Certified Hospice Program
Medicaid Rate Sheet
Effective 10/01/2013 - 09/30/2014
- Rate sheet also available in Excel Format (XLS, 96KB)
| 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 | $143.45 | $4.30 | $9.92 | $157.67 |
| 3946 | Inpatient Respite | $158.95 | $4.77 | $9.92 | $173.64 |
| 3947 | General Inpatient Care | $641.18 | $19.24 | $9.92 | $670.34 |
| 3948 | Continuous Home Care - Min 8 Hours | $278.82 | $8.36 | $9.92 | $297.10 |
| 3949 | Continuous Home Care - Min 9 Hours | $313.67 | $9.41 | $9.92 | $333.00 |
| 3950 | Continuous Home Care - Min 10 Hours | $348.52 | $10.46 | $9.92 | $368.90 |
| 3951 | Continuous Home Care - Min 11 Hours | $383.37 | $11.50 | $9.92 | $404.79 |
| 3952 | Continuous Home Care - Min 12 Hours | $418.23 | $12.55 | $9.92 | $440.70 |
| 3953 | Continuous Home Care - Min 13 Hours | $453.08 | $13.59 | $9.92 | $476.59 |
| 3954 | Continuous Home Care - Min 14 Hours | $487.93 | $14.64 | $9.92 | $512.49 |
| 3955 | Continuous Home Care - Min 15 Hours | $522.78 | $15.68 | $9.92 | $548.38 |
| 3956 | Continuous Home Care - Min 16 Hours | $557.63 | $16.73 | $9.92 | $584.28 |
| 3957 | Continuous Home Care - Min 17 Hours | $592.49 | $17.77 | $9.92 | $620.18 |
| 3958 | Continuous Home Care - Min 18 Hours | $627.34 | $18.82 | $9.92 | $656.08 |
| 3959 | Continuous Home Care - Min 19 Hours | $662.19 | $19.87 | $9.92 | $691.98 |
| 3960 | Continuous Home Care - Min 20 Hours | $697.04 | $20.91 | $9.92 | $727.87 |
| 3961 | Continuous Home Care - Min 21 Hours | $731.89 | $21.96 | $9.92 | $763.77 |
| 3962 | Continuous Home Care - Min 22 Hours | $766.75 | $23.00 | $9.92 | $799.67 |
| 3963 | Continuous Home Care - Min 23 Hours | $801.60 | $24.05 | $9.92 | $835.57 |
| 3964 | Continuous Home Care - Min 24 Hours | $836.45 | $25.09 | $9.92 | $871.46 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $7.95 | $0.24 | $0.50 | $8.69 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $243.14 | $7.29 | $9.92 | $260.35 |
| 3970 | Routine Home Care w/Escort | $159.73 | $4.79 | $9.92 | $174.44 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $297.58 | $8.93 | $9.92 | $316.43 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $334.77 | $10.04 | $9.92 | $354.73 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $371.97 | $11.16 | $9.92 | $393.05 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $409.17 | $12.28 | $9.92 | $431.37 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $446.37 | $13.39 | $9.92 | $469.68 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $483.56 | $14.51 | $9.92 | $507.99 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $520.76 | $15.62 | $9.92 | $546.30 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $557.96 | $16.74 | $9.92 | $584.62 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $595.15 | $17.85 | $9.92 | $622.92 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $632.35 | $18.97 | $9.92 | $661.24 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $669.55 | $20.09 | $9.92 | $699.56 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $706.74 | $21.20 | $9.92 | $737.86 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $743.94 | $22.32 | $9.92 | $776.18 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $781.14 | $23.43 | $9.92 | $814.49 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $818.34 | $24.55 | $9.92 | $852.81 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $855.53 | $25.67 | $9.92 | $891.12 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $892.73 | $26.78 | $9.92 | $929.43 |
| 3988 | General Inpatient w/ AIDS | $712.61 | $21.38 | $9.92 | $743.91 |
| 3989 | Routine Home Care w/ AIDS Escort | $259.42 | $7.78 | $9.92 | $277.12 |
* 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 | $144.11 | $4.32 | $9.92 | $158.35 |
| 3946 | Inpatient Respite | $159.51 | $4.79 | $9.92 | $174.22 |
| 3947 | General Inpatient Care | $643.89 | $19.32 | $9.92 | $673.13 |
| 3948 | Continuous Home Care - Min 8 Hours | $280.09 | $8.40 | $9.92 | $298.41 |
| 3949 | Continuous Home Care - Min 9 Hours | $315.10 | $9.45 | $9.92 | $334.47 |
| 3950 | Continuous Home Care - Min 10 Hours | $350.11 | $10.50 | $9.92 | $370.53 |
| 3951 | Continuous Home Care - Min 11 Hours | $385.12 | $11.55 | $9.92 | $406.59 |
| 3952 | Continuous Home Care - Min 12 Hours | $420.14 | $12.60 | $9.92 | $442.66 |
| 3953 | Continuous Home Care - Min 13 Hours | $455.15 | $13.65 | $9.92 | $478.72 |
| 3954 | Continuous Home Care - Min 14 Hours | $490.16 | $14.70 | $9.92 | $514.78 |
| 3955 | Continuous Home Care - Min 15 Hours | $525.17 | $15.76 | $9.92 | $550.85 |
| 3956 | Continuous Home Care - Min 16 Hours | $560.18 | $16.81 | $9.92 | $586.91 |
| 3957 | Continuous Home Care - Min 17 Hours | $595.19 | $17.86 | $9.92 | $622.97 |
| 3958 | Continuous Home Care - Min 18 Hours | $630.20 | $18.91 | $9.92 | $659.03 |
| 3959 | Continuous Home Care - Min 19 Hours | $665.21 | $19.96 | $9.92 | $695.09 |
| 3960 | Continuous Home Care - Min 20 Hours | $700.23 | $21.01 | $9.92 | $731.16 |
| 3961 | Continuous Home Care - Min 21 Hours | $735.24 | $22.06 | $9.92 | $767.22 |
| 3962 | Continuous Home Care - Min 22 Hours | $770.25 | $23.11 | $9.92 | $803.28 |
| 3963 | Continuous Home Care - Min 23 Hours | $805.26 | $24.16 | $9.92 | $839.34 |
| 3964 | Continuous Home Care - Min 24 Hours | $840.27 | $25.21 | $9.92 | $875.40 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $7.98 | $0.24 | $0.50 | $8.72 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $244.25 | $7.33 | $9.92 | $261.50 |
