Certified Hospice Program
Medicaid Rate Sheet
Effective 10/01/2012 - 09/30/2013
- Rate sheet also available in Excel Format (XLS, 98KB)
| 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 | WRP Add-on * | RTR Add-on * | Total w/ addons |
|---|---|---|---|---|---|
| 3945 | Routine Home Care | $142.21 | $4.27 | $9.92 | $156.40 |
| 3946 | Inpatient Respite | $157.27 | $4.72 | $9.92 | $171.91 |
| 3947 | General Inpatient Care | $635.23 | $19.06 | $9.92 | $664.21 |
| 3948 | Continuous Home Care - Min 8 Hours | $276.39 | $8.29 | $9.92 | $294.60 |
| 3949 | Continuous Home Care - Min 9 Hours | $310.94 | $9.33 | $9.92 | $330.19 |
| 3950 | Continuous Home Care - Min 10 Hours | $345.49 | $10.36 | $9.92 | $365.77 |
| 3951 | Continuous Home Care - Min 11 Hours | $380.04 | $11.40 | $9.92 | $401.36 |
| 3952 | Continuous Home Care - Min 12 Hours | $414.59 | $12.44 | $9.92 | $436.95 |
| 3953 | Continuous Home Care - Min 13 Hours | $449.14 | $13.47 | $9.92 | $472.53 |
| 3954 | Continuous Home Care - Min 14 Hours | $483.69 | $14.51 | $9.92 | $508.12 |
| 3955 | Continuous Home Care - Min 15 Hours | $518.24 | $15.55 | $9.92 | $543.71 |
| 3956 | Continuous Home Care - Min 16 Hours | $552.79 | $16.58 | $9.92 | $579.29 |
| 3957 | Continuous Home Care - Min 17 Hours | $587.34 | $17.62 | $9.92 | $614.88 |
| 3958 | Continuous Home Care - Min 18 Hours | $621.89 | $18.66 | $9.92 | $650.47 |
| 3959 | Continuous Home Care - Min 19 Hours | $656.43 | $19.69 | $9.92 | $686.04 |
| 3960 | Continuous Home Care - Min 20 Hours | $690.98 | $20.73 | $9.92 | $721.63 |
| 3961 | Continuous Home Care - Min 21 Hours | $725.53 | $21.77 | $9.92 | $757.22 |
| 3962 | Continuous Home Care - Min 22 Hours | $760.08 | $22.80 | $9.92 | $792.80 |
| 3963 | Continuous Home Care - Min 23 Hours | $794.63 | $23.84 | $9.92 | $828.39 |
| 3964 | Continuous Home Care - Min 24 Hours | $829.18 | $24.88 | $9.92 | $863.98 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $7.86 | $0.24 | $0.50 | $8.60 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $241.32 | $7.24 | $9.92 | $258.48 |
| 3970 | Routine Home Care w/Escort | $158.27 | $4.75 | $9.92 | $172.94 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $304.38 | $9.13 | $9.92 | $323.43 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $342.42 | $10.27 | $9.92 | $362.61 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $380.47 | $11.41 | $9.92 | $401.80 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $418.52 | $12.56 | $9.92 | $441.00 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $456.57 | $13.70 | $9.92 | $480.19 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $494.61 | $14.84 | $9.92 | $519.37 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $532.66 | $15.98 | $9.92 | $558.56 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $570.71 | $17.12 | $9.92 | $597.75 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $608.75 | $18.26 | $9.92 | $636.93 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $646.80 | $19.40 | $9.92 | $676.12 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $684.85 | $20.55 | $9.92 | $715.32 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $722.89 | $21.69 | $9.92 | $754.50 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $760.94 | $22.83 | $9.92 | $793.69 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $798.99 | $23.97 | $9.92 | $832.88 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $837.04 | $25.11 | $9.92 | $872.07 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $875.08 | $26.25 | $9.92 | $911.25 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $913.13 | $27.39 | $9.92 | $950.44 |
| 3988 | General Inpatient w/ AIDS | $705.99 | $21.18 | $9.92 | $737.09 |
| 3989 | Routine Home Care w/ AIDS Escort | $257.38 | $7.72 | $9.92 | $275.02 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|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 | $142.76 | $4.28 | $9.92 | $156.96 |
| 3946 | Inpatient Respite | $157.74 | $4.73 | $9.92 | $172.39 |
| 3947 | General Inpatient Care | $637.50 | $19.13 | $9.92 | $666.55 |
| 3948 | Continuous Home Care - Min 8 Hours | $277.46 | $8.32 | $9.92 | $295.70 |
| 3949 | Continuous Home Care - Min 9 Hours | $312.14 | $9.36 | $9.92 | $331.42 |
| 3950 | Continuous Home Care - Min 10 Hours | $346.83 | $10.40 | $9.92 | $367.15 |
| 3951 | Continuous Home Care - Min 11 Hours | $381.51 | $11.45 | $9.92 | $402.88 |
| 3952 | Continuous Home Care - Min 12 Hours | $416.19 | $12.49 | $9.92 | $438.60 |
| 3953 | Continuous Home Care - Min 13 Hours | $450.87 | $13.53 | $9.92 | $474.32 |
| 3954 | Continuous Home Care - Min 14 Hours | $485.56 | $14.57 | $9.92 | $510.05 |
| 3955 | Continuous Home Care - Min 15 Hours | $520.24 | $15.61 | $9.92 | $545.77 |
| 3956 | Continuous Home Care - Min 16 Hours | $554.92 | $16.65 | $9.92 | $581.49 |
| 3957 | Continuous Home Care - Min 17 Hours | $589.60 | $17.69 | $9.92 | $617.21 |
| 3958 | Continuous Home Care - Min 18 Hours | $624.29 | $18.73 | $9.92 | $652.94 |
| 3959 | Continuous Home Care - Min 19 Hours | $658.97 | $19.77 | $9.92 | $688.66 |
| 3960 | Continuous Home Care - Min 20 Hours | $693.65 | $20.81 | $9.92 | $724.38 |
| 3961 | Continuous Home Care - Min 21 Hours | $728.33 | $21.85 | $9.92 | $760.10 |
| 3962 | Continuous Home Care - Min 22 Hours | $763.02 | $22.89 | $9.92 | $795.83 |
| 3963 | Continuous Home Care - Min 23 Hours | $797.70 | $23.93 | $9.92 | $831.55 |
| 3964 | Continuous Home Care - Min 24 Hours | $832.38 | $24.97 | $9.92 | $867.27 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $7.89 | $0.24 | $0.50 | $8.63 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $242.25 | $7.27 | $9.92 | $259.44 |
