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HH Rate Codes in Effect on/after December 1, 2016
Rate Code Rate Code Description Upstate Rates effective Dec. 2016 to April 2017 * Downstate Rates effective Dec. 2016 to April 2017* Upstate Rates effective 5-1-17 * Downstate Rates effective 5-1-17 * Rates Apply to
1854 Health Home Services - HARP (Low) $117.00 $125.00 $149.00 $158.00 Health Homes Serving Adults ***
1855 Health Home Services - HARP (Med) $293.00 $311.00 $293.00 $311.00 Health Homes Serving Adults
1856 Health Home Services - HARP (High) $450.00 $479.00 $450.00 $479.00 Health Homes Serving Adults
1857 Health Home Services - non-HARP (Low) $58.00 $62.00 $117.00 $125.00 Health Homes Serving Adults ***
1858 Health Home Services - non-HARP (Med) $234.00 $249.00 $234.00 $249.00 Health Homes Serving Adults
1859 Health Home Services - non-HARP (High) $360.00 $383.00 $360.00 $383.00 Health Homes Serving Adults
1862 Health Home Outreach (Adult) **** $135.00 $135.00 $135.00 $135.00 Health Homes Serving Adults
1863 Health Home Outreach (Children) **** $135.00 $135.00 $135.00 $135.00 Health Homes Serving Children
1864 Health Home Services - Children (Low) $225.00 $240.00 $225.00 $240.00 Health Homes Serving Children
1865 Health Home Services - Children (Med) $450.00 $479.00 $450.00 $479.00 Health Homes Serving Children
1866 Health Home Services - Children (High) $750.00 $799.00 $750.00 $799.00 Health Homes Serving Children
1868 Health Home-CANS Assessment (Children) $185.00 $185.00 $185.00 $185.00 Health Homes Serving Children
1869 Health Home Services - Children (Low) (Inc FFP) $225.00 $240.00 $225.00 $240.00 Health Homes Serving Children
1870 Health Home Services - Children (Med) (Inc FFP) $450.00 $479.00 $450.00 $479.00 Health Homes Serving Children
1871 Health Home Services - Children (High) (Inc FFP) $750.00 $799.00 $750.00 $799.00 Health Homes Serving Children
Current Health Home Rates that will remain in effect on/after December 1, 2016:
1853 Health Home Plus/Care Management $700.00 $800.00 $700.00 $800.00 Health Homes Serving Adults
1860 Health Home Services - Adult Home Transition ** N/A $800.00 N/A $800.00 HHs Serving Adult Home Class Members
1861 Adult Home Assessment and Management Fee ** N/A $200.00 N/A $200.00 HHs Serving Adult Home Class Members
Notes:
* Downstate includes NYC, Dutchess, Nassau, Orange, Putnam, Rockland, Suffolk and Westchester Counties. Upstate includes all other counties.
** Rates only apply to impacted Adult Home class members.
*** HARP/non-HARP Low rates effective May 1, 2017 - Technical revenue neutral rate adjustment to the December 2016 rate.
**** Upon receipt of rate approvals, the Outreach rate will be retroactively reduced to $110 effective 10/1/17.