New York State Children's Medicaid System Transformation

Childrens Home and Community Based Services Rate Summary

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Rate Code Description Billing Unit Upstate Rate Downstate Rate
7933 DAY HABILITATION 15 minute $23.40 $26.24
7934 DAY HABILITATION GROUP OF 2 15 minute $15.21 $17.06
7935 DAY HABILITATION GROUP OF 3 15 minute $11.31 $12.68
8003 CAREGIVER/FAMILY SUPPORTS AND SERVICES 15 minute $24.22 $27.16
8004 CAREGIVER FAMILY SUPPORTS AND SERVICES GROUP OF 2 15 minute $15.74 $17.65
8005 CAREGIVER FAMILY SUPPORTS AND SERVICES GROUP OF 3 15 minute $11.70 $13.13
8006 PREVOCATIONAL SERVICES 15 minute $17.94 $20.12
8007 PRE-VOCATIONAL GROUP OF 2 15 minute $11.66 $13.08
8008 PRE-VOCATIONAL GROUP OF 3 15 minute $8.67 $9.73
8009 COMMUNITY ADVOCACY AND SUPPORT INDIV 15 minute $33.60 $37.68
8010 COMMUNITY ADVOCACY AND SUPPORT GROUP OF 2 15 minute $21.84 $24.49
8011 COMMUNITY ADVOCACY AND SUPPORT GROUP OF 3 15 minute $16.24 $18.21
8012 COMMUNITY HCBS HAB 15 minute $10.40 $10.43
8013 COMMUNITY HCBS HAB GROUP OF 2 15 minute $6.50 $6.51
8014 COMMUNITY HCBS HAB GROUP OF 3 15 minute $4.92 $5.20
8015 SUPPORTED EMPLOYMENT 15 minute $21.27 $23.85
8016 PALLIATIVE CARE - PAIN AND SYMPTOM MANAGEMENT 15 minute $47.49 $53.26
8017 PALLIATIVE CARE - BEREAVEMENT SERVICES 15 minute $38.14 $42.78
8018 PALLIATIVE CARE - MASSAGE THERAPY 15 minute $22.53 $25.27
8019 PALLIATIVE CARE - EXPRESSIVE THERAPY 15 minute $15.62 $17.52
8023 PLANNED RESPITE - INDIVIDUAL (UP TO 6 HOURS) 15 minute $12.28 $13.77
8024 PLANNED RESPITE - INDIVIDUAL (6-12 HOURS) per diem $293.21 $328.86
8025 PLANNED RESPITE - INDIVIDUAL (12-24 HOURS) per diem $502.64 $563.75
8027 PLANNED RESPITE - GROUP (UP TO 6 HOURS) 15 minute $5.94 $6.66
8026 PLANNED RESPITE - GROUP (6-12 HOURS) per diem $141.72 $158.95
8028 CRISIS RESPITE (UP TO 6 HOURS) 15 minute $14.26 $15.99
8029 CRISIS RESPITE (6-12 HOURS) per diem $340.42 $381.81
8030 CRISIS RESPITE (12-24 HOURS) per diem $583.54 $654.45
8032 ENVIR MODS - $1.00 UNIT per unit $1.00 $1.00
8034 ENVIR MODS - $10.00 UNIT per unit $10.00 $10.00
8035 ENVIR MODS - $100.00 UNIT per unit $100.00 $100.00
8036 ENVIR MODS - $1000.00 UNIT per unit $1,000.00 $1,000.00
8037 ADAPTIVE AND ASSISTIVE EQUIPMENT - $1.00 UNIT per unit $1.00 $1.00
8038 ADAPTIVE AND ASSISTIVE EQUIPMENT - $10.00 UNIT per unit $10.00 $10.00
8039 ADAPTIVE AND ASSISTIVE EQUIPMENT - $100.00 UNIT per unit $100.00 $100.00
8040 ADAPTIVE AND ASSISTIVE EQUIPMENT - $1000.00 UNIT per unit $1,000.00 $1,000.00
8041 VEHICLE MODIFICATIONS - $1.00 UNIT per unit $1.00 $1.00
8042 VEHICLE MODIFICATIONS - $10.00 UNIT per unit $10.00 $10.00
8043 VEHICLE MODIFICATIONS - $100.00 UNIT per unit $100.00 $100.00
8044 VEHICLE MODIFICATIONS - $1000.00 UNIT per unit $1,000.00 $1,000.00