Certified Hospice Program
Medicaid Rate Sheet
Effective 10/01/2015 - 09/30/2016
- Rate sheet also available in Excel Format (XLS, 1.1MB)
| 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 | $144.87 | $4.35 | $9.92 | $159.14 |
| 3946 | Inpatient Respite | $157.84 | $4.74 | $9.92 | $172.50 |
| 3947 | General Inpatient Care | $648.80 | $19.46 | $9.92 | $678.18 |
| 3948 | Continuous Home Care - Min 8 Hours | $281.56 | $8.45 | $9.92 | $299.93 |
| 3949 | Continuous Home Care - Min 9 Hours | $316.76 | $9.50 | $9.92 | $336.18 |
| 3950 | Continuous Home Care - Min 10 Hours | $351.95 | $10.56 | $9.92 | $372.43 |
| 3951 | Continuous Home Care - Min 11 Hours | $387.15 | $11.61 | $9.92 | $408.68 |
| 3952 | Continuous Home Care - Min 12 Hours | $422.35 | $12.67 | $9.92 | $444.94 |
| 3953 | Continuous Home Care - Min 13 Hours | $457.54 | $13.73 | $9.92 | $481.19 |
| 3954 | Continuous Home Care - Min 14 Hours | $492.74 | $14.78 | $9.92 | $517.44 |
| 3955 | Continuous Home Care - Min 15 Hours | $527.93 | $15.84 | $9.92 | $553.69 |
| 3956 | Continuous Home Care - Min 16 Hours | $563.13 | $16.89 | $9.92 | $589.94 |
| 3957 | Continuous Home Care - Min 17 Hours | $598.32 | $17.95 | $9.92 | $626.19 |
| 3958 | Continuous Home Care - Min 18 Hours | $633.52 | $19.01 | $9.92 | $662.45 |
| 3959 | Continuous Home Care - Min 19 Hours | $668.71 | $20.06 | $9.92 | $698.69 |
| 3960 | Continuous Home Care - Min 20 Hours | $703.91 | $21.12 | $9.92 | $734.95 |
| 3961 | Continuous Home Care - Min 21 Hours | $739.10 | $22.17 | $9.92 | $771.19 |
| 3962 | Continuous Home Care - Min 22 Hours | $774.30 | $23.23 | $9.92 | $807.45 |
| 3963 | Continuous Home Care - Min 23 Hours | $809.49 | $24.28 | $9.92 | $843.69 |
| 3964 | Continuous Home Care - Min 24 Hours | $844.69 | $25.34 | $9.92 | $879.95 |
| 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 | $245.84 | $7.38 | $9.92 | $263.14 |
| 3970 | Routine Home Care w/Escort | $161.81 | $4.85 | $9.92 | $176.58 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $315.37 | $9.46 | $9.92 | $334.75 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $354.79 | $10.64 | $9.92 | $375.35 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $394.21 | $11.83 | $9.92 | $415.96 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $433.63 | $13.01 | $9.92 | $456.56 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $473.05 | $14.19 | $9.92 | $497.16 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $512.47 | $15.37 | $9.92 | $537.76 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $551.89 | $16.56 | $9.92 | $578.37 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $591.31 | $17.74 | $9.92 | $618.97 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $630.73 | $18.92 | $9.92 | $659.57 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $670.15 | $20.10 | $9.92 | $700.17 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $709.58 | $21.29 | $9.92 | $740.79 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $749.00 | $22.47 | $9.92 | $781.39 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $788.42 | $23.65 | $9.92 | $821.99 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $827.84 | $24.84 | $9.92 | $862.60 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $867.26 | $26.02 | $9.92 | $903.20 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $906.68 | $27.20 | $9.92 | $943.80 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $946.10 | $28.38 | $9.92 | $984.40 |
| 3988 | General Inpatient w/ AIDS | $721.08 | $21.63 | $9.92 | $752.63 |
| 3989 | Routine Home Care w/ AIDS Escort | $262.78 | $7.88 | $9.92 | $280.58 |
* 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 | $145.13 | $4.35 | $9.92 | $159.40 |
| 3946 | Inpatient Respite | $158.05 | $4.74 | $9.92 | $172.71 |
| 3947 | General Inpatient Care | $649.86 | $19.50 | $9.92 | $679.28 |
| 3948 | Continuous Home Care - Min 8 Hours | $282.06 | $8.46 | $9.92 | $300.44 |
| 3949 | Continuous Home Care - Min 9 Hours | $317.32 | $9.52 | $9.92 | $336.76 |
| 3950 | Continuous Home Care - Min 10 Hours | $352.58 | $10.58 | $9.92 | $373.08 |
| 3951 | Continuous Home Care - Min 11 Hours | $387.84 | $11.64 | $9.92 | $409.40 |
| 3952 | Continuous Home Care - Min 12 Hours | $423.10 | $12.69 | $9.92 | $445.71 |
| 3953 | Continuous Home Care - Min 13 Hours | $458.35 | $13.75 | $9.92 | $482.02 |
| 3954 | Continuous Home Care - Min 14 Hours | $493.61 | $14.81 | $9.92 | $518.34 |
| 3955 | Continuous Home Care - Min 15 Hours | $528.87 | $15.87 | $9.92 | $554.66 |
| 3956 | Continuous Home Care - Min 16 Hours | $564.13 | $16.92 | $9.92 | $590.97 |
| 3957 | Continuous Home Care - Min 17 Hours | $599.38 | $17.98 | $9.92 | $627.28 |
| 3958 | Continuous Home Care - Min 18 Hours | $634.64 | $19.04 | $9.92 | $663.60 |
| 3959 | Continuous Home Care - Min 19 Hours | $669.90 | $20.10 | $9.92 | $699.92 |
| 3960 | Continuous Home Care - Min 20 Hours | $705.16 | $21.15 | $9.92 | $736.23 |
| 3961 | Continuous Home Care - Min 21 Hours | $740.42 | $22.21 | $9.92 | $772.55 |
| 3962 | Continuous Home Care - Min 22 Hours | $775.67 | $23.27 | $9.92 | $808.86 |
| 3963 | Continuous Home Care - Min 23 Hours | $810.93 | $24.33 | $9.92 | $845.18 |
| 3964 | Continuous Home Care - Min 24 Hours | $846.19 | $25.39 | $9.92 | $881.50 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $7.90 | $0.24 | $0.50 | $8.64 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $246.27 | $7.39 | $9.92 | $263.58 |
| 3970 | Routine Home Care w/Escort | $162.07 | $4.86 | $9.92 | $176.85 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $315.37 | $9.46 | $9.92 | $334.75 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $354.79 | $10.64 | $9.92 | $375.35 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $394.21 | $11.83 | $9.92 | $415.96 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $433.63 | $13.01 | $9.92 | $456.56 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $473.05 | $14.19 | $9.92 | $497.16 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $512.47 | $15.37 | $9.92 | $537.76 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $551.89 | $16.56 | $9.92 | $578.37 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $591.31 | $17.74 | $9.92 | $618.97 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $630.73 | $18.92 | $9.92 | $659.57 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $670.15 | $20.10 | $9.92 | $700.17 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $709.58 | $21.29 | $9.92 | $740.79 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $749.00 | $22.47 | $9.92 | $781.39 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $788.42 | $23.65 | $9.92 | $821.99 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $827.84 | $24.84 | $9.92 | $862.60 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $867.26 | $26.02 | $9.92 | $903.20 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $906.68 | $27.20 | $9.92 | $943.80 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $946.10 | $28.38 | $9.92 | $984.40 |