| 3970 | Routine Home Care w/Escort | $160.39 | $4.81 | $9.92 | $175.12 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $299.46 | $8.98 | $9.92 | $318.36 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $336.89 | $10.11 | $9.92 | $356.92 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $374.33 | $11.23 | $9.92 | $395.48 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $411.76 | $12.35 | $9.92 | $434.03 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $449.19 | $13.48 | $9.92 | $472.59 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $486.62 | $14.60 | $9.92 | $511.14 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $524.06 | $15.72 | $9.92 | $549.70 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $561.49 | $16.84 | $9.92 | $588.25 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $598.92 | $17.97 | $9.92 | $626.81 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $636.35 | $19.09 | $9.92 | $665.36 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $673.79 | $20.21 | $9.92 | $703.92 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $711.22 | $21.34 | $9.92 | $742.48 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $748.65 | $22.46 | $9.92 | $781.03 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $786.08 | $23.58 | $9.92 | $819.58 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $823.52 | $24.71 | $9.92 | $858.15 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $860.95 | $25.83 | $9.92 | $896.70 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $898.38 | $26.95 | $9.92 | $935.25 |
| 3988 | General Inpatient w/ AIDS | $715.62 | $21.47 | $9.92 | $747.01 |
| 3989 | Routine Home Care w/ AIDS Escort | $260.53 | $7.82 | $9.92 | $278.27 |
* 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 | $158.24 | $4.75 | $9.92 | $172.91 |
| 3946 | Inpatient Respite | $171.61 | $5.15 | $9.92 | $186.68 |
| 3947 | General Inpatient Care | $702.37 | $21.07 | $9.92 | $733.36 |
| 3948 | Continuous Home Care - Min 8 Hours | $307.55 | $9.23 | $9.92 | $326.70 |
| 3949 | Continuous Home Care - Min 9 Hours | $346.00 | $10.38 | $9.92 | $366.30 |
| 3950 | Continuous Home Care - Min 10 Hours | $384.44 | $11.53 | $9.92 | $405.89 |
| 3951 | Continuous Home Care - Min 11 Hours | $422.89 | $12.69 | $9.92 | $445.50 |
| 3952 | Continuous Home Care - Min 12 Hours | $461.33 | $13.84 | $9.92 | $485.09 |
| 3953 | Continuous Home Care - Min 13 Hours | $499.77 | $14.99 | $9.92 | $524.68 |
| 3954 | Continuous Home Care - Min 14 Hours | $538.22 | $16.15 | $9.92 | $564.29 |
| 3955 | Continuous Home Care - Min 15 Hours | $576.66 | $17.30 | $9.92 | $603.88 |
| 3956 | Continuous Home Care - Min 16 Hours | $615.11 | $18.45 | $9.92 | $643.48 |
| 3957 | Continuous Home Care - Min 17 Hours | $653.55 | $19.61 | $9.92 | $683.08 |
| 3958 | Continuous Home Care - Min 18 Hours | $692.00 | $20.76 | $9.92 | $722.68 |
| 3959 | Continuous Home Care - Min 19 Hours | $730.44 | $21.91 | $9.92 | $762.27 |
| 3960 | Continuous Home Care - Min 20 Hours | $768.88 | $23.07 | $9.92 | $801.87 |
| 3961 | Continuous Home Care - Min 21 Hours | $807.33 | $24.22 | $9.92 | $841.47 |
| 3962 | Continuous Home Care - Min 22 Hours | $845.77 | $25.37 | $9.92 | $881.06 |
| 3963 | Continuous Home Care - Min 23 Hours | $884.22 | $26.53 | $9.92 | $920.67 |
| 3964 | Continuous Home Care - Min 24 Hours | $922.66 | $27.68 | $9.92 | $960.26 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $8.58 | $0.26 | $0.50 | $9.34 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $268.20 | $8.05 | $9.92 | $286.17 |
| 3970 | Routine Home Care w/Escort | $174.52 | $5.24 | $9.92 | $189.68 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $340.05 | $10.20 | $9.92 | $360.17 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $382.56 | $11.48 | $9.92 | $403.96 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $425.06 | $12.75 | $9.92 | $447.73 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $467.57 | $14.03 | $9.92 | $491.52 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $510.08 | $15.30 | $9.92 | $535.30 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $552.58 | $16.58 | $9.92 | $579.08 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $595.09 | $17.85 | $9.92 | $622.86 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $637.59 | $19.13 | $9.92 | $666.64 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $680.10 | $20.40 | $9.92 | $710.42 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $722.61 | $21.68 | $9.92 | $754.21 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $765.11 | $22.95 | $9.92 | $797.98 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $807.62 | $24.23 | $9.92 | $841.77 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $850.13 | $25.50 | $9.92 | $885.55 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $892.63 | $26.78 | $9.92 | $929.33 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $935.14 | $28.05 | $9.92 | $973.11 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $977.64 | $29.33 | $9.92 | $1,016.89 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,020.15 | $30.60 | $9.92 | $1,060.67 |
| 3988 | General Inpatient w/ AIDS | $780.61 | $23.42 | $9.92 | $813.95 |
| 3989 | Routine Home Care w/ AIDS Escort | $284.48 | $8.53 | $9.92 | $302.93 |
* 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 | $138.61 | $4.16 | $9.92 | $152.69 |
| 3946 | Inpatient Respite | $154.80 | $4.64 | $9.92 | $169.36 |
| 3947 | General Inpatient Care | $621.14 | $18.63 | $9.92 | $649.69 |
| 3948 | Continuous Home Care - Min 8 Hours | $269.41 | $8.08 | $9.92 | $287.41 |
| 3949 | Continuous Home Care - Min 9 Hours | $303.08 | $9.09 | $9.92 | $322.09 |
| 3950 | Continuous Home Care - Min 10 Hours | $336.76 | $10.10 | $9.92 | $356.78 |
| 3951 | Continuous Home Care - Min 11 Hours | $370.43 | $11.11 | $9.92 | $391.46 |
| 3952 | Continuous Home Care - Min 12 Hours | $404.11 | $12.12 | $9.92 | $426.15 |
| 3953 | Continuous Home Care - Min 13 Hours | $437.79 | $13.13 | $9.92 | $460.84 |
| 3954 | Continuous Home Care - Min 14 Hours | $471.46 | $14.14 | $9.92 | $495.52 |
| 3955 | Continuous Home Care - Min 15 Hours | $505.14 | $15.15 | $9.92 | $530.21 |
| 3956 | Continuous Home Care - Min 16 Hours | $538.81 | $16.16 | $9.92 | $564.89 |
| 3957 | Continuous Home Care - Min 17 Hours | $572.49 | $17.17 | $9.92 | $599.58 |
| 3958 | Continuous Home Care - Min 18 Hours | $606.17 | $18.19 | $9.92 | $634.28 |
| 3959 | Continuous Home Care - Min 19 Hours | $639.84 | $19.20 | $9.92 | $668.96 |
| 3960 | Continuous Home Care - Min 20 Hours | $673.52 | $20.21 | $9.92 | $703.65 |
| 3961 | Continuous Home Care - Min 21 Hours | $707.19 | $21.22 | $9.92 | $738.33 |
| 3962 | Continuous Home Care - Min 22 Hours | $740.87 | $22.23 | $9.92 | $773.02 |
| 3963 | Continuous Home Care - Min 23 Hours | $774.54 | $23.24 | $9.92 | $807.70 |
| 3964 | Continuous Home Care - Min 24 Hours | $808.22 | $24.25 | $9.92 | $842.39 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $7.74 | $0.23 | $0.50 | $8.47 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $234.93 | $7.05 | $9.92 | $251.90 |
