2021 Personal Care Rates

  • Rates is also available in Excel Format (XLSX) - (PDF)

Reconciliation of Funds Paid through Rates vs. Loss
Calendar Year 2020

Provider ID County Name 2020 Losses (based on 2018 cost report) 2019 Add-On carried forward in 2020 Rate 2020 Salient Utilization 2020 Salient Expenditures Payout/(Recoupment)
02813243 DELAWARE AT HOME CARE PARTNERS, INC $7,190 $30.44 1 $135 $7,055
03277254 ST LAWRENCE AT HOME INDEPENDENT CARE INC. $89,858 $7.10 - $0 $89,858
00904527 ALLEGANY COMMUNITY CARE OF WNY $31,682 $0.00 - $0 $31,682
02969799 HAMILTON FORT HUDSON HOMECARE $101,908 $0.00 86 $4,958 $96,950
04160909 ALLEGANY GLIDEDOWAN LLC $594 $0.00 - $0 $594
00953677 ST LAWRENCE HEALTH SERVICES OF NORTHERN NY $115,676 $12.91 3,980 $133,125 ($17,449)
00806717 FRANKLIN HOMEMAKERS OF WESTERN NY, INC DBA CAREGIVERS $0 $6.81 780 $21,035 ($21,035)
00806717 ST LAWRENCE HOMEMAKERS OF WESTERN NY, INC DBA CAREGIVERS $29,646 $9.82 1,675 $49,758 ($20,112)
00891736 CLINTON NORTH COUNTRY HOME SERVICES, INC. $245,898 $144.84 1,038 $71,157 $174,741
00891736 ESSEX NORTH COUNTRY HOME SERVICES, INC. $163,347 $24.17 5,709 $185,126 ($21,779)
00891736 FRANKLIN NORTH COUNTRY HOME SERVICES, INC. $504,832 $56.94 19,289 $729,381 ($224,549)
01060737 DELAWARE U.S. CARE SYSTEMS $28,044 $0.00 - $0 $28,044
02969620 ST LAWRENCE UNITED HELPERS HOME HEALTH SERVICES $132,067 $37.24 - $0 $132,067
00354912 DELAWARE UNLIMITED CARE $1,529 $89.69 1 $168 $1,361
    Totals $1,452,272     $1,194,843 $257,429

2020 Salient Data

Billed Provider MMIS & LOC County Billed Provider Name Rate Code Service Total Expenditures Utilization Convert Qtr Hours Total Utilization
02813243-007 Delaware AT HOME CARE PARTNERS INC 2742 PCA II - NURSING SUPERVISION $135 1   1
02969799-004 Hamilton FORT HUDSON HOME CARE INC 2742 PCA II - NURSING SUPERVISION $4,957 86   86
00953677-003 St Lawrence HEALTH SERVICES NORTHERN NEW YORK 2787 NURSING ASSESSMENT $12,631 126 126  
00953677-003 St Lawrence HEALTH SERVICES NORTHERN NEW YORK 2742 PCA II - NURSING SUPERVISION $10,016 102 102  
00953677-003 St Lawrence HEALTH SERVICES NORTHERN NEW YORK 2595 PCA LEVEL II, 1 CLIENT, 1/4 HOUR $98,888 13,206 3,302  
00953677-003 St Lawrence HEALTH SERVICES NORTHERN NEW YORK 2508 PCAII, SHARED AIDE, BASIC, QUARTER HOUR $11,590 1,802 451  
Total $133,125     3,980
00806717-008 St Lawrence HOMEMAKERS OF WESTERN NY 2742 PCA II - NURSING SUPERVISION $5,597 59 59  
00806717-008 St Lawrence HOMEMAKERS OF WESTERN NY 2595 PCA LEVEL II, 1 CLIENT, 1/4 HOUR $44,161 6,464 1,616  
Total $49,758     1,675
00806717-010 Franklin HOMEMAKERS OF WESTERN NY 2742 PCA II - NURSING SUPERVISION $521 6 6  
00806717-010 Franklin HOMEMAKERS OF WESTERN NY 2595 PCA LEVEL II, 1 CLIENT, 1/4 HOUR $20,514 3,094 774 780
Total $21,035      
00891736-003 Franklin NORTH COUNTRY HOME SERVICES INC 2742 PCA II - NURSING SUPERVISION $8,136 53 53  
00891736-003 Franklin NORTH COUNTRY HOME SERVICES INC 2595 PCA LEVEL II, 1 CLIENT, 1/4 HOUR $721,246 76,940 19,235  
Total $729,382     19,288
00891736-004 Essex NORTH COUNTRY HOME SERVICES INC 2595 PCA LEVEL II, 1 CLIENT, 1/4 HOUR $174,152 21,237 5,309  
00891736-004 Essex NORTH COUNTRY HOME SERVICES INC 2508 PCAII, SHARED AIDE, BASIC, QUARTER HOUR $10,974 1,598 400  
Total $185,126     5,709
00891736-007 Clinton NORTH COUNTRY HOME SERVICES INC 2742 PCA II - NURSING SUPERVISION $7,470 42 42  
00891736-007 Clinton NORTH COUNTRY HOME SERVICES INC 2595 PCA LEVEL II, 1 CLIENT, 1/4 HOUR $49,272 2,053 513  
00891736-007 Clinton NORTH COUNTRY HOME SERVICES INC 2508 PCAII, SHARED AIDE, BASIC, QUARTER HOUR $14,414 2,100 525  
Total $71,157     1,038

New York State Department of Health
Bureau of Residential Health Care Reimbursement
2020 Rural County Adjusstment
Personal Care Rates
Total Medicaid Impact