| 3988 | General Inpatient w/ AIDS | $722.25 | $21.67 | $9.92 | $753.84 |
| 3989 | Routine Home Care w/ AIDS Escort | $263.21 | $7.90 | $9.92 | $281.03 |
* 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 | $164.77 | $4.94 | $9.92 | $179.63 |
| 3946 | Inpatient Respite | $174.50 | $5.24 | $9.92 | $189.66 |
| 3947 | General Inpatient Care | $731.17 | $21.94 | $9.92 | $763.03 |
| 3948 | Continuous Home Care - Min 8 Hours | $320.25 | $9.61 | $9.92 | $339.78 |
| 3949 | Continuous Home Care - Min 9 Hours | $360.28 | $10.81 | $9.92 | $381.01 |
| 3950 | Continuous Home Care - Min 10 Hours | $400.31 | $12.01 | $9.92 | $422.24 |
| 3951 | Continuous Home Care - Min 11 Hours | $440.34 | $13.21 | $9.92 | $463.47 |
| 3952 | Continuous Home Care - Min 12 Hours | $480.38 | $14.41 | $9.92 | $504.71 |
| 3953 | Continuous Home Care - Min 13 Hours | $520.41 | $15.61 | $9.92 | $545.94 |
| 3954 | Continuous Home Care - Min 14 Hours | $560.44 | $16.81 | $9.92 | $587.17 |
| 3955 | Continuous Home Care - Min 15 Hours | $600.47 | $18.01 | $9.92 | $628.40 |
| 3956 | Continuous Home Care - Min 16 Hours | $640.50 | $19.22 | $9.92 | $669.64 |
| 3957 | Continuous Home Care - Min 17 Hours | $680.53 | $20.42 | $9.92 | $710.87 |
| 3958 | Continuous Home Care - Min 18 Hours | $720.56 | $21.62 | $9.92 | $752.10 |
| 3959 | Continuous Home Care - Min 19 Hours | $760.59 | $22.82 | $9.92 | $793.33 |
| 3960 | Continuous Home Care - Min 20 Hours | $800.63 | $24.02 | $9.92 | $834.57 |
| 3961 | Continuous Home Care - Min 21 Hours | $840.66 | $25.22 | $9.92 | $875.80 |
| 3962 | Continuous Home Care - Min 22 Hours | $880.69 | $26.42 | $9.92 | $917.03 |
| 3963 | Continuous Home Care - Min 23 Hours | $920.72 | $27.62 | $9.92 | $958.26 |
| 3964 | Continuous Home Care - Min 24 Hours | $960.75 | $28.82 | $9.92 | $999.49 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $8.73 | $0.26 | $0.50 | $9.49 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $279.62 | $8.39 | $9.92 | $297.93 |
| 3970 | Routine Home Care w/Escort | $181.71 | $5.45 | $9.92 | $197.08 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $315.37 | $9.46 | $9.92 | $334.75 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $354.79 | $10.64 | $9.92 | $375.35 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $394.21 | $11.83 | $9.92 | $415.96 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $433.63 | $13.01 | $9.92 | $456.56 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $473.05 | $14.19 | $9.92 | $497.16 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $512.47 | $15.37 | $9.92 | $537.76 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $551.89 | $16.56 | $9.92 | $578.37 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $591.31 | $17.74 | $9.92 | $618.97 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $630.73 | $18.92 | $9.92 | $659.57 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $670.15 | $20.10 | $9.92 | $700.17 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $709.58 | $21.29 | $9.92 | $740.79 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $749.00 | $22.47 | $9.92 | $781.39 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $788.42 | $23.65 | $9.92 | $821.99 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $827.84 | $24.84 | $9.92 | $862.60 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $867.26 | $26.02 | $9.92 | $903.20 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $906.68 | $27.20 | $9.92 | $943.80 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $946.10 | $28.38 | $9.92 | $984.40 |
| 3988 | General Inpatient w/ AIDS | $812.62 | $24.38 | $9.92 | $846.92 |
| 3989 | Routine Home Care w/ AIDS Escort | $296.56 | $8.90 | $9.92 | $315.38 |
* 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 | $147.51 | $4.43 | $9.92 | $161.86 |
| 3946 | Inpatient Respite | $160.05 | $4.80 | $9.92 | $174.77 |
| 3947 | General Inpatient Care | $659.73 | $19.79 | $9.92 | $689.44 |
| 3948 | Continuous Home Care - Min 8 Hours | $286.70 | $8.60 | $9.92 | $305.22 |
| 3949 | Continuous Home Care - Min 9 Hours | $322.53 | $9.68 | $9.92 | $342.13 |
| 3950 | Continuous Home Care - Min 10 Hours | $358.37 | $10.75 | $9.92 | $379.04 |
| 3951 | Continuous Home Care - Min 11 Hours | $394.21 | $11.83 | $9.92 | $415.96 |
| 3952 | Continuous Home Care - Min 12 Hours | $430.05 | $12.90 | $9.92 | $452.87 |
| 3953 | Continuous Home Care - Min 13 Hours | $465.88 | $13.98 | $9.92 | $489.78 |
| 3954 | Continuous Home Care - Min 14 Hours | $501.72 | $15.05 | $9.92 | $526.69 |
| 3955 | Continuous Home Care - Min 15 Hours | $537.56 | $16.13 | $9.92 | $563.61 |
| 3956 | Continuous Home Care - Min 16 Hours | $573.39 | $17.20 | $9.92 | $600.51 |
| 3957 | Continuous Home Care - Min 17 Hours | $609.23 | $18.28 | $9.92 | $637.43 |
| 3958 | Continuous Home Care - Min 18 Hours | $645.07 | $19.35 | $9.92 | $674.34 |
| 3959 | Continuous Home Care - Min 19 Hours | $680.90 | $20.43 | $9.92 | $711.25 |
| 3960 | Continuous Home Care - Min 20 Hours | $716.74 | $21.50 | $9.92 | $748.16 |
| 3961 | Continuous Home Care - Min 21 Hours | $752.58 | $22.58 | $9.92 | $785.08 |
| 3962 | Continuous Home Care - Min 22 Hours | $788.42 | $23.65 | $9.92 | $821.99 |
| 3963 | Continuous Home Care - Min 23 Hours | $824.25 | $24.73 | $9.92 | $858.90 |
| 3964 | Continuous Home Care - Min 24 Hours | $860.09 | $25.80 | $9.92 | $895.81 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $8.00 | $0.24 | $0.50 | $8.74 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $250.32 | $7.51 | $9.92 | $267.75 |