| 3970 | Routine Home Care w/Escort | $158.82 | $4.76 | $9.92 | $173.50 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $305.55 | $9.17 | $9.92 | $324.64 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $343.75 | $10.31 | $9.92 | $363.98 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $381.94 | $11.46 | $9.92 | $403.32 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $420.14 | $12.60 | $9.92 | $442.66 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $458.33 | $13.75 | $9.92 | $482.00 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $496.52 | $14.90 | $9.92 | $521.34 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $534.72 | $16.04 | $9.92 | $560.68 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $572.91 | $17.19 | $9.92 | $600.02 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $611.11 | $18.33 | $9.92 | $639.36 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $649.30 | $19.48 | $9.92 | $678.70 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $687.50 | $20.63 | $9.92 | $718.05 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $725.69 | $21.77 | $9.92 | $757.38 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $763.88 | $22.92 | $9.92 | $796.72 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $802.08 | $24.06 | $9.92 | $836.06 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $840.27 | $25.21 | $9.92 | $875.40 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $878.47 | $26.35 | $9.92 | $914.74 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $916.66 | $27.50 | $9.92 | $954.08 |
| 3988 | General Inpatient w/ AIDS | $708.52 | $21.26 | $9.92 | $739.70 |
| 3989 | Routine Home Care w/ AIDS Escort | $258.31 | $7.75 | $9.92 | $275.98 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|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 | $153.81 | $4.61 | $9.92 | $168.34 |
| 3946 | Inpatient Respite | $167.21 | $5.02 | $9.92 | $182.15 |
| 3947 | General Inpatient Care | $683.25 | $20.50 | $9.92 | $713.67 |
| 3948 | Continuous Home Care - Min 8 Hours | $298.94 | $8.97 | $9.92 | $317.83 |
| 3949 | Continuous Home Care - Min 9 Hours | $336.31 | $10.09 | $9.92 | $356.32 |
| 3950 | Continuous Home Care - Min 10 Hours | $373.68 | $11.21 | $9.92 | $394.81 |
| 3951 | Continuous Home Care - Min 11 Hours | $411.05 | $12.33 | $9.92 | $433.30 |
| 3952 | Continuous Home Care - Min 12 Hours | $448.42 | $13.45 | $9.92 | $471.79 |
| 3953 | Continuous Home Care - Min 13 Hours | $485.78 | $14.57 | $9.92 | $510.27 |
| 3954 | Continuous Home Care - Min 14 Hours | $523.15 | $15.69 | $9.92 | $548.76 |
| 3955 | Continuous Home Care - Min 15 Hours | $560.52 | $16.82 | $9.92 | $587.26 |
| 3956 | Continuous Home Care - Min 16 Hours | $597.89 | $17.94 | $9.92 | $625.75 |
| 3957 | Continuous Home Care - Min 17 Hours | $635.25 | $19.06 | $9.92 | $664.23 |
| 3958 | Continuous Home Care - Min 18 Hours | $672.62 | $20.18 | $9.92 | $702.72 |
| 3959 | Continuous Home Care - Min 19 Hours | $709.99 | $21.30 | $9.92 | $741.21 |
| 3960 | Continuous Home Care - Min 20 Hours | $747.36 | $22.42 | $9.92 | $779.70 |
| 3961 | Continuous Home Care - Min 21 Hours | $784.73 | $23.54 | $9.92 | $818.19 |
| 3962 | Continuous Home Care - Min 22 Hours | $822.09 | $24.66 | $9.92 | $856.67 |
| 3963 | Continuous Home Care - Min 23 Hours | $859.46 | $25.78 | $9.92 | $895.16 |
| 3964 | Continuous Home Care - Min 24 Hours | $896.83 | $26.90 | $9.92 | $933.65 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $8.36 | $0.25 | $0.50 | $9.11 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $261.01 | $7.83 | $9.92 | $278.76 |
| 3970 | Routine Home Care w/Escort | $169.87 | $5.10 | $9.92 | $184.89 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $329.21 | $9.88 | $9.92 | $349.01 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $370.37 | $11.11 | $9.92 | $391.40 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $411.52 | $12.35 | $9.92 | $433.79 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $452.67 | $13.58 | $9.92 | $476.17 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $493.82 | $14.81 | $9.92 | $518.55 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $534.97 | $16.05 | $9.92 | $560.94 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $576.12 | $17.28 | $9.92 | $603.32 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $617.28 | $18.52 | $9.92 | $645.72 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $658.43 | $19.75 | $9.92 | $688.10 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $699.58 | $20.99 | $9.92 | $730.49 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $740.73 | $22.22 | $9.92 | $772.87 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $781.88 | $23.46 | $9.92 | $815.26 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $823.03 | $24.69 | $9.92 | $857.64 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $864.19 | $25.93 | $9.92 | $900.04 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $905.34 | $27.16 | $9.92 | $942.42 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $946.49 | $28.39 | $9.92 | $984.80 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $987.64 | $29.63 | $9.92 | $1,027.19 |
| 3988 | General Inpatient w/ AIDS | $759.36 | $22.78 | $9.92 | $792.06 |
| 3989 | Routine Home Care w/ AIDS Escort | $277.07 | $8.31 | $9.92 | $295.30 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|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 | $140.50 | $4.22 | $9.92 | $154.64 |
| 3946 | Inpatient Respite | $155.80 | $4.67 | $9.92 | $170.39 |
| 3947 | General Inpatient Care | $628.15 | $18.84 | $9.92 | $656.91 |
| 3948 | Continuous Home Care - Min 8 Hours | $273.07 | $8.19 | $9.92 | $291.18 |
| 3949 | Continuous Home Care - Min 9 Hours | $307.20 | $9.22 | $9.92 | $326.34 |
| 3950 | Continuous Home Care - Min 10 Hours | $341.34 | $10.24 | $9.92 | $361.50 |
| 3951 | Continuous Home Care - Min 11 Hours | $375.47 | $11.26 | $9.92 | $396.65 |
| 3952 | Continuous Home Care - Min 12 Hours | $409.61 | $12.29 | $9.92 | $431.82 |
| 3953 | Continuous Home Care - Min 13 Hours | $443.74 | $13.31 | $9.92 | $466.97 |
| 3954 | Continuous Home Care - Min 14 Hours | $477.87 | $14.34 | $9.92 | $502.13 |
| 3955 | Continuous Home Care - Min 15 Hours | $512.01 | $15.36 | $9.92 | $537.29 |
| 3956 | Continuous Home Care - Min 16 Hours | $546.14 | $16.38 | $9.92 | $572.44 |
| 3957 | Continuous Home Care - Min 17 Hours | $580.27 | $17.41 | $9.92 | $607.60 |
| 3958 | Continuous Home Care - Min 18 Hours | $614.41 | $18.43 | $9.92 | $642.76 |
| 3959 | Continuous Home Care - Min 19 Hours | $648.54 | $19.46 | $9.92 | $677.92 |
| 3960 | Continuous Home Care - Min 20 Hours | $682.68 | $20.48 | $9.92 | $713.08 |
| 3961 | Continuous Home Care - Min 21 Hours | $716.81 | $21.50 | $9.92 | $748.23 |
| 3962 | Continuous Home Care - Min 22 Hours | $750.94 | $22.53 | $9.92 | $783.39 |
| 3963 | Continuous Home Care - Min 23 Hours | $785.08 | $23.55 | $9.92 | $818.55 |