| 3970 | Routine Home Care w/Escort | $154.89 | $4.65 | $9.92 | $169.46 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $283.67 | $8.51 | $9.92 | $302.10 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $319.13 | $9.57 | $9.92 | $338.62 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $354.58 | $10.64 | $9.92 | $375.14 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $390.04 | $11.70 | $9.92 | $411.66 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $425.50 | $12.77 | $9.92 | $448.19 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $460.96 | $13.83 | $9.92 | $484.71 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $496.42 | $14.89 | $9.92 | $521.23 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $531.88 | $15.96 | $9.92 | $557.76 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $567.33 | $17.02 | $9.92 | $594.27 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $602.79 | $18.08 | $9.92 | $630.79 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $638.25 | $19.15 | $9.92 | $667.32 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $673.71 | $20.21 | $9.92 | $703.84 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $709.17 | $21.28 | $9.92 | $740.37 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $744.63 | $22.34 | $9.92 | $776.89 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $780.08 | $23.40 | $9.92 | $813.40 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $815.54 | $24.47 | $9.92 | $849.93 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $851.00 | $25.53 | $9.92 | $886.45 |
| 3988 | General Inpatient w/ AIDS | $690.33 | $20.71 | $9.92 | $720.96 |
| 3989 | Routine Home Care w/ AIDS Escort | $251.21 | $7.54 | $9.92 | $268.67 |
* 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 | $140.09 | $4.20 | $9.92 | $154.21 |
| 3946 | Inpatient Respite | $156.07 | $4.68 | $9.92 | $170.67 |
| 3947 | General Inpatient Care | $627.27 | $18.82 | $9.92 | $656.01 |
| 3948 | Continuous Home Care - Min 8 Hours | $272.29 | $8.17 | $9.92 | $290.38 |
| 3949 | Continuous Home Care - Min 9 Hours | $306.32 | $9.19 | $9.92 | $325.43 |
| 3950 | Continuous Home Care - Min 10 Hours | $340.36 | $10.21 | $9.92 | $360.49 |
| 3951 | Continuous Home Care - Min 11 Hours | $374.39 | $11.23 | $9.92 | $395.54 |
| 3952 | Continuous Home Care - Min 12 Hours | $408.43 | $12.25 | $9.92 | $430.60 |
| 3953 | Continuous Home Care - Min 13 Hours | $442.47 | $13.27 | $9.92 | $465.66 |
| 3954 | Continuous Home Care - Min 14 Hours | $476.50 | $14.30 | $9.92 | $500.72 |
| 3955 | Continuous Home Care - Min 15 Hours | $510.54 | $15.32 | $9.92 | $535.78 |
| 3956 | Continuous Home Care - Min 16 Hours | $544.57 | $16.34 | $9.92 | $570.83 |
| 3957 | Continuous Home Care - Min 17 Hours | $578.61 | $17.36 | $9.92 | $605.89 |
| 3958 | Continuous Home Care - Min 18 Hours | $612.65 | $18.38 | $9.92 | $640.95 |
| 3959 | Continuous Home Care - Min 19 Hours | $646.68 | $19.40 | $9.92 | $676.00 |
| 3960 | Continuous Home Care - Min 20 Hours | $680.72 | $20.42 | $9.92 | $711.06 |
| 3961 | Continuous Home Care - Min 21 Hours | $714.75 | $21.44 | $9.92 | $746.11 |
| 3962 | Continuous Home Care - Min 22 Hours | $748.79 | $22.46 | $9.92 | $781.17 |
| 3963 | Continuous Home Care - Min 23 Hours | $782.82 | $23.48 | $9.92 | $816.22 |
| 3964 | Continuous Home Care - Min 24 Hours | $816.86 | $24.51 | $9.92 | $851.29 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $7.80 | $0.23 | $0.50 | $8.53 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $237.44 | $7.12 | $9.92 | $254.48 |
| 3970 | Routine Home Care w/Escort | $156.37 | $4.69 | $9.92 | $170.98 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $287.92 | $8.64 | $9.92 | $306.48 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $323.91 | $9.72 | $9.92 | $343.55 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $359.90 | $10.80 | $9.92 | $380.62 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $395.89 | $11.88 | $9.92 | $417.69 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $431.89 | $12.96 | $9.92 | $454.77 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $467.88 | $14.04 | $9.92 | $491.84 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $503.87 | $15.12 | $9.92 | $528.91 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $539.86 | $16.20 | $9.92 | $565.98 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $575.85 | $17.28 | $9.92 | $603.05 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $611.84 | $18.36 | $9.92 | $640.12 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $647.83 | $19.43 | $9.92 | $677.18 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $683.82 | $20.51 | $9.92 | $714.25 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $719.81 | $21.59 | $9.92 | $751.32 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $755.80 | $22.67 | $9.92 | $788.39 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $791.79 | $23.75 | $9.92 | $825.46 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $827.78 | $24.83 | $9.92 | $862.53 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $863.77 | $25.91 | $9.92 | $899.60 |
| 3988 | General Inpatient w/ AIDS | $697.15 | $20.91 | $9.92 | $727.98 |
| 3989 | Routine Home Care w/ AIDS Escort | $253.72 | $7.61 | $9.92 | $271.25 |
* 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 | $187.74 | $5.63 | $9.92 | $203.29 |
| 3946 | Inpatient Respite | $196.89 | $5.91 | $9.92 | $212.72 |
| 3947 | General Inpatient Care | $824.47 | $24.73 | $9.92 | $859.12 |
| 3948 | Continuous Home Care - Min 8 Hours | $364.90 | $10.95 | $9.92 | $385.77 |
| 3949 | Continuous Home Care - Min 9 Hours | $410.51 | $12.32 | $9.92 | $432.75 |
| 3950 | Continuous Home Care - Min 10 Hours | $456.12 | $13.68 | $9.92 | $479.72 |
| 3951 | Continuous Home Care - Min 11 Hours | $501.73 | $15.05 | $9.92 | $526.70 |
| 3952 | Continuous Home Care - Min 12 Hours | $547.35 | $16.42 | $9.92 | $573.69 |
| 3953 | Continuous Home Care - Min 13 Hours | $592.96 | $17.79 | $9.92 | $620.67 |
| 3954 | Continuous Home Care - Min 14 Hours | $638.57 | $19.16 | $9.92 | $667.65 |
| 3955 | Continuous Home Care - Min 15 Hours | $684.18 | $20.53 | $9.92 | $714.63 |