| 3970 | Routine Home Care w/Escort | $164.45 | $4.93 | $9.92 | $179.30 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $315.37 | $9.46 | $9.92 | $334.75 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $354.79 | $10.64 | $9.92 | $375.35 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $394.21 | $11.83 | $9.92 | $415.96 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $433.63 | $13.01 | $9.92 | $456.56 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $473.05 | $14.19 | $9.92 | $497.16 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $512.47 | $15.37 | $9.92 | $537.76 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $551.89 | $16.56 | $9.92 | $578.37 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $591.31 | $17.74 | $9.92 | $618.97 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $630.73 | $18.92 | $9.92 | $659.57 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $670.15 | $20.10 | $9.92 | $700.17 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $709.58 | $21.29 | $9.92 | $740.79 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $749.00 | $22.47 | $9.92 | $781.39 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $788.42 | $23.65 | $9.92 | $821.99 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $827.84 | $24.84 | $9.92 | $862.60 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $867.26 | $26.02 | $9.92 | $903.20 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $906.68 | $27.20 | $9.92 | $943.80 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $946.10 | $28.38 | $9.92 | $984.40 |
| 3988 | General Inpatient w/ AIDS | $733.22 | $22.00 | $9.92 | $765.14 |
| 3989 | Routine Home Care w/ AIDS Escort | $267.26 | $8.02 | $9.92 | $285.20 |
* 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 | $144.84 | $4.35 | $9.92 | $159.11 |
| 3946 | Inpatient Respite | $157.81 | $4.73 | $9.92 | $172.46 |
| 3947 | General Inpatient Care | $648.66 | $19.46 | $9.92 | $678.04 |
| 3948 | Continuous Home Care - Min 8 Hours | $281.50 | $8.45 | $9.92 | $299.87 |
| 3949 | Continuous Home Care - Min 9 Hours | $316.69 | $9.50 | $9.92 | $336.11 |
| 3950 | Continuous Home Care - Min 10 Hours | $351.88 | $10.56 | $9.92 | $372.36 |
| 3951 | Continuous Home Care - Min 11 Hours | $387.06 | $11.61 | $9.92 | $408.59 |
| 3952 | Continuous Home Care - Min 12 Hours | $422.25 | $12.67 | $9.92 | $444.84 |
| 3953 | Continuous Home Care - Min 13 Hours | $457.44 | $13.72 | $9.92 | $481.08 |
| 3954 | Continuous Home Care - Min 14 Hours | $492.63 | $14.78 | $9.92 | $517.33 |
| 3955 | Continuous Home Care - Min 15 Hours | $527.81 | $15.83 | $9.92 | $553.56 |
| 3956 | Continuous Home Care - Min 16 Hours | $563.00 | $16.89 | $9.92 | $589.81 |
| 3957 | Continuous Home Care - Min 17 Hours | $598.19 | $17.95 | $9.92 | $626.06 |
| 3958 | Continuous Home Care - Min 18 Hours | $633.38 | $19.00 | $9.92 | $662.30 |
| 3959 | Continuous Home Care - Min 19 Hours | $668.56 | $20.06 | $9.92 | $698.54 |
| 3960 | Continuous Home Care - Min 20 Hours | $703.75 | $21.11 | $9.92 | $734.78 |
| 3961 | Continuous Home Care - Min 21 Hours | $738.94 | $22.17 | $9.92 | $771.03 |
| 3962 | Continuous Home Care - Min 22 Hours | $774.13 | $23.22 | $9.92 | $807.27 |
| 3963 | Continuous Home Care - Min 23 Hours | $809.31 | $24.28 | $9.92 | $843.51 |
| 3964 | Continuous Home Care - Min 24 Hours | $844.50 | $25.34 | $9.92 | $879.76 |
| 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 | $245.78 | $7.37 | $9.92 | $263.07 |
| 3970 | Routine Home Care w/Escort | $161.78 | $4.85 | $9.92 | $176.55 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $315.37 | $9.46 | $9.92 | $334.75 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $354.79 | $10.64 | $9.92 | $375.35 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $394.21 | $11.83 | $9.92 | $415.96 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $433.63 | $13.01 | $9.92 | $456.56 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $473.05 | $14.19 | $9.92 | $497.16 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $512.47 | $15.37 | $9.92 | $537.76 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $551.89 | $16.56 | $9.92 | $578.37 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $591.31 | $17.74 | $9.92 | $618.97 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $630.73 | $18.92 | $9.92 | $659.57 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $670.15 | $20.10 | $9.92 | $700.17 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $709.58 | $21.29 | $9.92 | $740.79 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $749.00 | $22.47 | $9.92 | $781.39 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $788.42 | $23.65 | $9.92 | $821.99 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $827.84 | $24.84 | $9.92 | $862.60 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $867.26 | $26.02 | $9.92 | $903.20 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $906.68 | $27.20 | $9.92 | $943.80 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $946.10 | $28.38 | $9.92 | $984.40 |
| 3988 | General Inpatient w/ AIDS | $720.92 | $21.63 | $9.92 | $752.47 |
| 3989 | Routine Home Care w/ AIDS Escort | $262.72 | $7.88 | $9.92 | $280.52 |
* 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 | $191.67 | $5.75 | $9.92 | $207.34 |
| 3946 | Inpatient Respite | $197.02 | $5.91 | $9.92 | $212.85 |
| 3947 | General Inpatient Care | $842.49 | $25.27 | $9.92 | $877.68 |
| 3948 | Continuous Home Care - Min 8 Hours | $372.53 | $11.18 | $9.92 | $393.63 |
| 3949 | Continuous Home Care - Min 9 Hours | $419.09 | $12.57 | $9.92 | $441.58 |
| 3950 | Continuous Home Care - Min 10 Hours | $465.66 | $13.97 | $9.92 | $489.55 |
| 3951 | Continuous Home Care - Min 11 Hours | $512.22 | $15.37 | $9.92 | $537.51 |
| 3952 | Continuous Home Care - Min 12 Hours | $558.79 | $16.76 | $9.92 | $585.47 |
| 3953 | Continuous Home Care - Min 13 Hours | $605.36 | $18.16 | $9.92 | $633.44 |
| 3954 | Continuous Home Care - Min 14 Hours | $651.92 | $19.56 | $9.92 | $681.40 |
| 3955 | Continuous Home Care - Min 15 Hours | $698.49 | $20.95 | $9.92 | $729.36 |
| 3956 | Continuous Home Care - Min 16 Hours | $745.05 | $22.35 | $9.92 | $777.32 |
