Nursing Home Transition and Diversion (NHTD) Waiver Services Approved Rates

New York State Nursing Home Transition and Diversion Waiver

Rate Summary effective 1/1/2020

Below is a list of the approved rates for the Nursing Home Transition and Diversion (NHTD) waiver services. The definitions of services are more fully presented in the NHTD Program Manual. For a complete understanding of the policies and procedures for payment of these rates, please consult with the NHTD Program Manual.

Rate Code Description Billing Unit Upstate Downstate
9750 Vehicle Adaptation charges 100% approved cost 100% approved cost
9752 Assistive Technology charges 100% approved cost 100% approved cost
9758 Community Transitional Services charges 100% approved cost 100% approved cost
9762 Environmental Modifications charges 100% approved cost 100% approved cost
9781 Congregate and Home Delivered Meals charges 100% approved cost 100% approved cost
9787 Moving Assistance charges 100% approved cost 100% approved cost
9755 Community Integration Counseling hourly $ 72.03 $ 93.73
9756 Independent Living Skills Training hourly $ 36.02 $ 47.74
9757 Positive Behavioral Interventions and Supports hourly $ 54.04 $ 70.04
9763 Nutritional Counseling hourly $ 80.00 $ 93.00
9768 Respite Care per diem $ 334.37 $ 334.37
9769 Respiratory Therapy hourly $ 86.00 $ 81.00
9772 Initial Transition 1 time $ 931.91 $ 1,211.28
9773 Long Term Transition 1 time $ 1,325.84 $ 1,723.19
9774 Initial Diversion 1 time $ 537.99 $ 699.37
9775 Ongoing Intensive monthly $ 393.92 $ 511.91
9777 Structured Day Program hourly $ 17.56 $ 22.66
9780 Peer Mentoring hourly $ 25.00 $ 25.00
9785 Wellness Counseling visit $ 30.00 $ 30.00
9786 Home Visits by Medical Personnel 20 minutes $ 40.00 $ 40.00
9799 Home and Community Support Services Nursing Visit visit $ 61.80 $ 61.80

  Home and Community Support Services (HCSS) by region   1/1/2018 1/1/2019 Rural Adj.
8/1/2019
1/1/2020 1/1/2021 1/1/2022
9795 NYC (Bronx, Kings, NY, Queens, Richmond) hourly $ 25.34 $ 27.90 - $ 27.90 $ 27.90 $ 27.90
Long Island/Westchester (Nassau, Suffolk, Westchester) hourly $ 22.78 $ 24.06 - $ 25.34 $ 26.62 $ 27.90
Rockland hourly $ 24.76 $ 25.65 - $ 26.55 $ 27.45 $ 27.45
Rest of State hourly $ 23.68 $ 24.57 - $ 25.47 $ 26.37 $ 26.37
Rural (Alleghany, Clinton, Delaware, Essex, Franklin, Hamilton, St Lawrence) hourly $ 23.68 $ 24.57 $ 32.57 $ 33.47 $ 34.37 $ 34.37