Certified Hospice Program

Medicaid Rate Sheet

Effective 10/01/2015 - 09/30/2016

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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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