| 3956 | Continuous Home Care - Min 16 Hours | $729.79 | $21.89 | $9.92 | $761.60 |
| 3957 | Continuous Home Care - Min 17 Hours | $775.41 | $23.26 | $9.92 | $808.59 |
| 3958 | Continuous Home Care - Min 18 Hours | $821.02 | $24.63 | $9.92 | $855.57 |
| 3959 | Continuous Home Care - Min 19 Hours | $866.63 | $26.00 | $9.92 | $902.55 |
| 3960 | Continuous Home Care - Min 20 Hours | $912.24 | $27.37 | $9.92 | $949.53 |
| 3961 | Continuous Home Care - Min 21 Hours | $957.85 | $28.74 | $9.92 | $996.51 |
| 3962 | Continuous Home Care - Min 22 Hours | $1,003.47 | $30.10 | $9.92 | $1,043.49 |
| 3963 | Continuous Home Care - Min 23 Hours | $1,049.08 | $31.47 | $9.92 | $1,090.47 |
| 3964 | Continuous Home Care - Min 24 Hours | $1,094.69 | $32.84 | $9.92 | $1,137.45 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $9.84 | $0.30 | $0.50 | $10.64 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $318.21 | $9.55 | $9.92 | $337.68 |
| 3970 | Routine Home Care w/Escort | $204.02 | $6.12 | $9.92 | $220.06 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $424.80 | $12.74 | $9.92 | $447.46 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $477.90 | $14.34 | $9.92 | $502.16 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $531.00 | $15.93 | $9.92 | $556.85 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $584.10 | $17.52 | $9.92 | $611.54 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $637.21 | $19.12 | $9.92 | $666.25 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $690.31 | $20.71 | $9.92 | $720.94 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $743.41 | $22.30 | $9.92 | $775.63 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $796.51 | $23.90 | $9.92 | $830.33 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $849.61 | $25.49 | $9.92 | $885.02 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $902.71 | $27.08 | $9.92 | $939.71 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $955.81 | $28.67 | $9.92 | $994.40 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $1,008.91 | $30.27 | $9.92 | $1,049.10 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $1,062.01 | $31.86 | $9.92 | $1,103.79 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,115.11 | $33.45 | $9.92 | $1,158.48 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,168.21 | $35.05 | $9.92 | $1,213.18 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,221.31 | $36.64 | $9.92 | $1,267.87 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,274.41 | $38.23 | $9.92 | $1,322.56 |
| 3988 | General Inpatient w/ AIDS | $916.32 | $27.49 | $9.92 | $953.73 |
| 3989 | Routine Home Care w/ AIDS Escort | $334.49 | $10.03 | $9.92 | $354.44 |
* 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 | $190.10 | $5.70 | $9.92 | $205.72 |
| 3946 | Inpatient Respite | $198.91 | $5.97 | $9.92 | $214.80 |
| 3947 | General Inpatient Care | $834.25 | $25.03 | $9.92 | $869.20 |
| 3948 | Continuous Home Care - Min 8 Hours | $369.49 | $11.08 | $9.92 | $390.49 |
| 3949 | Continuous Home Care - Min 9 Hours | $415.68 | $12.47 | $9.92 | $438.07 |
| 3950 | Continuous Home Care - Min 10 Hours | $461.86 | $13.86 | $9.92 | $485.64 |
| 3951 | Continuous Home Care - Min 11 Hours | $508.05 | $15.24 | $9.92 | $533.21 |
| 3952 | Continuous Home Care - Min 12 Hours | $554.24 | $16.63 | $9.92 | $580.79 |
| 3953 | Continuous Home Care - Min 13 Hours | $600.42 | $18.01 | $9.92 | $628.35 |
| 3954 | Continuous Home Care - Min 14 Hours | $646.61 | $19.40 | $9.92 | $675.93 |
| 3955 | Continuous Home Care - Min 15 Hours | $692.79 | $20.78 | $9.92 | $723.49 |
| 3956 | Continuous Home Care - Min 16 Hours | $738.98 | $22.17 | $9.92 | $771.07 |
| 3957 | Continuous Home Care - Min 17 Hours | $785.17 | $23.56 | $9.92 | $818.65 |
| 3958 | Continuous Home Care - Min 18 Hours | $831.35 | $24.94 | $9.92 | $866.21 |
| 3959 | Continuous Home Care - Min 19 Hours | $877.54 | $26.33 | $9.92 | $913.79 |
| 3960 | Continuous Home Care - Min 20 Hours | $923.73 | $27.71 | $9.92 | $961.36 |
| 3961 | Continuous Home Care - Min 21 Hours | $969.91 | $29.10 | $9.92 | $1,008.93 |
| 3962 | Continuous Home Care - Min 22 Hours | $1,016.10 | $30.48 | $9.92 | $1,056.50 |
| 3963 | Continuous Home Care - Min 23 Hours | $1,062.28 | $31.87 | $9.92 | $1,104.07 |
| 3964 | Continuous Home Care - Min 24 Hours | $1,108.47 | $33.25 | $9.92 | $1,151.64 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $9.95 | $0.30 | $0.50 | $10.75 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $322.21 | $9.67 | $9.92 | $341.80 |
| 3970 | Routine Home Care w/Escort | $206.38 | $6.19 | $9.92 | $222.49 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $431.59 | $12.95 | $9.92 | $454.46 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $485.54 | $14.57 | $9.92 | $510.03 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $539.49 | $16.18 | $9.92 | $565.59 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $593.44 | $17.80 | $9.92 | $621.16 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $647.39 | $19.42 | $9.92 | $676.73 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $701.33 | $21.04 | $9.92 | $732.29 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $755.28 | $22.66 | $9.92 | $787.86 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $809.23 | $24.28 | $9.92 | $843.43 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $863.18 | $25.90 | $9.92 | $899.00 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $917.13 | $27.51 | $9.92 | $954.56 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $971.08 | $29.13 | $9.92 | $1,010.13 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $1,025.03 | $30.75 | $9.92 | $1,065.70 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $1,078.98 | $32.37 | $9.92 | $1,121.27 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,132.92 | $33.99 | $9.92 | $1,176.83 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,186.87 | $35.61 | $9.92 | $1,232.40 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,240.82 | $37.22 | $9.92 | $1,287.96 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,294.77 | $38.84 | $9.92 | $1,343.53 |
| 3988 | General Inpatient w/ AIDS | $927.19 | $27.82 | $9.92 | $964.93 |