| 3957 | Continuous Home Care - Min 17 Hours | $791.62 | $23.75 | $9.92 | $825.29 |
| 3958 | Continuous Home Care - Min 18 Hours | $838.19 | $25.15 | $9.92 | $873.26 |
| 3959 | Continuous Home Care - Min 19 Hours | $884.75 | $26.54 | $9.92 | $921.21 |
| 3960 | Continuous Home Care - Min 20 Hours | $931.32 | $27.94 | $9.92 | $969.18 |
| 3961 | Continuous Home Care - Min 21 Hours | $977.88 | $29.34 | $9.92 | $1,017.14 |
| 3962 | Continuous Home Care - Min 22 Hours | $1,024.45 | $30.73 | $9.92 | $1,065.10 |
| 3963 | Continuous Home Care - Min 23 Hours | $1,071.01 | $32.13 | $9.92 | $1,113.06 |
| 3964 | Continuous Home Care - Min 24 Hours | $1,117.58 | $33.53 | $9.92 | $1,161.03 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $9.85 | $0.30 | $0.50 | $10.65 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $325.26 | $9.76 | $9.92 | $344.94 |
| 3970 | Routine Home Care w/Escort | $208.61 | $6.26 | $9.92 | $224.79 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $315.37 | $9.46 | $9.92 | $334.75 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $354.79 | $10.64 | $9.92 | $375.35 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $394.21 | $11.83 | $9.92 | $415.96 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $433.63 | $13.01 | $9.92 | $456.56 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $473.05 | $14.19 | $9.92 | $497.16 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $512.47 | $15.37 | $9.92 | $537.76 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $551.89 | $16.56 | $9.92 | $578.37 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $591.31 | $17.74 | $9.92 | $618.97 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $630.73 | $18.92 | $9.92 | $659.57 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $670.15 | $20.10 | $9.92 | $700.17 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $709.58 | $21.29 | $9.92 | $740.79 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $749.00 | $22.47 | $9.92 | $781.39 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $788.42 | $23.65 | $9.92 | $821.99 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $827.84 | $24.84 | $9.92 | $862.60 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $867.26 | $26.02 | $9.92 | $903.20 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $906.68 | $27.20 | $9.92 | $943.80 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $946.10 | $28.38 | $9.92 | $984.40 |
| 3988 | General Inpatient w/ AIDS | $936.34 | $28.09 | $9.92 | $974.35 |
| 3989 | Routine Home Care w/ AIDS Escort | $342.20 | $10.27 | $9.92 | $362.39 |
* 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 | $195.22 | $5.86 | $9.92 | $211.00 |
| 3946 | Inpatient Respite | $199.99 | $6.00 | $9.92 | $215.91 |
| 3947 | General Inpatient Care | $857.19 | $25.72 | $9.92 | $892.83 |
| 3948 | Continuous Home Care - Min 8 Hours | $379.43 | $11.38 | $9.92 | $400.73 |
| 3949 | Continuous Home Care - Min 9 Hours | $426.86 | $12.81 | $9.92 | $449.59 |
| 3950 | Continuous Home Care - Min 10 Hours | $474.29 | $14.23 | $9.92 | $498.44 |
| 3951 | Continuous Home Care - Min 11 Hours | $521.72 | $15.65 | $9.92 | $547.29 |
| 3952 | Continuous Home Care - Min 12 Hours | $569.15 | $17.07 | $9.92 | $596.14 |
| 3953 | Continuous Home Care - Min 13 Hours | $616.58 | $18.50 | $9.92 | $645.00 |
| 3954 | Continuous Home Care - Min 14 Hours | $664.01 | $19.92 | $9.92 | $693.85 |
| 3955 | Continuous Home Care - Min 15 Hours | $711.44 | $21.34 | $9.92 | $742.70 |
| 3956 | Continuous Home Care - Min 16 Hours | $758.87 | $22.77 | $9.92 | $791.56 |
| 3957 | Continuous Home Care - Min 17 Hours | $806.30 | $24.19 | $9.92 | $840.41 |
| 3958 | Continuous Home Care - Min 18 Hours | $853.73 | $25.61 | $9.92 | $889.26 |
| 3959 | Continuous Home Care - Min 19 Hours | $901.15 | $27.03 | $9.92 | $938.10 |
| 3960 | Continuous Home Care - Min 20 Hours | $948.58 | $28.46 | $9.92 | $986.96 |
| 3961 | Continuous Home Care - Min 21 Hours | $996.01 | $29.88 | $9.92 | $1,035.81 |
| 3962 | Continuous Home Care - Min 22 Hours | $1,043.44 | $31.30 | $9.92 | $1,084.66 |
| 3963 | Continuous Home Care - Min 23 Hours | $1,090.87 | $32.73 | $9.92 | $1,133.52 |
| 3964 | Continuous Home Care - Min 24 Hours | $1,138.30 | $34.15 | $9.92 | $1,182.37 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $10.00 | $0.30 | $0.50 | $10.80 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $331.29 | $9.94 | $9.92 | $351.15 |
| 3970 | Routine Home Care w/Escort | $212.16 | $6.36 | $9.92 | $228.44 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $315.37 | $9.46 | $9.92 | $334.75 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $354.79 | $10.64 | $9.92 | $375.35 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $394.21 | $11.83 | $9.92 | $415.96 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $433.63 | $13.01 | $9.92 | $456.56 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $473.05 | $14.19 | $9.92 | $497.16 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $512.47 | $15.37 | $9.92 | $537.76 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $551.89 | $16.56 | $9.92 | $578.37 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $591.31 | $17.74 | $9.92 | $618.97 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $630.73 | $18.92 | $9.92 | $659.57 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $670.15 | $20.10 | $9.92 | $700.17 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $709.58 | $21.29 | $9.92 | $740.79 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $749.00 | $22.47 | $9.92 | $781.39 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $788.42 | $23.65 | $9.92 | $821.99 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $827.84 | $24.84 | $9.92 | $862.60 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $867.26 | $26.02 | $9.92 | $903.20 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $906.68 | $27.20 | $9.92 | $943.80 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $946.10 | $28.38 | $9.92 | $984.40 |
| 3988 | General Inpatient w/ AIDS | $952.68 | $28.58 | $9.92 | $991.18 |
| 3989 | Routine Home Care w/ AIDS Escort | $348.23 | $10.45 | $9.92 | $368.60 |
* 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 | $164.77 | $4.94 | $9.92 | $179.63 |
| 3946 | Inpatient Respite | $174.50 | $5.24 | $9.92 | $189.66 |
