Care Coordination Organization/ Health Homes (CCO/ HH) Fees

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EFFECTIVE APRIL 1, 2022

(5.4% COLA)
Rate Code Fee Description Fee
1900 Level 1 - Upstate $279.31
1900 Level 1 - Downstate $297.23
1901 Level 2 - Upstate $341.50
1901 Level 2 - Downstate $363.63
1902 Level 3 - Upstate $413.17
1902 Level 3 - Downstate $440.57
1903 Level 4 - Upstate $528.05
1903 Level 4 - Downstate $562.84
1904 Opt-Out - Statewide $260.60
1905 Transition - Upstate $837.93
1905 Transition - Downstate $891.68
1906 Opt-Out - Transition - Statewide $781.79