| 3989 | Routine Home Care w/ AIDS Escort | $338.49 | $10.15 | $9.92 | $358.56 |
* 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 | $158.24 | $4.75 | $9.92 | $172.91 |
| 3946 | Inpatient Respite | $171.61 | $5.15 | $9.92 | $186.68 |
| 3947 | General Inpatient Care | $702.37 | $21.07 | $9.92 | $733.36 |
| 3948 | Continuous Home Care - Min 8 Hours | $307.55 | $9.23 | $9.92 | $326.70 |
| 3949 | Continuous Home Care - Min 9 Hours | $346.00 | $10.38 | $9.92 | $366.30 |
| 3950 | Continuous Home Care - Min 10 Hours | $384.44 | $11.53 | $9.92 | $405.89 |
| 3951 | Continuous Home Care - Min 11 Hours | $422.89 | $12.69 | $9.92 | $445.50 |
| 3952 | Continuous Home Care - Min 12 Hours | $461.33 | $13.84 | $9.92 | $485.09 |
| 3953 | Continuous Home Care - Min 13 Hours | $499.77 | $14.99 | $9.92 | $524.68 |
| 3954 | Continuous Home Care - Min 14 Hours | $538.22 | $16.15 | $9.92 | $564.29 |
| 3955 | Continuous Home Care - Min 15 Hours | $576.66 | $17.30 | $9.92 | $603.88 |
| 3956 | Continuous Home Care - Min 16 Hours | $615.11 | $18.45 | $9.92 | $643.48 |
| 3957 | Continuous Home Care - Min 17 Hours | $653.55 | $19.61 | $9.92 | $683.08 |
| 3958 | Continuous Home Care - Min 18 Hours | $692.00 | $20.76 | $9.92 | $722.68 |
| 3959 | Continuous Home Care - Min 19 Hours | $730.44 | $21.91 | $9.92 | $762.27 |
| 3960 | Continuous Home Care - Min 20 Hours | $768.88 | $23.07 | $9.92 | $801.87 |
| 3961 | Continuous Home Care - Min 21 Hours | $807.33 | $24.22 | $9.92 | $841.47 |
| 3962 | Continuous Home Care - Min 22 Hours | $845.77 | $25.37 | $9.92 | $881.06 |
| 3963 | Continuous Home Care - Min 23 Hours | $884.22 | $26.53 | $9.92 | $920.67 |
| 3964 | Continuous Home Care - Min 24 Hours | $922.66 | $27.68 | $9.92 | $960.26 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $8.58 | $0.26 | $0.50 | $9.34 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $268.20 | $8.05 | $9.92 | $286.17 |
| 3970 | Routine Home Care w/Escort | $174.52 | $5.24 | $9.92 | $189.68 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $340.05 | $10.20 | $9.92 | $360.17 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $382.56 | $11.48 | $9.92 | $403.96 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $425.06 | $12.75 | $9.92 | $447.73 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $467.57 | $14.03 | $9.92 | $491.52 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $510.08 | $15.30 | $9.92 | $535.30 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $552.58 | $16.58 | $9.92 | $579.08 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $595.09 | $17.85 | $9.92 | $622.86 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $637.59 | $19.13 | $9.92 | $666.64 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $680.10 | $20.40 | $9.92 | $710.42 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $722.61 | $21.68 | $9.92 | $754.21 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $765.11 | $22.95 | $9.92 | $797.98 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $807.62 | $24.23 | $9.92 | $841.77 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $850.13 | $25.50 | $9.92 | $885.55 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $892.63 | $26.78 | $9.92 | $929.33 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $935.14 | $28.05 | $9.92 | $973.11 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $977.64 | $29.33 | $9.92 | $1,016.89 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,020.15 | $30.60 | $9.92 | $1,060.67 |
| 3988 | General Inpatient w/ AIDS | $780.61 | $23.42 | $9.92 | $813.95 |
| 3989 | Routine Home Care w/ AIDS Escort | $284.48 | $8.53 | $9.92 | $302.93 |
* 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 | $172.73 | $5.18 | $9.92 | $187.83 |
| 3946 | Inpatient Respite | $184.03 | $5.52 | $9.92 | $199.47 |
| 3947 | General Inpatient Care | $762.35 | $22.87 | $9.92 | $795.14 |
| 3948 | Continuous Home Care - Min 8 Hours | $335.72 | $10.07 | $9.92 | $355.71 |
| 3949 | Continuous Home Care - Min 9 Hours | $377.69 | $11.33 | $9.92 | $398.94 |
| 3950 | Continuous Home Care - Min 10 Hours | $419.65 | $12.59 | $9.92 | $442.16 |
| 3951 | Continuous Home Care - Min 11 Hours | $461.62 | $13.85 | $9.92 | $485.39 |
| 3952 | Continuous Home Care - Min 12 Hours | $503.59 | $15.11 | $9.92 | $528.62 |
| 3953 | Continuous Home Care - Min 13 Hours | $545.55 | $16.37 | $9.92 | $571.84 |
| 3954 | Continuous Home Care - Min 14 Hours | $587.52 | $17.63 | $9.92 | $615.07 |
| 3955 | Continuous Home Care - Min 15 Hours | $629.48 | $18.88 | $9.92 | $658.28 |
| 3956 | Continuous Home Care - Min 16 Hours | $671.45 | $20.14 | $9.92 | $701.51 |
| 3957 | Continuous Home Care - Min 17 Hours | $713.41 | $21.40 | $9.92 | $744.73 |
| 3958 | Continuous Home Care - Min 18 Hours | $755.38 | $22.66 | $9.92 | $787.96 |
| 3959 | Continuous Home Care - Min 19 Hours | $797.34 | $23.92 | $9.92 | $831.18 |
| 3960 | Continuous Home Care - Min 20 Hours | $839.31 | $25.18 | $9.92 | $874.41 |
| 3961 | Continuous Home Care - Min 21 Hours | $881.27 | $26.44 | $9.92 | $917.63 |
| 3962 | Continuous Home Care - Min 22 Hours | $923.24 | $27.70 | $9.92 | $960.86 |
| 3963 | Continuous Home Care - Min 23 Hours | $965.20 | $28.96 | $9.92 | $1,004.08 |
| 3964 | Continuous Home Care - Min 24 Hours | $1,007.17 | $30.22 | $9.92 | $1,047.31 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $9.20 | $0.28 | $0.50 | $9.98 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $292.77 | $8.78 | $9.92 | $311.47 |
| 3970 | Routine Home Care w/Escort | $189.01 | $5.67 | $9.92 | $204.60 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $381.69 | $11.45 | $9.92 | $403.06 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $429.40 | $12.88 | $9.92 | $452.20 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $477.11 | $14.31 | $9.92 | $501.34 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $524.82 | $15.74 | $9.92 | $550.48 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $572.53 | $17.18 | $9.92 | $599.63 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $620.24 | $18.61 | $9.92 | $648.77 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $667.95 | $20.04 | $9.92 | $697.91 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $715.66 | $21.47 | $9.92 | $747.05 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $763.37 | $22.90 | $9.92 | $796.19 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $811.08 | $24.33 | $9.92 | $845.33 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $858.80 | $25.76 | $9.92 | $894.48 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $906.51 | $27.20 | $9.92 | $943.63 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $954.22 | $28.63 | $9.92 | $992.77 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,001.93 | $30.06 | $9.92 | $1,041.91 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,049.64 | $31.49 | $9.92 | $1,091.05 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,097.35 | $32.92 | $9.92 | $1,140.19 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,145.06 | $34.35 | $9.92 | $1,189.33 |