| 3964 | Continuous Home Care - Min 24 Hours | $819.21 | $24.58 | $9.92 | $853.71 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $7.79 | $0.23 | $0.50 | $8.52 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $238.42 | $7.15 | $9.92 | $255.49 |
| 3970 | Routine Home Care w/Escort | $156.56 | $4.70 | $9.92 | $171.18 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $300.72 | $9.02 | $9.92 | $319.66 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $338.31 | $10.15 | $9.92 | $358.38 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $375.90 | $11.28 | $9.92 | $397.10 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $413.49 | $12.40 | $9.92 | $435.81 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $451.08 | $13.53 | $9.92 | $474.53 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $488.66 | $14.66 | $9.92 | $513.24 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $526.25 | $15.79 | $9.92 | $551.96 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $563.84 | $16.92 | $9.92 | $590.68 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $601.43 | $18.04 | $9.92 | $629.39 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $639.02 | $19.17 | $9.92 | $668.11 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $676.61 | $20.30 | $9.92 | $706.83 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $714.20 | $21.43 | $9.92 | $745.55 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $751.79 | $22.55 | $9.92 | $784.26 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $789.38 | $23.68 | $9.92 | $822.98 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $826.97 | $24.81 | $9.92 | $861.70 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $864.56 | $25.94 | $9.92 | $900.42 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $902.15 | $27.06 | $9.92 | $939.13 |
| 3988 | General Inpatient w/ AIDS | $698.13 | $20.94 | $9.92 | $728.99 |
| 3989 | Routine Home Care w/ AIDS Escort | $254.48 | $7.63 | $9.92 | $272.03 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|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 | $140.49 | $4.21 | $9.92 | $154.62 |
| 3946 | Inpatient Respite | $155.79 | $4.67 | $9.92 | $170.38 |
| 3947 | General Inpatient Care | $628.10 | $18.84 | $9.92 | $656.86 |
| 3948 | Continuous Home Care - Min 8 Hours | $273.05 | $8.19 | $9.92 | $291.16 |
| 3949 | Continuous Home Care - Min 9 Hours | $307.18 | $9.22 | $9.92 | $326.32 |
| 3950 | Continuous Home Care - Min 10 Hours | $341.31 | $10.24 | $9.92 | $361.47 |
| 3951 | Continuous Home Care - Min 11 Hours | $375.44 | $11.26 | $9.92 | $396.62 |
| 3952 | Continuous Home Care - Min 12 Hours | $409.58 | $12.29 | $9.92 | $431.79 |
| 3953 | Continuous Home Care - Min 13 Hours | $443.71 | $13.31 | $9.92 | $466.94 |
| 3954 | Continuous Home Care - Min 14 Hours | $477.84 | $14.34 | $9.92 | $502.10 |
| 3955 | Continuous Home Care - Min 15 Hours | $511.97 | $15.36 | $9.92 | $537.25 |
| 3956 | Continuous Home Care - Min 16 Hours | $546.10 | $16.38 | $9.92 | $572.40 |
| 3957 | Continuous Home Care - Min 17 Hours | $580.23 | $17.41 | $9.92 | $607.56 |
| 3958 | Continuous Home Care - Min 18 Hours | $614.36 | $18.43 | $9.92 | $642.71 |
| 3959 | Continuous Home Care - Min 19 Hours | $648.49 | $19.45 | $9.92 | $677.86 |
| 3960 | Continuous Home Care - Min 20 Hours | $682.63 | $20.48 | $9.92 | $713.03 |
| 3961 | Continuous Home Care - Min 21 Hours | $716.76 | $21.50 | $9.92 | $748.18 |
| 3962 | Continuous Home Care - Min 22 Hours | $750.89 | $22.53 | $9.92 | $783.34 |
| 3963 | Continuous Home Care - Min 23 Hours | $785.02 | $23.55 | $9.92 | $818.49 |
| 3964 | Continuous Home Care - Min 24 Hours | $819.15 | $24.57 | $9.92 | $853.64 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $7.79 | $0.23 | $0.50 | $8.52 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $238.40 | $7.15 | $9.92 | $255.47 |
| 3970 | Routine Home Care w/Escort | $156.55 | $4.70 | $9.92 | $171.17 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $300.69 | $9.02 | $9.92 | $319.63 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $338.28 | $10.15 | $9.92 | $358.35 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $375.87 | $11.28 | $9.92 | $397.07 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $413.45 | $12.40 | $9.92 | $435.77 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $451.04 | $13.53 | $9.92 | $474.49 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $488.63 | $14.66 | $9.92 | $513.21 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $526.21 | $15.79 | $9.92 | $551.92 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $563.80 | $16.91 | $9.92 | $590.63 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $601.39 | $18.04 | $9.92 | $629.35 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $638.97 | $19.17 | $9.92 | $668.06 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $676.56 | $20.30 | $9.92 | $706.78 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $714.15 | $21.42 | $9.92 | $745.49 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $751.73 | $22.55 | $9.92 | $784.20 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $789.32 | $23.68 | $9.92 | $822.92 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $826.91 | $24.81 | $9.92 | $861.64 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $864.49 | $25.93 | $9.92 | $900.34 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $902.08 | $27.06 | $9.92 | $939.06 |
| 3988 | General Inpatient w/ AIDS | $698.07 | $20.94 | $9.92 | $728.93 |
| 3989 | Routine Home Care w/ AIDS Escort | $254.46 | $7.63 | $9.92 | $272.01 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|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 | $182.72 | $5.48 | $9.92 | $198.12 |
| 3946 | Inpatient Respite | $191.97 | $5.76 | $9.92 | $207.65 |
| 3947 | General Inpatient Care | $802.92 | $24.09 | $9.92 | $836.93 |
| 3948 | Continuous Home Care - Min 8 Hours | $355.15 | $10.65 | $9.92 | $375.72 |
| 3949 | Continuous Home Care - Min 9 Hours | $399.54 | $11.99 | $9.92 | $421.45 |
| 3950 | Continuous Home Care - Min 10 Hours | $443.93 | $13.32 | $9.92 | $467.17 |
| 3951 | Continuous Home Care - Min 11 Hours | $488.33 | $14.65 | $9.92 | $512.90 |
| 3952 | Continuous Home Care - Min 12 Hours | $532.72 | $15.98 | $9.92 | $558.62 |
| 3953 | Continuous Home Care - Min 13 Hours | $577.11 | $17.31 | $9.92 | $604.34 |
| 3954 | Continuous Home Care - Min 14 Hours | $621.51 | $18.65 | $9.92 | $650.08 |
