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  • Rate Codes is also available in Portable Document Format (PDF)
Health Home Rate Codes in Effect for Health Home Services on/after October 2018 (Rate changes highlighted in yellow)
Rate Code Rate Code Description Rates Apply to Rates Effective October 1, 2018
Upstate * Downstate*
1853 Health Home Plus/Care Management Health Homes Serving Adults $750.00 $800.00
1860 Health Home Services - Adult Home Transition ** HHs Serving Adult Home Class Members N/A $800.00
1861 Adult Home Assessment and Management Fee ** HHs Serving Adult Home Class Members N/A $200.00
1873 Health Home Care Management Health Homes Serving Adults $200.00 $213.00
1874 Health Home High Risk/Need Care Management Health Homes Serving Adults $360.00 $383.00
1862 Health Home Outreach (Adult) Health Homes Serving Adults $75.00 $75.00
1863 Health Home Outreach (Children) Health Homes Serving Children $75.00 $75.00
1864 Health Home Services - Children (Low) Health Homes Serving Children $225.00 $240.00
1865 Health Home Services - Children (Med) Health Homes Serving Children $450.00 $479.00
1866 Health Home Services - Children (High) Health Homes Serving Children $750.00 $799.00
1868 Health Home-CANS Assessment (Children) Health Homes Serving Children $185.00 $185.00
1869 Health Home Services - Children (Low) (Inc FFP) Health Homes Serving Children $225.00 $240.00
1870 Health Home Services - Children (Med) (Inc FFP) Health Homes Serving Children $450.00 $479.00
1871 Health Home Services - Children (High) (Inc FFP) Health Homes Serving Children $750.00 $799.00
Notes:
* Downstate includes NYC, Dutchess, Nassau, Orange, Putnam, Rockland, Suffolk and Westchester Counties. Upstate includes all other counties.
** Rates only apply to impacted Adult Home class members.