| 3988 | General Inpatient w/ AIDS | $847.28 | $25.42 | $9.92 | $882.62 |
| 3989 | Routine Home Care w/ AIDS Escort | $309.05 | $9.27 | $9.92 | $328.24 |
* 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 | $172.73 | $5.18 | $9.92 | $187.83 |
| 3946 | Inpatient Respite | $184.03 | $5.52 | $9.92 | $199.47 |
| 3947 | General Inpatient Care | $762.35 | $22.87 | $9.92 | $795.14 |
| 3948 | Continuous Home Care - Min 8 Hours | $335.72 | $10.07 | $9.92 | $355.71 |
| 3949 | Continuous Home Care - Min 9 Hours | $377.69 | $11.33 | $9.92 | $398.94 |
| 3950 | Continuous Home Care - Min 10 Hours | $419.65 | $12.59 | $9.92 | $442.16 |
| 3951 | Continuous Home Care - Min 11 Hours | $461.62 | $13.85 | $9.92 | $485.39 |
| 3952 | Continuous Home Care - Min 12 Hours | $503.59 | $15.11 | $9.92 | $528.62 |
| 3953 | Continuous Home Care - Min 13 Hours | $545.55 | $16.37 | $9.92 | $571.84 |
| 3954 | Continuous Home Care - Min 14 Hours | $587.52 | $17.63 | $9.92 | $615.07 |
| 3955 | Continuous Home Care - Min 15 Hours | $629.48 | $18.88 | $9.92 | $658.28 |
| 3956 | Continuous Home Care - Min 16 Hours | $671.45 | $20.14 | $9.92 | $701.51 |
| 3957 | Continuous Home Care - Min 17 Hours | $713.41 | $21.40 | $9.92 | $744.73 |
| 3958 | Continuous Home Care - Min 18 Hours | $755.38 | $22.66 | $9.92 | $787.96 |
| 3959 | Continuous Home Care - Min 19 Hours | $797.34 | $23.92 | $9.92 | $831.18 |
| 3960 | Continuous Home Care - Min 20 Hours | $839.31 | $25.18 | $9.92 | $874.41 |
| 3961 | Continuous Home Care - Min 21 Hours | $881.27 | $26.44 | $9.92 | $917.63 |
| 3962 | Continuous Home Care - Min 22 Hours | $923.24 | $27.70 | $9.92 | $960.86 |
| 3963 | Continuous Home Care - Min 23 Hours | $965.20 | $28.96 | $9.92 | $1,004.08 |
| 3964 | Continuous Home Care - Min 24 Hours | $1,007.17 | $30.22 | $9.92 | $1,047.31 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $9.20 | $0.28 | $0.50 | $9.98 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $292.77 | $8.78 | $9.92 | $311.47 |
| 3970 | Routine Home Care w/Escort | $189.01 | $5.67 | $9.92 | $204.60 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $381.69 | $11.45 | $9.92 | $403.06 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $429.40 | $12.88 | $9.92 | $452.20 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $477.11 | $14.31 | $9.92 | $501.34 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $524.82 | $15.74 | $9.92 | $550.48 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $572.53 | $17.18 | $9.92 | $599.63 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $620.24 | $18.61 | $9.92 | $648.77 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $667.95 | $20.04 | $9.92 | $697.91 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $715.66 | $21.47 | $9.92 | $747.05 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $763.37 | $22.90 | $9.92 | $796.19 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $811.08 | $24.33 | $9.92 | $845.33 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $858.80 | $25.76 | $9.92 | $894.48 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $906.51 | $27.20 | $9.92 | $943.63 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $954.22 | $28.63 | $9.92 | $992.77 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $1,001.93 | $30.06 | $9.92 | $1,041.91 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $1,049.64 | $31.49 | $9.92 | $1,091.05 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $1,097.35 | $32.92 | $9.92 | $1,140.19 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,145.06 | $34.35 | $9.92 | $1,189.33 |
| 3988 | General Inpatient w/ AIDS | $847.28 | $25.42 | $9.92 | $882.62 |
| 3989 | Routine Home Care w/ AIDS Escort | $309.05 | $9.27 | $9.92 | $328.24 |
* 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 | $144.07 | $4.32 | $9.92 | $158.31 |
| 3946 | Inpatient Respite | $159.48 | $4.78 | $9.92 | $174.18 |
| 3947 | General Inpatient Care | $643.76 | $19.31 | $9.92 | $672.99 |
| 3948 | Continuous Home Care - Min 8 Hours | $280.03 | $8.40 | $9.92 | $298.35 |
| 3949 | Continuous Home Care - Min 9 Hours | $315.03 | $9.45 | $9.92 | $334.40 |
| 3950 | Continuous Home Care - Min 10 Hours | $350.03 | $10.50 | $9.92 | $370.45 |
| 3951 | Continuous Home Care - Min 11 Hours | $385.04 | $11.55 | $9.92 | $406.51 |
| 3952 | Continuous Home Care - Min 12 Hours | $420.04 | $12.60 | $9.92 | $442.56 |
| 3953 | Continuous Home Care - Min 13 Hours | $455.04 | $13.65 | $9.92 | $478.61 |
| 3954 | Continuous Home Care - Min 14 Hours | $490.05 | $14.70 | $9.92 | $514.67 |
| 3955 | Continuous Home Care - Min 15 Hours | $525.05 | $15.75 | $9.92 | $550.72 |
| 3956 | Continuous Home Care - Min 16 Hours | $560.05 | $16.80 | $9.92 | $586.77 |
| 3957 | Continuous Home Care - Min 17 Hours | $595.06 | $17.85 | $9.92 | $622.83 |
| 3958 | Continuous Home Care - Min 18 Hours | $630.06 | $18.90 | $9.92 | $658.88 |
| 3959 | Continuous Home Care - Min 19 Hours | $665.06 | $19.95 | $9.92 | $694.93 |
| 3960 | Continuous Home Care - Min 20 Hours | $700.07 | $21.00 | $9.92 | $730.99 |
| 3961 | Continuous Home Care - Min 21 Hours | $735.07 | $22.05 | $9.92 | $767.04 |
| 3962 | Continuous Home Care - Min 22 Hours | $770.07 | $23.10 | $9.92 | $803.09 |
| 3963 | Continuous Home Care - Min 23 Hours | $805.08 | $24.15 | $9.92 | $839.15 |
| 3964 | Continuous Home Care - Min 24 Hours | $840.08 | $25.20 | $9.92 | $875.20 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $7.97 | $0.24 | $0.50 | $8.71 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $244.20 | $7.33 | $9.92 | $261.45 |