| 3955 | Continuous Home Care - Min 15 Hours | $665.90 | $19.98 | $9.92 | $695.80 |
| 3956 | Continuous Home Care - Min 16 Hours | $710.29 | $21.31 | $9.92 | $741.52 |
| 3957 | Continuous Home Care - Min 17 Hours | $754.69 | $22.64 | $9.92 | $787.25 |
| 3958 | Continuous Home Care - Min 18 Hours | $799.08 | $23.97 | $9.92 | $832.97 |
| 3959 | Continuous Home Care - Min 19 Hours | $843.47 | $25.30 | $9.92 | $878.69 |
| 3960 | Continuous Home Care - Min 20 Hours | $887.87 | $26.64 | $9.92 | $924.43 |
| 3961 | Continuous Home Care - Min 21 Hours | $932.26 | $27.97 | $9.92 | $970.15 |
| 3962 | Continuous Home Care - Min 22 Hours | $976.65 | $29.30 | $9.92 | $1,015.87 |
| 3963 | Continuous Home Care - Min 23 Hours | $1,021.05 | $30.63 | $9.92 | $1,061.60 |
| 3964 | Continuous Home Care - Min 24 Hours | $1,065.44 | $31.96 | $9.92 | $1,107.32 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $9.60 | $0.29 | $0.50 | $10.39 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $310.08 | $9.30 | $9.92 | $329.30 |
| 3970 | Routine Home Care w/Escort | $198.78 | $5.96 | $9.92 | $214.66 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $391.11 | $11.73 | $9.92 | $412.76 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $440.00 | $13.20 | $9.92 | $463.12 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $488.88 | $14.67 | $9.92 | $513.47 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $537.77 | $16.13 | $9.92 | $563.82 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $586.66 | $17.60 | $9.92 | $614.18 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $635.55 | $19.07 | $9.92 | $664.54 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $684.44 | $20.53 | $9.92 | $714.89 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $733.33 | $22.00 | $9.92 | $765.25 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $782.21 | $23.47 | $9.92 | $815.60 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $831.10 | $24.93 | $9.92 | $865.95 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $879.99 | $26.40 | $9.92 | $916.31 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $928.88 | $27.87 | $9.92 | $966.67 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $977.77 | $29.33 | $9.92 | $1,017.02 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,026.66 | $30.80 | $9.92 | $1,067.38 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,075.54 | $32.27 | $9.92 | $1,117.73 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,124.43 | $33.73 | $9.92 | $1,168.08 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,173.32 | $35.20 | $9.92 | $1,218.44 |
| 3988 | General Inpatient w/ AIDS | $892.37 | $26.77 | $9.92 | $929.06 |
| 3989 | Routine Home Care w/ AIDS Escort | $326.14 | $9.78 | $9.92 | $345.84 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|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 | $189.62 | $5.69 | $9.92 | $205.23 |
| 3946 | Inpatient Respite | $197.88 | $5.94 | $9.92 | $213.74 |
| 3947 | General Inpatient Care | $831.45 | $24.94 | $9.92 | $866.31 |
| 3948 | Continuous Home Care - Min 8 Hours | $368.55 | $11.06 | $9.92 | $389.53 |
| 3949 | Continuous Home Care - Min 9 Hours | $414.62 | $12.44 | $9.92 | $436.98 |
| 3950 | Continuous Home Care - Min 10 Hours | $460.68 | $13.82 | $9.92 | $484.42 |
| 3951 | Continuous Home Care - Min 11 Hours | $506.75 | $15.20 | $9.92 | $531.87 |
| 3952 | Continuous Home Care - Min 12 Hours | $552.82 | $16.58 | $9.92 | $579.32 |
| 3953 | Continuous Home Care - Min 13 Hours | $598.89 | $17.97 | $9.92 | $626.78 |
| 3954 | Continuous Home Care - Min 14 Hours | $644.96 | $19.35 | $9.92 | $674.23 |
| 3955 | Continuous Home Care - Min 15 Hours | $691.03 | $20.73 | $9.92 | $721.68 |
| 3956 | Continuous Home Care - Min 16 Hours | $737.09 | $22.11 | $9.92 | $769.12 |
| 3957 | Continuous Home Care - Min 17 Hours | $783.16 | $23.49 | $9.92 | $816.57 |
| 3958 | Continuous Home Care - Min 18 Hours | $829.23 | $24.88 | $9.92 | $864.03 |
| 3959 | Continuous Home Care - Min 19 Hours | $875.30 | $26.26 | $9.92 | $911.48 |
| 3960 | Continuous Home Care - Min 20 Hours | $921.37 | $27.64 | $9.92 | $958.93 |
| 3961 | Continuous Home Care - Min 21 Hours | $967.44 | $29.02 | $9.92 | $1,006.38 |
| 3962 | Continuous Home Care - Min 22 Hours | $1,013.50 | $30.41 | $9.92 | $1,053.83 |
| 3963 | Continuous Home Care - Min 23 Hours | $1,059.57 | $31.79 | $9.92 | $1,101.28 |
| 3964 | Continuous Home Care - Min 24 Hours | $1,105.64 | $33.17 | $9.92 | $1,148.73 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $9.89 | $0.30 | $0.50 | $10.69 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $321.78 | $9.65 | $9.92 | $341.35 |
| 3970 | Routine Home Care w/Escort | $205.68 | $6.17 | $9.92 | $221.77 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $405.86 | $12.18 | $9.92 | $427.96 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $456.59 | $13.70 | $9.92 | $480.21 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $507.33 | $15.22 | $9.92 | $532.47 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $558.06 | $16.74 | $9.92 | $584.72 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $608.79 | $18.26 | $9.92 | $636.97 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $659.52 | $19.79 | $9.92 | $689.23 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $710.26 | $21.31 | $9.92 | $741.49 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $760.99 | $22.83 | $9.92 | $793.74 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $811.72 | $24.35 | $9.92 | $845.99 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $862.45 | $25.87 | $9.92 | $898.24 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $913.19 | $27.40 | $9.92 | $950.51 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $963.92 | $28.92 | $9.92 | $1,002.76 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $1,014.65 | $30.44 | $9.92 | $1,055.01 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,065.38 | $31.96 | $9.92 | $1,107.26 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,116.12 | $33.48 | $9.92 | $1,159.52 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,166.85 | $35.01 | $9.92 | $1,211.78 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,217.58 | $36.53 | $9.92 | $1,264.03 |
| 3988 | General Inpatient w/ AIDS | $924.07 | $27.72 | $9.92 | $961.71 |