| 3947 | General Inpatient Care | $731.17 | $21.94 | $9.92 | $763.03 |
| 3948 | Continuous Home Care - Min 8 Hours | $320.25 | $9.61 | $9.92 | $339.78 |
| 3949 | Continuous Home Care - Min 9 Hours | $360.28 | $10.81 | $9.92 | $381.01 |
| 3950 | Continuous Home Care - Min 10 Hours | $400.31 | $12.01 | $9.92 | $422.24 |
| 3951 | Continuous Home Care - Min 11 Hours | $440.34 | $13.21 | $9.92 | $463.47 |
| 3952 | Continuous Home Care - Min 12 Hours | $480.38 | $14.41 | $9.92 | $504.71 |
| 3953 | Continuous Home Care - Min 13 Hours | $520.41 | $15.61 | $9.92 | $545.94 |
| 3954 | Continuous Home Care - Min 14 Hours | $560.44 | $16.81 | $9.92 | $587.17 |
| 3955 | Continuous Home Care - Min 15 Hours | $600.47 | $18.01 | $9.92 | $628.40 |
| 3956 | Continuous Home Care - Min 16 Hours | $640.50 | $19.22 | $9.92 | $669.64 |
| 3957 | Continuous Home Care - Min 17 Hours | $680.53 | $20.42 | $9.92 | $710.87 |
| 3958 | Continuous Home Care - Min 18 Hours | $720.56 | $21.62 | $9.92 | $752.10 |
| 3959 | Continuous Home Care - Min 19 Hours | $760.59 | $22.82 | $9.92 | $793.33 |
| 3960 | Continuous Home Care - Min 20 Hours | $800.63 | $24.02 | $9.92 | $834.57 |
| 3961 | Continuous Home Care - Min 21 Hours | $840.66 | $25.22 | $9.92 | $875.80 |
| 3962 | Continuous Home Care - Min 22 Hours | $880.69 | $26.42 | $9.92 | $917.03 |
| 3963 | Continuous Home Care - Min 23 Hours | $920.72 | $27.62 | $9.92 | $958.26 |
| 3964 | Continuous Home Care - Min 24 Hours | $960.75 | $28.82 | $9.92 | $999.49 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $8.73 | $0.26 | $0.50 | $9.49 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $279.62 | $8.39 | $9.92 | $297.93 |
| 3970 | Routine Home Care w/Escort | $181.71 | $5.45 | $9.92 | $197.08 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $315.37 | $9.46 | $9.92 | $334.75 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $354.79 | $10.64 | $9.92 | $375.35 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $394.21 | $11.83 | $9.92 | $415.96 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $433.63 | $13.01 | $9.92 | $456.56 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $473.05 | $14.19 | $9.92 | $497.16 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $512.47 | $15.37 | $9.92 | $537.76 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $551.89 | $16.56 | $9.92 | $578.37 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $591.31 | $17.74 | $9.92 | $618.97 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $630.73 | $18.92 | $9.92 | $659.57 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $670.15 | $20.10 | $9.92 | $700.17 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $709.58 | $21.29 | $9.92 | $740.79 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $749.00 | $22.47 | $9.92 | $781.39 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $788.42 | $23.65 | $9.92 | $821.99 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $827.84 | $24.84 | $9.92 | $862.60 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $867.26 | $26.02 | $9.92 | $903.20 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $906.68 | $27.20 | $9.92 | $943.80 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $946.10 | $28.38 | $9.92 | $984.40 |
| 3988 | General Inpatient w/ AIDS | $812.62 | $24.38 | $9.92 | $846.92 |
| 3989 | Routine Home Care w/ AIDS Escort | $296.56 | $8.90 | $9.92 | $315.38 |
* 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 | $186.44 | $5.59 | $9.92 | $201.95 |
| 3946 | Inpatient Respite | $192.63 | $5.78 | $9.92 | $208.33 |
| 3947 | General Inpatient Care | $820.83 | $24.62 | $9.92 | $855.37 |
| 3948 | Continuous Home Care - Min 8 Hours | $362.35 | $10.87 | $9.92 | $383.14 |
| 3949 | Continuous Home Care - Min 9 Hours | $407.65 | $12.23 | $9.92 | $429.80 |
| 3950 | Continuous Home Care - Min 10 Hours | $452.94 | $13.59 | $9.92 | $476.45 |
| 3951 | Continuous Home Care - Min 11 Hours | $498.24 | $14.95 | $9.92 | $523.11 |
| 3952 | Continuous Home Care - Min 12 Hours | $543.53 | $16.31 | $9.92 | $569.76 |
| 3953 | Continuous Home Care - Min 13 Hours | $588.82 | $17.66 | $9.92 | $616.40 |
| 3954 | Continuous Home Care - Min 14 Hours | $634.12 | $19.02 | $9.92 | $663.06 |
| 3955 | Continuous Home Care - Min 15 Hours | $679.41 | $20.38 | $9.92 | $709.71 |
| 3956 | Continuous Home Care - Min 16 Hours | $724.71 | $21.74 | $9.92 | $756.37 |
| 3957 | Continuous Home Care - Min 17 Hours | $770.00 | $23.10 | $9.92 | $803.02 |
| 3958 | Continuous Home Care - Min 18 Hours | $815.30 | $24.46 | $9.92 | $849.68 |
| 3959 | Continuous Home Care - Min 19 Hours | $860.59 | $25.82 | $9.92 | $896.33 |
| 3960 | Continuous Home Care - Min 20 Hours | $905.88 | $27.18 | $9.92 | $942.98 |
| 3961 | Continuous Home Care - Min 21 Hours | $951.18 | $28.54 | $9.92 | $989.64 |
| 3962 | Continuous Home Care - Min 22 Hours | $996.47 | $29.89 | $9.92 | $1,036.28 |
| 3963 | Continuous Home Care - Min 23 Hours | $1,041.77 | $31.25 | $9.92 | $1,082.94 |
| 3964 | Continuous Home Care - Min 24 Hours | $1,087.06 | $32.61 | $9.92 | $1,129.59 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $9.63 | $0.29 | $0.50 | $10.42 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $316.38 | $9.49 | $9.92 | $335.79 |
| 3970 | Routine Home Care w/Escort | $203.38 | $6.10 | $9.92 | $219.40 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $315.37 | $9.46 | $9.92 | $334.75 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $354.79 | $10.64 | $9.92 | $375.35 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $394.21 | $11.83 | $9.92 | $415.96 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $433.63 | $13.01 | $9.92 | $456.56 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $473.05 | $14.19 | $9.92 | $497.16 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $512.47 | $15.37 | $9.92 | $537.76 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $551.89 | $16.56 | $9.92 | $578.37 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $591.31 | $17.74 | $9.92 | $618.97 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $630.73 | $18.92 | $9.92 | $659.57 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $670.15 | $20.10 | $9.92 | $700.17 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $709.58 | $21.29 | $9.92 | $740.79 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $749.00 | $22.47 | $9.92 | $781.39 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $788.42 | $23.65 | $9.92 | $821.99 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $827.84 | $24.84 | $9.92 | $862.60 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $867.26 | $26.02 | $9.92 | $903.20 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $906.68 | $27.20 | $9.92 | $943.80 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $946.10 | $28.38 | $9.92 | $984.40 |