Organization Name County Level II Nursing Supervision Nursing Assesment Totals        
2020 Rates 2018 Cost Report   2020 Rates 2018 Cost Report   2020 Rates 2018 Cost Report            
Level II Level II - Ceiling Total Days Level II Profit/Loss Nursing Supervision Nursing Supervision - Ceiling Total Days Nursing Supervision Profit/Loss Nursing Assessment Nursing Assessment - Ceiling Total Days Nursing Assessment Profit/Loss Total Loss Total Days 2018 Cost Report 2020 Add-on 2019 Rural rate add-on  
0179766202 ACCESS TO INDEPENDENCE AND MOBILITY ALLEGANY $0.00 $0.00 - $0 $0.00 $0.00 0 $0 $0.00 $0.00 0 $0 $0 - $0.00    
0281324312 AT HOME CARE PARTNERS, INC DELAWARE $18.30 $14.19 1,336 ($5,490) $158.71 $77.74 17 ($1,376) $158.75 $77.74 4 ($324) ($7,190) 1,357 -$5.30 $30.44  
0327725444 AT HOME INDEPENDENT CARE INC. ST LAWRENCE $18.08 $14.19 20,500 ($79,807) $115.33 $77.74 250 ($9,397) $143.21 $77.74 10 ($655) ($89,858) 20,760 -$4.33 $7.10  
0090452702 COMMUNITY CARE OF WNY ALLEGANY $24.08 $14.19 2,721 ($26,913) $149.88 $77.74 8 ($577) $150.00 $77.74 58 ($4,191) ($31,682) 2,787 -$11.37 $0.00 Had a loss but no rate add-on 
0296979920 FORT HUDSON HOMECARE HAMILTON $21.06 $14.19 15,143 ($104,032) $47.39 $77.74 23 $698 $47.38 $77.74 47 $1,427 ($101,908) 15,213 -$6.70 $0.00 Had a loss but no rate add-on 
0416090902 GLIDEDOWAN LLC ALLEGANY $0.00 $0.00 - $0 $176.67 $77.74 3 ($297) $176.67 $77.74 3 ($297) ($594) 6 -$98.93 $0.00 Had a loss but no rate add-on 
0095367744 HEALTH SERVICES OF NORTHERN NY ST LAWRENCE $16.13 $14.19 56,952 ($110,544) $82.89 $77.74 627 ($3,230) $82.89 $77.74 369 ($1,902) ($115,676) 57,948 -$2.00 $12.91  
0080671744 HOMEMAKERS OF WESTERN NY, INC DBA CAREGIVERS ST LAWRENCE $14.43 $14.19 20,045 ($4,851) $175.75 $77.74 253 ($24,796) $0.00 $0.00 0 $0 ($29,646) 20,298 -$1.46 $9.82  
0089173609 NORTH COUNTRY HOME SERVICES, INC. CLINTON $20.64 $14.19 37,259 ($240,134) $99.26 $77.74 253 ($5,446) $123.14 $77.74 7 ($318) ($245,898) 37,519 -$6.55 $144.84  
0089173615 NORTH COUNTRY HOME SERVICES, INC. ESSEX $20.63 $14.19 25,027 ($161,124) $99.26 $77.74 82 ($1,765) $123.60 $77.74 10 ($459) ($163,347) 25,119 -$6.50 $24.17  
0089173616 NORTH COUNTRY HOME SERVICES, INC. FRANKLIN $20.65 $14.19 76,687 ($495,628) $99.27 $77.74 408 ($8,785) $119.70 $77.74 10 ($420) ($504,832) 77,105 -$6.55 $56.94  
0097412112 RESOURCE CENTER FOR INDEPENDENT LIVING, INC. DELAWARE $0.00 $0.00 - $0 $0.00 $0.00 0 $0 $0.00 $0.00 0 $0 $0 - $0.00 $0.00  
0106073712 U.S. CARE SYSTEMS DELAWARE $17.73 $14.19 7,719 ($27,348) $98.70 $77.74 10 ($210) $175.00 $77.74 5 ($486) ($28,044) 7,734 -$3.63 $0.00 Had a loss but no rate add-on 
0174106016 UNITED CEREBRAL PALSY ASSOC. OF THE NORTH COUNTRY FRANKLIN $0.00 $0.00 - $0 $0.00 $0.00 0 $0 $0.00 $0.00 0 $0 $0 - $0.00    
0174106044 UNITED CEREBRAL PALSY ASSOC. OF THE NORTH COUNTRY ST LAWRENCE $0.00 $0.00 - $0 $0.00 $0.00 0 $0 $0.00 $0.00 0 $0 $0 - $0.00    
0296962044 UNITED HELPERS HOME HEALTH SERVICES ST LAWRENCE $24.01 $14.19 9,924 ($97,444) $230.38 $77.74 106 ($16,180) $226.48 $77.74 124 ($18,443) ($132,067) 10,154 -$13.01 $37.24  
0035491212 UNLIMITED CARE DELAWARE $15.20 $14.19 10 ($10) $153.70 $77.74 10 ($760) $153.70 $77.74 10 ($760) ($1,529) 30 -$50.98 $89.69  
0240778944 WESTERN NY INDEPENDENT LIVING CENTER ST LAWRENCE $0.00 $0.00 - $0 $0.00 $0.00 0 $0 $0.00 $0.00 0 $0 $0 - $0.00    
0240778916 WESTERN NY INDEPENDENT LIVING PROJECT FRANKLIN $0.00 $0.00 - $0 $0.00 $0.00 0 $0 $0.00 $0.00 0 $0 $0 - $0.00    
  Totals         ($1,349,301)       ($72,100)       ($27,189) ($1,452,272)