| 3989 | Routine Home Care w/ AIDS Escort | $337.84 | $10.14 | $9.92 | $357.90 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|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 | $153.81 | $4.61 | $9.92 | $168.34 |
| 3946 | Inpatient Respite | $167.21 | $5.02 | $9.92 | $182.15 |
| 3947 | General Inpatient Care | $683.25 | $20.50 | $9.92 | $713.67 |
| 3948 | Continuous Home Care - Min 8 Hours | $298.94 | $8.97 | $9.92 | $317.83 |
| 3949 | Continuous Home Care - Min 9 Hours | $336.31 | $10.09 | $9.92 | $356.32 |
| 3950 | Continuous Home Care - Min 10 Hours | $373.68 | $11.21 | $9.92 | $394.81 |
| 3951 | Continuous Home Care - Min 11 Hours | $411.05 | $12.33 | $9.92 | $433.30 |
| 3952 | Continuous Home Care - Min 12 Hours | $448.42 | $13.45 | $9.92 | $471.79 |
| 3953 | Continuous Home Care - Min 13 Hours | $485.78 | $14.57 | $9.92 | $510.27 |
| 3954 | Continuous Home Care - Min 14 Hours | $523.15 | $15.69 | $9.92 | $548.76 |
| 3955 | Continuous Home Care - Min 15 Hours | $560.52 | $16.82 | $9.92 | $587.26 |
| 3956 | Continuous Home Care - Min 16 Hours | $597.89 | $17.94 | $9.92 | $625.75 |
| 3957 | Continuous Home Care - Min 17 Hours | $635.25 | $19.06 | $9.92 | $664.23 |
| 3958 | Continuous Home Care - Min 18 Hours | $672.62 | $20.18 | $9.92 | $702.72 |
| 3959 | Continuous Home Care - Min 19 Hours | $709.99 | $21.30 | $9.92 | $741.21 |
| 3960 | Continuous Home Care - Min 20 Hours | $747.36 | $22.42 | $9.92 | $779.70 |
| 3961 | Continuous Home Care - Min 21 Hours | $784.73 | $23.54 | $9.92 | $818.19 |
| 3962 | Continuous Home Care - Min 22 Hours | $822.09 | $24.66 | $9.92 | $856.67 |
| 3963 | Continuous Home Care - Min 23 Hours | $859.46 | $25.78 | $9.92 | $895.16 |
| 3964 | Continuous Home Care - Min 24 Hours | $896.83 | $26.90 | $9.92 | $933.65 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $8.36 | $0.25 | $0.50 | $9.11 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $261.01 | $7.83 | $9.92 | $278.76 |
| 3970 | Routine Home Care w/Escort | $169.87 | $5.10 | $9.92 | $184.89 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $329.21 | $9.88 | $9.92 | $349.01 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $370.37 | $11.11 | $9.92 | $391.40 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $411.52 | $12.35 | $9.92 | $433.79 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $452.67 | $13.58 | $9.92 | $476.17 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $493.82 | $14.81 | $9.92 | $518.55 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $534.97 | $16.05 | $9.92 | $560.94 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $576.12 | $17.28 | $9.92 | $603.32 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $617.28 | $18.52 | $9.92 | $645.72 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $658.43 | $19.75 | $9.92 | $688.10 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $699.58 | $20.99 | $9.92 | $730.49 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $740.73 | $22.22 | $9.92 | $772.87 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $781.88 | $23.46 | $9.92 | $815.26 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $823.03 | $24.69 | $9.92 | $857.64 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $864.19 | $25.93 | $9.92 | $900.04 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $905.34 | $27.16 | $9.92 | $942.42 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $946.49 | $28.39 | $9.92 | $984.80 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $987.64 | $29.63 | $9.92 | $1,027.19 |
| 3988 | General Inpatient w/ AIDS | $759.36 | $22.78 | $9.92 | $792.06 |
| 3989 | Routine Home Care w/ AIDS Escort | $277.07 | $8.31 | $9.92 | $295.30 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|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 | $171.04 | $5.13 | $9.92 | $186.09 |
| 3946 | Inpatient Respite | $181.96 | $5.46 | $9.92 | $197.34 |
| 3947 | General Inpatient Care | $754.55 | $22.64 | $9.92 | $787.11 |
| 3948 | Continuous Home Care - Min 8 Hours | $332.43 | $9.97 | $9.92 | $352.32 |
| 3949 | Continuous Home Care - Min 9 Hours | $373.99 | $11.22 | $9.92 | $395.13 |
| 3950 | Continuous Home Care - Min 10 Hours | $415.54 | $12.47 | $9.92 | $437.93 |
| 3951 | Continuous Home Care - Min 11 Hours | $457.10 | $13.71 | $9.92 | $480.73 |
| 3952 | Continuous Home Care - Min 12 Hours | $498.65 | $14.96 | $9.92 | $523.53 |
| 3953 | Continuous Home Care - Min 13 Hours | $540.20 | $16.21 | $9.92 | $566.33 |
| 3954 | Continuous Home Care - Min 14 Hours | $581.76 | $17.45 | $9.92 | $609.13 |
| 3955 | Continuous Home Care - Min 15 Hours | $623.31 | $18.70 | $9.92 | $651.93 |
| 3956 | Continuous Home Care - Min 16 Hours | $664.87 | $19.95 | $9.92 | $694.74 |
| 3957 | Continuous Home Care - Min 17 Hours | $706.42 | $21.19 | $9.92 | $737.53 |
| 3958 | Continuous Home Care - Min 18 Hours | $747.98 | $22.44 | $9.92 | $780.34 |
| 3959 | Continuous Home Care - Min 19 Hours | $789.53 | $23.69 | $9.92 | $823.14 |
| 3960 | Continuous Home Care - Min 20 Hours | $831.08 | $24.93 | $9.92 | $865.93 |
| 3961 | Continuous Home Care - Min 21 Hours | $872.64 | $26.18 | $9.92 | $908.74 |
| 3962 | Continuous Home Care - Min 22 Hours | $914.19 | $27.43 | $9.92 | $951.54 |
| 3963 | Continuous Home Care - Min 23 Hours | $955.75 | $28.67 | $9.92 | $994.34 |
| 3964 | Continuous Home Care - Min 24 Hours | $997.30 | $29.92 | $9.92 | $1,037.14 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $9.10 | $0.27 | $0.50 | $9.87 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $290.25 | $8.71 | $9.92 | $308.88 |