| 3988 | General Inpatient w/ AIDS | $912.27 | $27.37 | $9.92 | $949.56 |
| 3989 | Routine Home Care w/ AIDS Escort | $333.32 | $10.00 | $9.92 | $353.24 |
* 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 | $178.13 | $5.34 | $9.92 | $193.39 |
| 3946 | Inpatient Respite | $185.68 | $5.57 | $9.92 | $201.17 |
| 3947 | General Inpatient Care | $786.44 | $23.59 | $9.92 | $819.95 |
| 3948 | Continuous Home Care - Min 8 Hours | $346.20 | $10.39 | $9.92 | $366.51 |
| 3949 | Continuous Home Care - Min 9 Hours | $389.48 | $11.68 | $9.92 | $411.08 |
| 3950 | Continuous Home Care - Min 10 Hours | $432.75 | $12.98 | $9.92 | $455.65 |
| 3951 | Continuous Home Care - Min 11 Hours | $476.03 | $14.28 | $9.92 | $500.23 |
| 3952 | Continuous Home Care - Min 12 Hours | $519.31 | $15.58 | $9.92 | $544.81 |
| 3953 | Continuous Home Care - Min 13 Hours | $562.58 | $16.88 | $9.92 | $589.38 |
| 3954 | Continuous Home Care - Min 14 Hours | $605.86 | $18.18 | $9.92 | $633.96 |
| 3955 | Continuous Home Care - Min 15 Hours | $649.13 | $19.47 | $9.92 | $678.52 |
| 3956 | Continuous Home Care - Min 16 Hours | $692.41 | $20.77 | $9.92 | $723.10 |
| 3957 | Continuous Home Care - Min 17 Hours | $735.68 | $22.07 | $9.92 | $767.67 |
| 3958 | Continuous Home Care - Min 18 Hours | $778.96 | $23.37 | $9.92 | $812.25 |
| 3959 | Continuous Home Care - Min 19 Hours | $822.23 | $24.67 | $9.92 | $856.82 |
| 3960 | Continuous Home Care - Min 20 Hours | $865.51 | $25.97 | $9.92 | $901.40 |
| 3961 | Continuous Home Care - Min 21 Hours | $908.78 | $27.26 | $9.92 | $945.96 |
| 3962 | Continuous Home Care - Min 22 Hours | $952.06 | $28.56 | $9.92 | $990.54 |
| 3963 | Continuous Home Care - Min 23 Hours | $995.33 | $29.86 | $9.92 | $1,035.11 |
| 3964 | Continuous Home Care - Min 24 Hours | $1,038.61 | $31.16 | $9.92 | $1,079.69 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $9.28 | $0.28 | $0.50 | $10.06 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $302.28 | $9.07 | $9.92 | $321.27 |
| 3970 | Routine Home Care w/Escort | $195.07 | $5.85 | $9.92 | $210.84 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $315.37 | $9.46 | $9.92 | $334.75 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $354.79 | $10.64 | $9.92 | $375.35 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $394.21 | $11.83 | $9.92 | $415.96 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $433.63 | $13.01 | $9.92 | $456.56 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $473.05 | $14.19 | $9.92 | $497.16 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $512.47 | $15.37 | $9.92 | $537.76 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $551.89 | $16.56 | $9.92 | $578.37 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $591.31 | $17.74 | $9.92 | $618.97 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $630.73 | $18.92 | $9.92 | $659.57 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $670.15 | $20.10 | $9.92 | $700.17 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $709.58 | $21.29 | $9.92 | $740.79 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $749.00 | $22.47 | $9.92 | $781.39 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $788.42 | $23.65 | $9.92 | $821.99 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $827.84 | $24.84 | $9.92 | $862.60 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $867.26 | $26.02 | $9.92 | $903.20 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $906.68 | $27.20 | $9.92 | $943.80 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $946.10 | $28.38 | $9.92 | $984.40 |
| 3988 | General Inpatient w/ AIDS | $874.05 | $26.22 | $9.92 | $910.19 |
| 3989 | Routine Home Care w/ AIDS Escort | $319.22 | $9.58 | $9.92 | $338.72 |
* 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 | $148.18 | $4.45 | $9.92 | $162.55 |
| 3946 | Inpatient Respite | $160.61 | $4.82 | $9.92 | $175.35 |
| 3947 | General Inpatient Care | $662.49 | $19.87 | $9.92 | $692.28 |
| 3948 | Continuous Home Care - Min 8 Hours | $287.99 | $8.64 | $9.92 | $306.55 |
| 3949 | Continuous Home Care - Min 9 Hours | $323.99 | $9.72 | $9.92 | $343.63 |
| 3950 | Continuous Home Care - Min 10 Hours | $359.99 | $10.80 | $9.92 | $380.71 |
| 3951 | Continuous Home Care - Min 11 Hours | $395.99 | $11.88 | $9.92 | $417.79 |
| 3952 | Continuous Home Care - Min 12 Hours | $431.99 | $12.96 | $9.92 | $454.87 |
| 3953 | Continuous Home Care - Min 13 Hours | $467.99 | $14.04 | $9.92 | $491.95 |
| 3954 | Continuous Home Care - Min 14 Hours | $503.99 | $15.12 | $9.92 | $529.03 |
| 3955 | Continuous Home Care - Min 15 Hours | $539.99 | $16.20 | $9.92 | $566.11 |
| 3956 | Continuous Home Care - Min 16 Hours | $575.99 | $17.28 | $9.92 | $603.19 |
| 3957 | Continuous Home Care - Min 17 Hours | $611.99 | $18.36 | $9.92 | $640.27 |
| 3958 | Continuous Home Care - Min 18 Hours | $647.99 | $19.44 | $9.92 | $677.35 |
| 3959 | Continuous Home Care - Min 19 Hours | $683.98 | $20.52 | $9.92 | $714.42 |
| 3960 | Continuous Home Care - Min 20 Hours | $719.98 | $21.60 | $9.92 | $751.50 |
| 3961 | Continuous Home Care - Min 21 Hours | $755.98 | $22.68 | $9.92 | $788.58 |
| 3962 | Continuous Home Care - Min 22 Hours | $791.98 | $23.76 | $9.92 | $825.66 |
| 3963 | Continuous Home Care - Min 23 Hours | $827.98 | $24.84 | $9.92 | $862.74 |
| 3964 | Continuous Home Care - Min 24 Hours | $863.98 | $25.92 | $9.92 | $899.82 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $8.03 | $0.24 | $0.50 | $8.77 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $251.45 | $7.54 | $9.92 | $268.91 |
