.62 |
3979 | Continuous Home Care w/AIDS Min 16 Hours | $856.15 | $19.26 | $9.92 | $885.33 |
3980 | Continuous Home Care w/AIDS Min 17 Hours | $909.66 | $20.47 | $9.92 | $940.05 |
3981 | Continuous Home Care w/AIDS Min 18 Hours | $963.17 | $21.67 | $9.92 | $994.76 |
3982 | Continuous Home Care w/AIDS Min 19 Hours | $1,016.67 | $22.88 | $9.92 | $1,049.47 |
3983 | Continuous Home Care w/AIDS Min 20 Hours | $1,070.18 | $24.08 | $9.92 | $1,104.18 |
3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,123.69 | $25.28 | $9.92 | $1,158.89 |
3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,177.20 | $26.49 | $9.92 | $1,213.61 |
3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,230.71 | $27.69 | $9.92 | $1,268.32 |
3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,284.22 | $28.89 | $9.92 | $1,323.03 |
3988 | General Inpatient w/ AIDS | $1,022.27 | $23.00 | $9.92 | $1,055.19 |
3989 | Routine Home Care w/ AIDS Escort | $302.90 | $6.82 | $9.92 | $319.64 |
3991 | Service Intensity Add-on | $51.97 | $1.17 | $0.00 | $53.14 |
* WRR =´Worker Recruitment and Retention addon´ if applicable
* RTR =´Recruitment, Training and Retention addon´ if applicable