| 3970 | Routine Home Care w/Escort | $187.10 | $5.61 | $9.92 | $202.63 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $366.09 | $10.98 | $9.92 | $386.99 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $411.85 | $12.36 | $9.92 | $434.13 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $457.61 | $13.73 | $9.92 | $481.26 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $503.37 | $15.10 | $9.92 | $528.39 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $549.14 | $16.47 | $9.92 | $575.53 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $594.90 | $17.85 | $9.92 | $622.67 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $640.66 | $19.22 | $9.92 | $669.80 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $686.42 | $20.59 | $9.92 | $716.93 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $732.18 | $21.97 | $9.92 | $764.07 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $777.94 | $23.34 | $9.92 | $811.20 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $823.70 | $24.71 | $9.92 | $858.33 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $869.46 | $26.08 | $9.92 | $905.46 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $915.23 | $27.46 | $9.92 | $952.61 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $960.99 | $28.83 | $9.92 | $999.74 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,006.75 | $30.20 | $9.92 | $1,046.87 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,052.51 | $31.58 | $9.92 | $1,094.01 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,098.27 | $32.95 | $9.92 | $1,141.14 |
| 3988 | General Inpatient w/ AIDS | $838.61 | $25.16 | $9.92 | $873.69 |
| 3989 | Routine Home Care w/ AIDS Escort | $306.31 | $9.19 | $9.92 | $325.42 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|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 | $171.04 | $5.13 | $9.92 | $186.09 |
| 3946 | Inpatient Respite | $181.96 | $5.46 | $9.92 | $197.34 |
| 3947 | General Inpatient Care | $754.55 | $22.64 | $9.92 | $787.11 |
| 3948 | Continuous Home Care - Min 8 Hours | $332.43 | $9.97 | $9.92 | $352.32 |
| 3949 | Continuous Home Care - Min 9 Hours | $373.99 | $11.22 | $9.92 | $395.13 |
| 3950 | Continuous Home Care - Min 10 Hours | $415.54 | $12.47 | $9.92 | $437.93 |
| 3951 | Continuous Home Care - Min 11 Hours | $457.10 | $13.71 | $9.92 | $480.73 |
| 3952 | Continuous Home Care - Min 12 Hours | $498.65 | $14.96 | $9.92 | $523.53 |
| 3953 | Continuous Home Care - Min 13 Hours | $540.20 | $16.21 | $9.92 | $566.33 |
| 3954 | Continuous Home Care - Min 14 Hours | $581.76 | $17.45 | $9.92 | $609.13 |
| 3955 | Continuous Home Care - Min 15 Hours | $623.31 | $18.70 | $9.92 | $651.93 |
| 3956 | Continuous Home Care - Min 16 Hours | $664.87 | $19.95 | $9.92 | $694.74 |
| 3957 | Continuous Home Care - Min 17 Hours | $706.42 | $21.19 | $9.92 | $737.53 |
| 3958 | Continuous Home Care - Min 18 Hours | $747.98 | $22.44 | $9.92 | $780.34 |
| 3959 | Continuous Home Care - Min 19 Hours | $789.53 | $23.69 | $9.92 | $823.14 |
| 3960 | Continuous Home Care - Min 20 Hours | $831.08 | $24.93 | $9.92 | $865.93 |
| 3961 | Continuous Home Care - Min 21 Hours | $872.64 | $26.18 | $9.92 | $908.74 |
| 3962 | Continuous Home Care - Min 22 Hours | $914.19 | $27.43 | $9.92 | $951.54 |
| 3963 | Continuous Home Care - Min 23 Hours | $955.75 | $28.67 | $9.92 | $994.34 |
| 3964 | Continuous Home Care - Min 24 Hours | $997.30 | $29.92 | $9.92 | $1,037.14 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $9.10 | $0.27 | $0.50 | $9.87 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $290.25 | $8.71 | $9.92 | $308.88 |
| 3970 | Routine Home Care w/Escort | $187.10 | $5.61 | $9.92 | $202.63 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $366.09 | $10.98 | $9.92 | $386.99 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $411.85 | $12.36 | $9.92 | $434.13 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $457.61 | $13.73 | $9.92 | $481.26 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $503.37 | $15.10 | $9.92 | $528.39 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $549.14 | $16.47 | $9.92 | $575.53 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $594.90 | $17.85 | $9.92 | $622.67 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $640.66 | $19.22 | $9.92 | $669.80 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $686.42 | $20.59 | $9.92 | $716.93 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $732.18 | $21.97 | $9.92 | $764.07 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $777.94 | $23.34 | $9.92 | $811.20 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $823.70 | $24.71 | $9.92 | $858.33 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $869.46 | $26.08 | $9.92 | $905.46 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $915.23 | $27.46 | $9.92 | $952.61 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $960.99 | $28.83 | $9.92 | $999.74 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,006.75 | $30.20 | $9.92 | $1,046.87 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,052.51 | $31.58 | $9.92 | $1,094.01 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,098.27 | $32.95 | $9.92 | $1,141.14 |
| 3988 | General Inpatient w/ AIDS | $838.61 | $25.16 | $9.92 | $873.69 |
| 3989 | Routine Home Care w/ AIDS Escort | $306.31 | $9.19 | $9.92 | $325.42 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|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 | $141.36 | $4.24 | $9.92 | $155.52 |
| 3946 | Inpatient Respite | $156.54 | $4.70 | $9.92 | $171.16 |
| 3947 | General Inpatient Care | $631.73 | $18.95 | $9.92 | $660.60 |
| 3948 | Continuous Home Care - Min 8 Hours | $274.75 | $8.24 | $9.92 | $292.91 |
| 3949 | Continuous Home Care - Min 9 Hours | $309.10 | $9.27 | $9.92 | $328.29 |
| 3950 | Continuous Home Care - Min 10 Hours | $343.44 | $10.30 | $9.92 | $363.66 |
| 3951 | Continuous Home Care - Min 11 Hours | $377.79 | $11.33 | $9.92 | $399.04 |
| 3952 | Continuous Home Care - Min 12 Hours | $412.13 | $12.36 | $9.92 | $434.41 |
| 3953 | Continuous Home Care - Min 13 Hours | $446.47 | $13.39 | $9.92 | $469.78 |
| 3954 | Continuous Home Care - Min 14 Hours | $480.82 | $14.42 | $9.92 | $505.16 |
| 3955 | Continuous Home Care - Min 15 Hours | $515.16 | $15.45 | $9.92 | $540.53 |
| 3956 | Continuous Home Care - Min 16 Hours | $549.51 | $16.49 | $9.92 | $575.92 |
| 3957 | Continuous Home Care - Min 17 Hours | $583.85 | $17.52 | $9.92 | $611.29 |
| 3958 | Continuous Home Care - Min 18 Hours | $618.20 | $18.55 | $9.92 | $646.67 |
| 3959 | Continuous Home Care - Min 19 Hours | $652.54 | $19.58 | $9.92 | $682.04 |
| 3960 | Continuous Home Care - Min 20 Hours | $686.88 | $20.61 | $9.92 | $717.41 |
| 3961 | Continuous Home Care - Min 21 Hours | $721.23 | $21.64 | $9.92 | $752.79 |
| 3962 | Continuous Home Care - Min 22 Hours | $755.57 | $22.67 | $9.92 | $788.16 |
| 3963 | Continuous Home Care - Min 23 Hours | $789.92 | $23.70 | $9.92 | $823.54 |
| 3964 | Continuous Home Care - Min 24 Hours | $824.26 | $24.73 | $9.92 | $858.91 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $7.83 | $0.23 | $0.50 | $8.56 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $239.89 | $7.20 | $9.92 | $257.01 |