| 3970 | Routine Home Care w/Escort | $165.12 | $4.95 | $9.92 | $179.99 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $315.37 | $9.46 | $9.92 | $334.75 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $354.79 | $10.64 | $9.92 | $375.35 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $394.21 | $11.83 | $9.92 | $415.96 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $433.63 | $13.01 | $9.92 | $456.56 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $473.05 | $14.19 | $9.92 | $497.16 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $512.47 | $15.37 | $9.92 | $537.76 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $551.89 | $16.56 | $9.92 | $578.37 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $591.31 | $17.74 | $9.92 | $618.97 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $630.73 | $18.92 | $9.92 | $659.57 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $670.15 | $20.10 | $9.92 | $700.17 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $709.58 | $21.29 | $9.92 | $740.79 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $749.00 | $22.47 | $9.92 | $781.39 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $788.42 | $23.65 | $9.92 | $821.99 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $827.84 | $24.84 | $9.92 | $862.60 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $867.26 | $26.02 | $9.92 | $903.20 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $906.68 | $27.20 | $9.92 | $943.80 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $946.10 | $28.38 | $9.92 | $984.40 |
| 3988 | General Inpatient w/ AIDS | $736.29 | $22.09 | $9.92 | $768.30 |
| 3989 | Routine Home Care w/ AIDS Escort | $268.39 | $8.05 | $9.92 | $286.36 |
* 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 | $162.09 | $4.86 | $9.92 | $176.87 |
| 3946 | Inpatient Respite | $172.25 | $5.17 | $9.92 | $187.34 |
| 3947 | General Inpatient Care | $720.06 | $21.60 | $9.92 | $751.58 |
| 3948 | Continuous Home Care - Min 8 Hours | $315.03 | $9.45 | $9.92 | $334.40 |
| 3949 | Continuous Home Care - Min 9 Hours | $354.41 | $10.63 | $9.92 | $374.96 |
| 3950 | Continuous Home Care - Min 10 Hours | $393.79 | $11.81 | $9.92 | $415.52 |
| 3951 | Continuous Home Care - Min 11 Hours | $433.17 | $13.00 | $9.92 | $456.09 |
| 3952 | Continuous Home Care - Min 12 Hours | $472.55 | $14.18 | $9.92 | $496.65 |
| 3953 | Continuous Home Care - Min 13 Hours | $511.93 | $15.36 | $9.92 | $537.21 |
| 3954 | Continuous Home Care - Min 14 Hours | $551.31 | $16.54 | $9.92 | $577.77 |
| 3955 | Continuous Home Care - Min 15 Hours | $590.69 | $17.72 | $9.92 | $618.33 |
| 3956 | Continuous Home Care - Min 16 Hours | $630.07 | $18.90 | $9.92 | $658.89 |
| 3957 | Continuous Home Care - Min 17 Hours | $669.45 | $20.08 | $9.92 | $699.45 |
| 3958 | Continuous Home Care - Min 18 Hours | $708.83 | $21.26 | $9.92 | $740.01 |
| 3959 | Continuous Home Care - Min 19 Hours | $748.20 | $22.45 | $9.92 | $780.57 |
| 3960 | Continuous Home Care - Min 20 Hours | $787.58 | $23.63 | $9.92 | $821.13 |
| 3961 | Continuous Home Care - Min 21 Hours | $826.96 | $24.81 | $9.92 | $861.69 |
| 3962 | Continuous Home Care - Min 22 Hours | $866.34 | $25.99 | $9.92 | $902.25 |
| 3963 | Continuous Home Care - Min 23 Hours | $905.72 | $27.17 | $9.92 | $942.81 |
| 3964 | Continuous Home Care - Min 24 Hours | $945.10 | $28.35 | $9.92 | $983.37 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $8.61 | $0.26 | $0.50 | $9.37 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $275.06 | $8.25 | $9.92 | $293.23 |
| 3970 | Routine Home Care w/Escort | $179.03 | $5.37 | $9.92 | $194.32 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $315.37 | $9.46 | $9.92 | $334.75 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $354.79 | $10.64 | $9.92 | $375.35 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $394.21 | $11.83 | $9.92 | $415.96 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $433.63 | $13.01 | $9.92 | $456.56 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $473.05 | $14.19 | $9.92 | $497.16 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $512.47 | $15.37 | $9.92 | $537.76 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $551.89 | $16.56 | $9.92 | $578.37 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $591.31 | $17.74 | $9.92 | $618.97 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $630.73 | $18.92 | $9.92 | $659.57 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $670.15 | $20.10 | $9.92 | $700.17 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $709.58 | $21.29 | $9.92 | $740.79 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $749.00 | $22.47 | $9.92 | $781.39 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $788.42 | $23.65 | $9.92 | $821.99 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $827.84 | $24.84 | $9.92 | $862.60 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $867.26 | $26.02 | $9.92 | $903.20 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $906.68 | $27.20 | $9.92 | $943.80 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $946.10 | $28.38 | $9.92 | $984.40 |
| 3988 | General Inpatient w/ AIDS | $800.27 | $24.01 | $9.92 | $834.20 |
| 3989 | Routine Home Care w/ AIDS Escort | $292.00 | $8.76 | $9.92 | $310.68 |
* 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 | $150.74 | $4.52 | $9.92 | $165.18 |
| 3946 | Inpatient Respite | $162.75 | $4.88 | $9.92 | $177.55 |
| 3947 | General Inpatient Care | $673.09 | $20.19 | $9.92 | $703.20 |
| 3948 | Continuous Home Care - Min 8 Hours | $292.97 | $8.79 | $9.92 | $311.68 |
| 3949 | Continuous Home Care - Min 9 Hours | $329.60 | $9.89 | $9.92 | $349.41 |
| 3950 | Continuous Home Care - Min 10 Hours | $366.22 | $10.99 | $9.92 | $387.13 |
| 3951 | Continuous Home Care - Min 11 Hours | $402.84 | $12.09 | $9.92 | $424.85 |
| 3952 | Continuous Home Care - Min 12 Hours | $439.46 | $13.18 | $9.92 | $462.56 |
| 3953 | Continuous Home Care - Min 13 Hours | $476.08 | $14.28 | $9.92 | $500.28 |
| 3954 | Continuous Home Care - Min 14 Hours | $512.70 | $15.38 | $9.92 | $538.00 |
| 3955 | Continuous Home Care - Min 15 Hours | $549.33 | $16.48 | $9.92 | $575.73 |
| 3956 | Continuous Home Care - Min 16 Hours | $585.95 | $17.58 | $9.92 | $613.45 |
| 3957 | Continuous Home Care - Min 17 Hours | $622.57 | $18.68 | $9.92 | $651.17 |
