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 | |||||||
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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 |