| 3970 | Routine Home Care w/Escort | $157.42 | $4.72 | $9.92 | $172.06 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $302.57 | $9.08 | $9.92 | $321.57 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $340.39 | $10.21 | $9.92 | $360.52 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $378.21 | $11.35 | $9.92 | $399.48 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $416.03 | $12.48 | $9.92 | $438.43 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $453.86 | $13.62 | $9.92 | $477.40 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $491.68 | $14.75 | $9.92 | $516.35 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $529.50 | $15.89 | $9.92 | $555.31 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $567.32 | $17.02 | $9.92 | $594.26 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $605.14 | $18.15 | $9.92 | $633.21 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $642.96 | $19.29 | $9.92 | $672.17 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $680.78 | $20.42 | $9.92 | $711.12 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $718.60 | $21.56 | $9.92 | $750.08 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $756.43 | $22.69 | $9.92 | $789.04 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $794.25 | $23.83 | $9.92 | $828.00 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $832.07 | $24.96 | $9.92 | $866.95 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $869.89 | $26.10 | $9.92 | $905.91 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $907.71 | $27.23 | $9.92 | $944.86 |
| 3988 | General Inpatient w/ AIDS | $702.10 | $21.06 | $9.92 | $733.08 |
| 3989 | Routine Home Care w/ AIDS Escort | $255.95 | $7.68 | $9.92 | $273.55 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|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 | $154.09 | $4.62 | $9.92 | $168.63 |
| 3946 | Inpatient Respite | $167.45 | $5.02 | $9.92 | $182.39 |
| 3947 | General Inpatient Care | $684.43 | $20.53 | $9.92 | $714.88 |
| 3948 | Continuous Home Care - Min 8 Hours | $299.50 | $8.99 | $9.92 | $318.41 |
| 3949 | Continuous Home Care - Min 9 Hours | $336.94 | $10.11 | $9.92 | $356.97 |
| 3950 | Continuous Home Care - Min 10 Hours | $374.38 | $11.23 | $9.92 | $395.53 |
| 3951 | Continuous Home Care - Min 11 Hours | $411.81 | $12.35 | $9.92 | $434.08 |
| 3952 | Continuous Home Care - Min 12 Hours | $449.25 | $13.48 | $9.92 | $472.65 |
| 3953 | Continuous Home Care - Min 13 Hours | $486.69 | $14.60 | $9.92 | $511.21 |
| 3954 | Continuous Home Care - Min 14 Hours | $524.13 | $15.72 | $9.92 | $549.77 |
| 3955 | Continuous Home Care - Min 15 Hours | $561.56 | $16.85 | $9.92 | $588.33 |
| 3956 | Continuous Home Care - Min 16 Hours | $599.00 | $17.97 | $9.92 | $626.89 |
| 3957 | Continuous Home Care - Min 17 Hours | $636.44 | $19.09 | $9.92 | $665.45 |
| 3958 | Continuous Home Care - Min 18 Hours | $673.88 | $20.22 | $9.92 | $704.02 |
| 3959 | Continuous Home Care - Min 19 Hours | $711.31 | $21.34 | $9.92 | $742.57 |
| 3960 | Continuous Home Care - Min 20 Hours | $748.75 | $22.46 | $9.92 | $781.13 |
| 3961 | Continuous Home Care - Min 21 Hours | $786.19 | $23.59 | $9.92 | $819.70 |
| 3962 | Continuous Home Care - Min 22 Hours | $823.63 | $24.71 | $9.92 | $858.26 |
| 3963 | Continuous Home Care - Min 23 Hours | $861.06 | $25.83 | $9.92 | $896.81 |
| 3964 | Continuous Home Care - Min 24 Hours | $898.50 | $26.96 | $9.92 | $935.38 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $8.37 | $0.25 | $0.50 | $9.12 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $261.49 | $7.84 | $9.92 | $279.25 |
| 3970 | Routine Home Care w/Escort | $170.15 | $5.10 | $9.92 | $185.17 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $329.82 | $9.89 | $9.92 | $349.63 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $371.05 | $11.13 | $9.92 | $392.10 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $412.28 | $12.37 | $9.92 | $434.57 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $453.51 | $13.61 | $9.92 | $477.04 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $494.74 | $14.84 | $9.92 | $519.50 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $535.96 | $16.08 | $9.92 | $561.96 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $577.19 | $17.32 | $9.92 | $604.43 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $618.42 | $18.55 | $9.92 | $646.89 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $659.65 | $19.79 | $9.92 | $689.36 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $700.87 | $21.03 | $9.92 | $731.82 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $742.10 | $22.26 | $9.92 | $774.28 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $783.33 | $23.50 | $9.92 | $816.75 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $824.56 | $24.74 | $9.92 | $859.22 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $865.79 | $25.97 | $9.92 | $901.68 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $907.01 | $27.21 | $9.92 | $944.14 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $948.24 | $28.45 | $9.92 | $986.61 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $989.47 | $29.68 | $9.92 | $1,029.07 |
| 3988 | General Inpatient w/ AIDS | $760.68 | $22.82 | $9.92 | $793.42 |
| 3989 | Routine Home Care w/ AIDS Escort | $277.55 | $8.33 | $9.92 | $295.80 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|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 | $139.62 | $4.19 | $9.92 | $153.73 |
| 3946 | Inpatient Respite | $155.05 | $4.65 | $9.92 | $169.62 |
| 3947 | General Inpatient Care | $624.52 | $18.74 | $9.92 | $653.18 |
| 3948 | Continuous Home Care - Min 8 Hours | $271.37 | $8.14 | $9.92 | $289.43 |
| 3949 | Continuous Home Care - Min 9 Hours | $305.29 | $9.16 | $9.92 | $324.37 |
| 3950 | Continuous Home Care - Min 10 Hours | $339.21 | $10.18 | $9.92 | $359.31 |
| 3951 | Continuous Home Care - Min 11 Hours | $373.13 | $11.19 | $9.92 | $394.24 |
| 3952 | Continuous Home Care - Min 12 Hours | $407.05 | $12.21 | $9.92 | $429.18 |
| 3953 | Continuous Home Care - Min 13 Hours | $440.97 | $13.23 | $9.92 | $464.12 |
| 3954 | Continuous Home Care - Min 14 Hours | $474.89 | $14.25 | $9.92 | $499.06 |
| 3955 | Continuous Home Care - Min 15 Hours | $508.81 | $15.26 | $9.92 | $533.99 |