| 3970 | Routine Home Care w/Escort | $160.35 | $4.81 | $9.92 | $175.08 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $299.37 | $8.98 | $9.92 | $318.27 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $336.79 | $10.10 | $9.92 | $356.81 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $374.21 | $11.23 | $9.92 | $395.36 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $411.63 | $12.35 | $9.92 | $433.90 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $449.05 | $13.47 | $9.92 | $472.44 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $486.47 | $14.59 | $9.92 | $510.98 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $523.89 | $15.72 | $9.92 | $549.53 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $561.31 | $16.84 | $9.92 | $588.07 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $598.73 | $17.96 | $9.92 | $626.61 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $636.15 | $19.08 | $9.92 | $665.15 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $673.58 | $20.21 | $9.92 | $703.71 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $711.00 | $21.33 | $9.92 | $742.25 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $748.42 | $22.45 | $9.92 | $780.79 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $785.84 | $23.58 | $9.92 | $819.34 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $823.26 | $24.70 | $9.92 | $857.88 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $860.68 | $25.82 | $9.92 | $896.42 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $898.10 | $26.94 | $9.92 | $934.96 |
| 3988 | General Inpatient w/ AIDS | $715.47 | $21.46 | $9.92 | $746.85 |
| 3989 | Routine Home Care w/ AIDS Escort | $260.48 | $7.81 | $9.92 | $278.21 |
* 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 | $156.37 | $4.69 | $9.92 | $170.98 |
| 3946 | Inpatient Respite | $170.01 | $5.10 | $9.92 | $185.03 |
| 3947 | General Inpatient Care | $694.63 | $20.84 | $9.92 | $725.39 |
| 3948 | Continuous Home Care - Min 8 Hours | $303.92 | $9.12 | $9.92 | $322.96 |
| 3949 | Continuous Home Care - Min 9 Hours | $341.91 | $10.26 | $9.92 | $362.09 |
| 3950 | Continuous Home Care - Min 10 Hours | $379.90 | $11.40 | $9.92 | $401.22 |
| 3951 | Continuous Home Care - Min 11 Hours | $417.89 | $12.54 | $9.92 | $440.35 |
| 3952 | Continuous Home Care - Min 12 Hours | $455.89 | $13.68 | $9.92 | $479.49 |
| 3953 | Continuous Home Care - Min 13 Hours | $493.88 | $14.82 | $9.92 | $518.62 |
| 3954 | Continuous Home Care - Min 14 Hours | $531.87 | $15.96 | $9.92 | $557.75 |
| 3955 | Continuous Home Care - Min 15 Hours | $569.86 | $17.10 | $9.92 | $596.88 |
| 3956 | Continuous Home Care - Min 16 Hours | $607.85 | $18.24 | $9.92 | $636.01 |
| 3957 | Continuous Home Care - Min 17 Hours | $645.84 | $19.38 | $9.92 | $675.14 |
| 3958 | Continuous Home Care - Min 18 Hours | $683.83 | $20.51 | $9.92 | $714.26 |
| 3959 | Continuous Home Care - Min 19 Hours | $721.82 | $21.65 | $9.92 | $753.39 |
| 3960 | Continuous Home Care - Min 20 Hours | $759.81 | $22.79 | $9.92 | $792.52 |
| 3961 | Continuous Home Care - Min 21 Hours | $797.80 | $23.93 | $9.92 | $831.65 |
| 3962 | Continuous Home Care - Min 22 Hours | $835.79 | $25.07 | $9.92 | $870.78 |
| 3963 | Continuous Home Care - Min 23 Hours | $873.78 | $26.21 | $9.92 | $909.91 |
| 3964 | Continuous Home Care - Min 24 Hours | $911.77 | $27.35 | $9.92 | $949.04 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $8.50 | $0.26 | $0.50 | $9.26 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $265.03 | $7.95 | $9.92 | $282.90 |
| 3970 | Routine Home Care w/Escort | $172.65 | $5.18 | $9.92 | $187.75 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $334.68 | $10.04 | $9.92 | $354.64 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $376.52 | $11.30 | $9.92 | $397.74 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $418.35 | $12.55 | $9.92 | $440.82 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $460.19 | $13.81 | $9.92 | $483.92 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $502.03 | $15.06 | $9.92 | $527.01 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $543.86 | $16.32 | $9.92 | $570.10 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $585.70 | $17.57 | $9.92 | $613.19 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $627.53 | $18.83 | $9.92 | $656.28 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $669.37 | $20.08 | $9.92 | $699.37 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $711.20 | $21.34 | $9.92 | $742.46 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $753.04 | $22.59 | $9.92 | $785.55 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $794.87 | $23.85 | $9.92 | $828.64 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $836.71 | $25.10 | $9.92 | $871.73 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $878.54 | $26.36 | $9.92 | $914.82 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $920.38 | $27.61 | $9.92 | $957.91 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $962.21 | $28.87 | $9.92 | $1,001.00 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $1,004.05 | $30.12 | $9.92 | $1,044.09 |
| 3988 | General Inpatient w/ AIDS | $772.01 | $23.16 | $9.92 | $805.09 |
| 3989 | Routine Home Care w/ AIDS Escort | $281.31 | $8.44 | $9.92 | $299.67 |
* 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 | $143.52 | $4.31 | $9.92 | $157.75 |
| 3946 | Inpatient Respite | $159.00 | $4.77 | $9.92 | $173.69 |
| 3947 | General Inpatient Care | $641.45 | $19.24 | $9.92 | $670.61 |
| 3948 | Continuous Home Care - Min 8 Hours | $278.94 | $8.37 | $9.92 | $297.23 |
| 3949 | Continuous Home Care - Min 9 Hours | $313.81 | $9.41 | $9.92 | $333.14 |
| 3950 | Continuous Home Care - Min 10 Hours | $348.68 | $10.46 | $9.92 | $369.06 |
| 3951 | Continuous Home Care - Min 11 Hours | $383.55 | $11.51 | $9.92 | $404.98 |
| 3952 | Continuous Home Care - Min 12 Hours | $418.42 | $12.55 | $9.92 | $440.89 |
| 3953 | Continuous Home Care - Min 13 Hours | $453.28 | $13.60 | $9.92 | $476.80 |
| 3954 | Continuous Home Care - Min 14 Hours | $488.15 | $14.64 | $9.92 | $512.71 |
| 3955 | Continuous Home Care - Min 15 Hours | $523.02 | $15.69 | $9.92 | $548.63 |
