New York State Nursing Home Transition and Diversion (NHTD) Waiver

  • Rates also available in Portable Document Format (PDF)

Fee schedule effective 7/1/2023

  New code 9749 Current Rates in System - +1% ATB Pending approval - Increase to Service Coordination Initial & Diversion Rates
  7/1/2018-3/31/2022 4/1/2021 4/1/2022 7/1/2023
Rate Code Description Upstate (All Other NYS Counties) Downstate (Bronx, Kings, NY, Queens, Richmond, Nassau, Suffolk, Westchester, Rockland) Upstate (All Other NYS Counties) Downstate (Bronx, Kings, NY, Queens, Richmond, Nassau, Suffolk, Westchester, Rockland) Upstate (All Other NYS Counties) Downstate (Bronx, Kings, NY, Queens, Richmond, Nassau, Suffolk, Westchester, Rockland) Upstate (All Other NYS Counties) Downstate (Bronx, Kings, NY, Queens, Richmond, Nassau, Suffolk, Westchester, Rockland)
9749 NHTDWVR STRUCTURED DAY PROGRAM-FACE/FACE-HOURLY $- $- $27.56 $32.66 $27.84 $32.99 $28.12 $33.32
9750 NHTDWVR VEHICLE ADAPTATION-TOTAL CHARGES 100% approved cost 100% approved cost 100% approved cost 100% approved cost 100% approved cost 100% approved cost 100% approved cost 100% approved cost
9752 NHTDWVR ASSISTIVE TECHNOLOGY-TOTAL CHARGES 100% approved cost 100% approved cost 100% approved cost 100% approved cost 100% approved cost 100% approved cost 100% approved cost 100% approved cost
9755 NHTDWVR COMMUNITY INTEGRATION COUNSELING-HOURLY $72.03 $93.73 $72.03 $93.73 $72.75 $94.67 $72.75 $94.67
9756 NHTDWVR INDPNDNT LVNG SKILLS/TRNG-HOURLY $36.02 $47.74 $36.02 $47.74 $36.38 $48.22 $36.38 $48.22
9757 NHTDWVR POS BEHAV INTERV & SUPP-HOURLY $54.04 $70.04 $54.04 $70.04 $54.58 $70.74 $54.58 $70.74
9758 NHTDWVR COMM TRANSITIONAL SERVICES-TOTAL CHARGES 100% approved cost 100% approved cost 100% approved cost 100% approved cost 100% approved cost 100% approved cost 100% approved cost 100% approved cost
9762 NHTDWVR ENVIRONMENTAL MODS-TOTAL CHARGES 100% approved cost 100% approved cost 100% approved cost 100% approved cost 100% approved cost 100% approved cost 100% approved cost 100% approved cost
9763 NHTDWVR NUTRITIONAL CONSULT/ED-HOURLY $80.00 $93.00 $80.00 $93.00 $80.80 $93.93 $80.80 $93.93
9768 NHTDWVR IN-HOME RESPITE-PER DIEM $334.37 $334.37 $334.37 $334.37 $337.71 $337.71 $337.71 $337.71
9769 NHTDWVR HOME RESPIRATORY CARE-HOURLY $86.00 $81.00 $86.00 $81.00 $86.86 $81.81 $86.86 $81.81
9772 NHTDWVR SRV COORD/TRANS L1-INITIAL $931.91 $1,211.28 $931.91 $1,211.28 $941.23 $1,223.39 $3,294.31 $4,281.87
9773 NHTDWVR SRV COORD/TRANS L2-INITIAL $1,325.84 $1,723.19 $1,325.84 $1,723.19 $1,339.10 $1,740.42 $4,686.85 $6,091.47
9774 NHTDWVR SRV COORD/DIVERSION-INITIAL $537.99 $699.37 $537.99 $699.37 $543.37 $706.36 $1,086.74 $1,412.72
9775 NHTDWVR SERVICE COORDINATION-MONTHLY $393.92 $511.91 $393.92 $511.91 $397.86 $517.03 $397.86 $517.03
9777 NHTDWVR STRUCTURED DAY PROGRAM-HOURLY $17.56 $22.66 $17.56 $22.66 $17.74 $22.89 $17.74 $22.89
9780 NHTDWVR PEER MENTOR SERVICES-HOURLY $25.00 $25.00 $25.00 $25.00 $25.25 $25.25 $25.25 $25.25
9781 NHTDWVR CONG/HOME MEALS-TOTAL CHARGES 100% approved cost 100% approved cost 100% approved cost 100% approved cost 100% approved cost 100% approved cost 100% approved cost 100% approved cost
9785 NHTDWVR NURSE/WELLNESS COUNSELING-PER DIEM $30.00 $30.00 $30.00 $30.00 $30.30 $30.30 $30.30 $30.30
9786 NHTDWVR HOME VISITS BY MEDICAL PERSONNEL $40.00 $40.00 $40.00 $40.00 $40.40 $40.40 $40.40 $40.40
9787 NHTDWVR MOVING ASST PROG-TOTAL CHARGES 100% approved cost 100% approved cost 100% approved cost 100% approved cost 100% approved cost 100% approved cost 100% approved cost 100% approved cost
9799 NHTDWVR HCSS NURSE SUPERVISOR-HOURLY $61.80 $61.80 $61.80 $61.80 $62.42 $62.42 $62.42 $62.42
  Current Rates in System
  Statewide MW Statewide MW Rural Statewide MW Statewide MW Statewide MW +1% ATB HCWMW Statewide MW
Rate Code Home and Community Support Services (HCSS) by Region 1/1/2018 1/1/2019 8/1/2019 1/1/2020 1/1/2021 1/1/2022 4/1/2022 10/1/2022 1/1/2023
9795
NHTDWVR
HCSS-HOURLY
NYC (Bronx, Kings, NY, Queens, Richmond) $25.34 $27.90 - $27.90 $27.90 $27.90 $28.18 $30.74 $30.74
LONG ISLAND/WESTCHESTER (Nassau, Suffolk, Westchester) $22.78 $24.06 - $25.34 $26.62 $27.90 $28.18 $30.74 $30.74
ROCKLAND $23.68 $24.57 - $25.47 $26.37 $27.27 $27.54 $30.10 $31.38
REST OF STATE $24.76 $25.65 - $26.55 $27.45 $28.35 $28.63 $31.19 $32.47
RURAL (Allegany, Clinton, Delaware, Essex, Franklin, Hamilton, St Lawrence) $- $- $33.65 $34.55 $35.45 $36.35 $36.71 $39.27 $40.55