| 3956 | Continuous Home Care - Min 16 Hours | $542.73 | $16.28 | $9.92 | $568.93 |
| 3957 | Continuous Home Care - Min 17 Hours | $576.65 | $17.30 | $9.92 | $603.87 |
| 3958 | Continuous Home Care - Min 18 Hours | $610.58 | $18.32 | $9.92 | $638.82 |
| 3959 | Continuous Home Care - Min 19 Hours | $644.50 | $19.34 | $9.92 | $673.76 |
| 3960 | Continuous Home Care - Min 20 Hours | $678.42 | $20.35 | $9.92 | $708.69 |
| 3961 | Continuous Home Care - Min 21 Hours | $712.34 | $21.37 | $9.92 | $743.63 |
| 3962 | Continuous Home Care - Min 22 Hours | $746.26 | $22.39 | $9.92 | $778.57 |
| 3963 | Continuous Home Care - Min 23 Hours | $780.18 | $23.41 | $9.92 | $813.51 |
| 3964 | Continuous Home Care - Min 24 Hours | $814.10 | $24.42 | $9.92 | $848.44 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $7.75 | $0.23 | $0.50 | $8.48 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $236.93 | $7.11 | $9.92 | $253.96 |
| 3970 | Routine Home Care w/Escort | $155.68 | $4.67 | $9.92 | $170.27 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $298.84 | $8.97 | $9.92 | $317.73 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $336.20 | $10.09 | $9.92 | $356.21 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $373.55 | $11.21 | $9.92 | $394.68 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $410.91 | $12.33 | $9.92 | $433.16 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $448.27 | $13.45 | $9.92 | $471.64 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $485.62 | $14.57 | $9.92 | $510.11 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $522.98 | $15.69 | $9.92 | $548.59 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $560.33 | $16.81 | $9.92 | $587.06 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $597.69 | $17.93 | $9.92 | $625.54 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $635.04 | $19.05 | $9.92 | $664.01 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $672.40 | $20.17 | $9.92 | $702.49 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $709.75 | $21.29 | $9.92 | $740.96 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $747.11 | $22.41 | $9.92 | $779.44 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $784.46 | $23.53 | $9.92 | $817.91 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $821.82 | $24.65 | $9.92 | $856.39 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $859.17 | $25.78 | $9.92 | $894.87 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $896.53 | $26.90 | $9.92 | $933.35 |
| 3988 | General Inpatient w/ AIDS | $694.09 | $20.82 | $9.92 | $724.83 |
| 3989 | Routine Home Care w/ AIDS Escort | $252.99 | $7.59 | $9.92 | $270.50 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|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 | $136.48 | $4.09 | $9.92 | $150.49 |
| 3946 | Inpatient Respite | $152.37 | $4.57 | $9.92 | $166.86 |
| 3947 | General Inpatient Care | $611.55 | $18.35 | $9.92 | $639.82 |
| 3948 | Continuous Home Care - Min 8 Hours | $265.27 | $7.96 | $9.92 | $283.15 |
| 3949 | Continuous Home Care - Min 9 Hours | $298.43 | $8.95 | $9.92 | $317.30 |
| 3950 | Continuous Home Care - Min 10 Hours | $331.59 | $9.95 | $9.92 | $351.46 |
| 3951 | Continuous Home Care - Min 11 Hours | $364.75 | $10.94 | $9.92 | $385.61 |
| 3952 | Continuous Home Care - Min 12 Hours | $397.91 | $11.94 | $9.92 | $419.77 |
| 3953 | Continuous Home Care - Min 13 Hours | $431.07 | $12.93 | $9.92 | $453.92 |
| 3954 | Continuous Home Care - Min 14 Hours | $464.23 | $13.93 | $9.92 | $488.08 |
| 3955 | Continuous Home Care - Min 15 Hours | $497.39 | $14.92 | $9.92 | $522.23 |
| 3956 | Continuous Home Care - Min 16 Hours | $530.55 | $15.92 | $9.92 | $556.39 |
| 3957 | Continuous Home Care - Min 17 Hours | $563.71 | $16.91 | $9.92 | $590.54 |
| 3958 | Continuous Home Care - Min 18 Hours | $596.87 | $17.91 | $9.92 | $624.70 |
| 3959 | Continuous Home Care - Min 19 Hours | $630.02 | $18.90 | $9.92 | $658.84 |
| 3960 | Continuous Home Care - Min 20 Hours | $663.18 | $19.90 | $9.92 | $693.00 |
| 3961 | Continuous Home Care - Min 21 Hours | $696.34 | $20.89 | $9.92 | $727.15 |
| 3962 | Continuous Home Care - Min 22 Hours | $729.50 | $21.89 | $9.92 | $761.31 |
| 3963 | Continuous Home Care - Min 23 Hours | $762.66 | $22.88 | $9.92 | $795.46 |
| 3964 | Continuous Home Care - Min 24 Hours | $795.82 | $23.87 | $9.92 | $829.61 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $7.62 | $0.23 | $0.50 | $8.35 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $231.61 | $6.95 | $9.92 | $248.48 |
| 3970 | Routine Home Care w/Escort | $152.54 | $4.58 | $9.92 | $167.04 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $292.13 | $8.76 | $9.92 | $310.81 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $328.65 | $9.86 | $9.92 | $348.43 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $365.16 | $10.95 | $9.92 | $386.03 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $401.68 | $12.05 | $9.92 | $423.65 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $438.20 | $13.15 | $9.92 | $461.27 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $474.71 | $14.24 | $9.92 | $498.87 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $511.23 | $15.34 | $9.92 | $536.49 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $547.74 | $16.43 | $9.92 | $574.09 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $584.26 | $17.53 | $9.92 | $611.71 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $620.78 | $18.62 | $9.92 | $649.32 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $657.29 | $19.72 | $9.92 | $686.93 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $693.81 | $20.81 | $9.92 | $724.54 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $730.33 | $21.91 | $9.92 | $762.16 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $766.84 | $23.01 | $9.92 | $799.77 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $803.36 | $24.10 | $9.92 | $837.38 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $839.87 | $25.20 | $9.92 | $874.99 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $876.39 | $26.29 | $9.92 | $912.60 |
| 3988 | General Inpatient w/ AIDS | $679.68 | $20.39 | $9.92 | $709.99 |
| 3989 | Routine Home Care w/ AIDS Escort | $247.67 | $7.43 | $9.92 | $265.02 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|