DAL-CHHA Medicaid Reimbursement Rates

August 29, 2019

Dear Administrator:

This letter provides you with information regarding your Pediatric Certified Home Health Agencies Medicaid reimbursement rates effective January 1, 2019. The formula on which these rates are based was promulgated in accordance with Article 36 of the Public Health Law and Title 10, Part 86–1 of the Commissioner's Administrative Rules and Regulations.

The all–inclusive rates provided include funding for Worker Recruitment and Retention, Recruitment Training and Retention, Wage Parity and Minimum Wage (rate details are included in Attachment A). These rates will be used to reimburse claims for patients under 18 years of age, and for patients served by a pilot program which provides services to a special needs population of medically complex and fragile children, adolescents and young disabled adults.

All other CHHA services are reimbursed on the basis of 60–day episodes of care.

The Department will allow rate appeals to be filed within 30 days from the date of this letter (see Attachment B). The payment for the January 1, 2019 initial rates will be made in cycle 2195, check release date October 2, 2019. If you have any questions regarding the above information, please send an email to CHHA–Rates@health.ny.gov and Russ Smith or Rob Yankowski will respond to your inquiry.


Laura Rosenthal, Director
Bureau of Residential Health Care Reimbursement
Division of Finance and Rate Setting
Office of Health Insurance Programs