Mental Hygiene Services Rates

TO: Voluntary Providers, Provider Association

FROM: Donna M. Cater, Director, Bureau of Mental Hygiene Services Rate Setting

DATE: August 1, 2014

SUBJECT: Final Rates

The purpose of this memorandum is to notify you that the rate codes for billing services for non-template Daily Supervised IRA individuals are now available in eMedNY. Unfortunately, the final rates for Supportive IRAs and Day Habilitation (DH) are not yet available. You will, however, be able to bill your agency’s pre-July 1, 2014 rates for those programs using the existing non-template rate/locator codes. Retroactive adjustments will be made once the July 1, 2014 rates are posted in eMedNY. The final July 1, 2014 Intermediate Care Facility (ICF) rates are also not yet available for billing. We will provide an update at the ICF informational meeting scheduled for Monday, August 4, 2014.

Listed below are the rate codes available for non-template Supervised IRA individuals:

Annual Report Locator Code Description Type
4437 005 Supervised IRA Daily
4438 005 Supervised IRA Medical/Retainer Days Daily
4439 005 Supervised IRA Therapeutic Daily

As a reminder, individuals identified to receive "Specialized" or "Template" funding levels are not included in the Rate Rationalization Methodology. You should have already received a transmittal directly from eMedNY identifying that rate information.

Please submit any questions or concerns you may have to: MHRS@health.state.ny.us. This is the best method for staff to manage and respond to the volume of inquires we expect to receive. Please include the following information when you submit inquiries: Agency 5-digit Corp ID, Agency Name, Contact Information, DDRO for your Agency, Program Type (Supervised/Supportive IRA, DH or ICF).