OLP Travel
DRAFT
- Fees also available in Portable Document Format (PDF)
| Rate Code Description | Annual UR medical necessity review standard | Unit Type | Unit Limits (Claim Line level) | Productivity Adjustment 1st 6 mos of Waiver Downstate Fee | Productivity Adjustment Months 7–12 of Waiver Downstate Fee | Year 2+ Downstate Fee | Productivity Adjustment 7/1/18–12/31/18 Upstate Fee | Productivity Adjustment 1/1/19–6/30/19 Upstate Fee | Year 2+ Upstate Fee |
|---|---|---|---|---|---|---|---|---|---|
| Travel Supplement (per mile) | n/a | per mile | 60 miles | n/a | n/a | $ 0.54 | n/a | n/a | $ 0.48 |
| Travel Supplement (public transportation) | n/a | per round trip | 31 | n/a | n/a | $ 5.50 | n/a | n/a | $ 4.90 |