| 3956 | Continuous Home Care - Min 16 Hours | $557.89 | $16.74 | $9.92 | $584.55 |
| 3957 | Continuous Home Care - Min 17 Hours | $592.75 | $17.78 | $9.92 | $620.45 |
| 3958 | Continuous Home Care - Min 18 Hours | $627.62 | $18.83 | $9.92 | $656.37 |
| 3959 | Continuous Home Care - Min 19 Hours | $662.49 | $19.87 | $9.92 | $692.28 |
| 3960 | Continuous Home Care - Min 20 Hours | $697.36 | $20.92 | $9.92 | $728.20 |
| 3961 | Continuous Home Care - Min 21 Hours | $732.23 | $21.97 | $9.92 | $764.12 |
| 3962 | Continuous Home Care - Min 22 Hours | $767.09 | $23.01 | $9.92 | $800.02 |
| 3963 | Continuous Home Care - Min 23 Hours | $801.96 | $24.06 | $9.92 | $835.94 |
| 3964 | Continuous Home Care - Min 24 Hours | $836.83 | $25.10 | $9.92 | $871.85 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $7.95 | $0.24 | $0.50 | $8.69 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $243.25 | $7.30 | $9.92 | $260.47 |
| 3970 | Routine Home Care w/Escort | $159.80 | $4.79 | $9.92 | $174.51 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $297.76 | $8.93 | $9.92 | $316.61 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $334.98 | $10.05 | $9.92 | $354.95 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $372.20 | $11.17 | $9.92 | $393.29 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $409.42 | $12.28 | $9.92 | $431.62 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $446.65 | $13.40 | $9.92 | $469.97 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $483.87 | $14.52 | $9.92 | $508.31 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $521.09 | $15.63 | $9.92 | $546.64 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $558.31 | $16.75 | $9.92 | $584.98 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $595.53 | $17.87 | $9.92 | $623.32 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $632.75 | $18.98 | $9.92 | $661.65 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $669.97 | $20.10 | $9.92 | $699.99 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $707.19 | $21.22 | $9.92 | $738.33 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $744.41 | $22.33 | $9.92 | $776.66 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $781.63 | $23.45 | $9.92 | $815.00 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $818.85 | $24.57 | $9.92 | $853.34 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $856.07 | $25.68 | $9.92 | $891.67 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $893.29 | $26.80 | $9.92 | $930.01 |
| 3988 | General Inpatient w/ AIDS | $712.91 | $21.39 | $9.92 | $744.22 |
| 3989 | Routine Home Care w/ AIDS Escort | $259.53 | $7.79 | $9.92 | $277.24 |
* 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 | $138.54 | $4.16 | $9.92 | $152.62 |
| 3946 | Inpatient Respite | $154.74 | $4.64 | $9.92 | $169.30 |
| 3947 | General Inpatient Care | $620.87 | $18.63 | $9.92 | $649.42 |
| 3948 | Continuous Home Care - Min 8 Hours | $269.28 | $8.08 | $9.92 | $287.28 |
| 3949 | Continuous Home Care - Min 9 Hours | $302.94 | $9.09 | $9.92 | $321.95 |
| 3950 | Continuous Home Care - Min 10 Hours | $336.60 | $10.10 | $9.92 | $356.62 |
| 3951 | Continuous Home Care - Min 11 Hours | $370.26 | $11.11 | $9.92 | $391.29 |
| 3952 | Continuous Home Care - Min 12 Hours | $403.92 | $12.12 | $9.92 | $425.96 |
| 3953 | Continuous Home Care - Min 13 Hours | $437.58 | $13.13 | $9.92 | $460.63 |
| 3954 | Continuous Home Care - Min 14 Hours | $471.24 | $14.14 | $9.92 | $495.30 |
| 3955 | Continuous Home Care - Min 15 Hours | $504.90 | $15.15 | $9.92 | $529.97 |
| 3956 | Continuous Home Care - Min 16 Hours | $538.56 | $16.16 | $9.92 | $564.64 |
| 3957 | Continuous Home Care - Min 17 Hours | $572.22 | $17.17 | $9.92 | $599.31 |
| 3958 | Continuous Home Care - Min 18 Hours | $605.88 | $18.18 | $9.92 | $633.98 |
| 3959 | Continuous Home Care - Min 19 Hours | $639.54 | $19.19 | $9.92 | $668.65 |
| 3960 | Continuous Home Care - Min 20 Hours | $673.20 | $20.20 | $9.92 | $703.32 |
| 3961 | Continuous Home Care - Min 21 Hours | $706.86 | $21.21 | $9.92 | $737.99 |
| 3962 | Continuous Home Care - Min 22 Hours | $740.52 | $22.22 | $9.92 | $772.66 |
| 3963 | Continuous Home Care - Min 23 Hours | $774.18 | $23.23 | $9.92 | $807.33 |
| 3964 | Continuous Home Care - Min 24 Hours | $807.84 | $24.24 | $9.92 | $842.00 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $7.74 | $0.23 | $0.50 | $8.47 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $234.82 | $7.04 | $9.92 | $251.78 |
| 3970 | Routine Home Care w/Escort | $154.82 | $4.64 | $9.92 | $169.38 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $283.48 | $8.50 | $9.92 | $301.90 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $318.92 | $9.57 | $9.92 | $338.41 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $354.35 | $10.63 | $9.92 | $374.90 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $389.79 | $11.69 | $9.92 | $411.40 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $425.23 | $12.76 | $9.92 | $447.91 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $460.66 | $13.82 | $9.92 | $484.40 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $496.10 | $14.88 | $9.92 | $520.90 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $531.53 | $15.95 | $9.92 | $557.40 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $566.97 | $17.01 | $9.92 | $593.90 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $602.40 | $18.07 | $9.92 | $630.39 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $637.84 | $19.14 | $9.92 | $666.90 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $673.27 | $20.20 | $9.92 | $703.39 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $708.71 | $21.26 | $9.92 | $739.89 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $744.14 | $22.32 | $9.92 | $776.38 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $779.58 | $23.39 | $9.92 | $812.89 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $815.01 | $24.45 | $9.92 | $849.38 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $850.45 | $25.51 | $9.92 | $885.88 |
| 3988 | General Inpatient w/ AIDS | $690.03 | $20.70 | $9.92 | $720.65 |
| 3989 | Routine Home Care w/ AIDS Escort | $251.10 | $7.53 | $9.92 | $268.55 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|