| 3958 | Continuous Home Care - Min 18 Hours | $659.19 | $19.78 | $9.92 | $688.89 |
| 3959 | Continuous Home Care - Min 19 Hours | $695.81 | $20.87 | $9.92 | $726.60 |
| 3960 | Continuous Home Care - Min 20 Hours | $732.43 | $21.97 | $9.92 | $764.32 |
| 3961 | Continuous Home Care - Min 21 Hours | $769.06 | $23.07 | $9.92 | $802.05 |
| 3962 | Continuous Home Care - Min 22 Hours | $805.68 | $24.17 | $9.92 | $839.77 |
| 3963 | Continuous Home Care - Min 23 Hours | $842.30 | $25.27 | $9.92 | $877.49 |
| 3964 | Continuous Home Care - Min 24 Hours | $878.92 | $26.37 | $9.92 | $915.21 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $8.14 | $0.24 | $0.50 | $8.88 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $255.80 | $7.67 | $9.92 | $273.39 |
| 3970 | Routine Home Care w/Escort | $167.68 | $5.03 | $9.92 | $182.63 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $315.37 | $9.46 | $9.92 | $334.75 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $354.79 | $10.64 | $9.92 | $375.35 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $394.21 | $11.83 | $9.92 | $415.96 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $433.63 | $13.01 | $9.92 | $456.56 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $473.05 | $14.19 | $9.92 | $497.16 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $512.47 | $15.37 | $9.92 | $537.76 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $551.89 | $16.56 | $9.92 | $578.37 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $591.31 | $17.74 | $9.92 | $618.97 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $630.73 | $18.92 | $9.92 | $659.57 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $670.15 | $20.10 | $9.92 | $700.17 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $709.58 | $21.29 | $9.92 | $740.79 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $749.00 | $22.47 | $9.92 | $781.39 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $788.42 | $23.65 | $9.92 | $821.99 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $827.84 | $24.84 | $9.92 | $862.60 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $867.26 | $26.02 | $9.92 | $903.20 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $906.68 | $27.20 | $9.92 | $943.80 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $946.10 | $28.38 | $9.92 | $984.40 |
| 3988 | General Inpatient w/ AIDS | $748.07 | $22.44 | $9.92 | $780.43 |
| 3989 | Routine Home Care w/ AIDS Escort | $272.74 | $8.18 | $9.92 | $290.84 |
* 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 | $142.05 | $4.26 | $9.92 | $156.23 |
| 3946 | Inpatient Respite | $155.48 | $4.66 | $9.92 | $170.06 |
| 3947 | General Inpatient Care | $637.14 | $19.11 | $9.92 | $666.17 |
| 3948 | Continuous Home Care - Min 8 Hours | $276.09 | $8.28 | $9.92 | $294.29 |
| 3949 | Continuous Home Care - Min 9 Hours | $310.60 | $9.32 | $9.92 | $329.84 |
| 3950 | Continuous Home Care - Min 10 Hours | $345.11 | $10.35 | $9.92 | $365.38 |
| 3951 | Continuous Home Care - Min 11 Hours | $379.62 | $11.39 | $9.92 | $400.93 |
| 3952 | Continuous Home Care - Min 12 Hours | $414.13 | $12.42 | $9.92 | $436.47 |
| 3953 | Continuous Home Care - Min 13 Hours | $448.64 | $13.46 | $9.92 | $472.02 |
| 3954 | Continuous Home Care - Min 14 Hours | $483.15 | $14.49 | $9.92 | $507.56 |
| 3955 | Continuous Home Care - Min 15 Hours | $517.66 | $15.53 | $9.92 | $543.11 |
| 3956 | Continuous Home Care - Min 16 Hours | $552.17 | $16.57 | $9.92 | $578.66 |
| 3957 | Continuous Home Care - Min 17 Hours | $586.68 | $17.60 | $9.92 | $614.20 |
| 3958 | Continuous Home Care - Min 18 Hours | $621.20 | $18.64 | $9.92 | $649.76 |
| 3959 | Continuous Home Care - Min 19 Hours | $655.71 | $19.67 | $9.92 | $685.30 |
| 3960 | Continuous Home Care - Min 20 Hours | $690.22 | $20.71 | $9.92 | $720.85 |
| 3961 | Continuous Home Care - Min 21 Hours | $724.73 | $21.74 | $9.92 | $756.39 |
| 3962 | Continuous Home Care - Min 22 Hours | $759.24 | $22.78 | $9.92 | $791.94 |
| 3963 | Continuous Home Care - Min 23 Hours | $793.75 | $23.81 | $9.92 | $827.48 |
| 3964 | Continuous Home Care - Min 24 Hours | $828.26 | $24.85 | $9.92 | $863.03 |
| 3965 | Hospice Inpatient Respite Care Coinsurance Rate - | ||||
| 5% of 3946 | $7.77 | $0.23 | $0.50 | $8.50 | |
| 3966 | Drugs Coinsurance Rate | $1.00 | $0.00 | $0.00 | $1.00 |
| 3969 | Routine Home Care w/AIDS | $241.06 | $7.23 | $9.92 | $258.21 |
| 3970 | Routine Home Care w/Escort | $158.99 | $4.77 | $9.92 | $173.68 |
| 3971 | Continuous Home Care w/AIDS Min 8 Hours | $315.37 | $9.46 | $9.92 | $334.75 |
| 3972 | Continuous Home Care w/AIDS Min 9 Hours | $354.79 | $10.64 | $9.92 | $375.35 |
| 3973 | Continuous Home Care w/AIDS Min 10 Hours | $394.21 | $11.83 | $9.92 | $415.96 |
| 3974 | Continuous Home Care w/AIDS Min 11 Hours | $433.63 | $13.01 | $9.92 | $456.56 |
| 3975 | Continuous Home Care w/AIDS Min 12 Hours | $473.05 | $14.19 | $9.92 | $497.16 |
| 3976 | Continuous Home Care w/AIDS Min 13 Hours | $512.47 | $15.37 | $9.92 | $537.76 |
| 3977 | Continuous Home Care w/AIDS Min 14 Hours | $551.89 | $16.56 | $9.92 | $578.37 |
| 3978 | Continuous Home Care w/AIDS Min 15 Hours | $591.31 | $17.74 | $9.92 | $618.97 |
| 3979 | Continuous Home Care w/AIDS Min 16 Hours | $630.73 | $18.92 | $9.92 | $659.57 |
| 3980 | Continuous Home Care w/AIDS Min 17 Hours | $670.15 | $20.10 | $9.92 | $700.17 |
| 3981 | Continuous Home Care w/AIDS Min 18 Hours | $709.58 | $21.29 | $9.92 | $740.79 |
| 3982 | Continuous Home Care w/AIDS Min 19 Hours | $749.00 | $22.47 | $9.92 | $781.39 |
| 3983 | Continuous Home Care w/AIDS Min 20 Hours | $788.42 | $23.65 | $9.92 | $821.99 |
| 3984 | Continuous Home Care w/AIDS Min 21 Hours | $827.84 | $24.84 | $9.92 | $862.60 |
| 3985 | Continuous Home Care w/AIDS Min 22 Hours | $867.26 | $26.02 | $9.92 | $903.20 |
| 3986 | Continuous Home Care w/AIDS Min 23 Hours | $906.68 | $27.20 | $9.92 | $943.80 |
| 3987 | Continuous Home Care w/AIDS Min 24 Hours | $946.10 | $28.38 | $9.92 | $984.40 |
| 3988 | General Inpatient w/ AIDS | $708.12 | $21.24 | $9.92 | $739.28 |
| 3989 | Routine Home Care w/ AIDS Escort | $258.00 | $7.74 | $9.92 | $275.66 |
* WRR = ´Worker Recruitment and Retention addon´ if applicable
* RTR = ´Recruitment, Training and Retention addon´ if applicable
|top of section| |top of page|