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- Rate Codes is also available in Portable Document Format (PDF)
| HH Rate Codes in Effect on/after December 1, 2016 | ||||||
|---|---|---|---|---|---|---|
| Rate Code | Rate Code Description | Upstate Rates effective Dec. 2016 to April 2017 * | Downstate Rates effective Dec. 2016 to April 2017* | Upstate Rates effective 5-1-17 * | Downstate Rates effective 5-1-17 * | Rates Apply to |
| 1854 | Health Home Services - HARP (Low) | $117.00 | $125.00 | $149.00 | $158.00 | Health Homes Serving Adults *** |
| 1855 | Health Home Services - HARP (Med) | $293.00 | $311.00 | $293.00 | $311.00 | Health Homes Serving Adults |
| 1856 | Health Home Services - HARP (High) | $450.00 | $479.00 | $450.00 | $479.00 | Health Homes Serving Adults |
| 1857 | Health Home Services - non-HARP (Low) | $58.00 | $62.00 | $117.00 | $125.00 | Health Homes Serving Adults *** |
| 1858 | Health Home Services - non-HARP (Med) | $234.00 | $249.00 | $234.00 | $249.00 | Health Homes Serving Adults |
| 1859 | Health Home Services - non-HARP (High) | $360.00 | $383.00 | $360.00 | $383.00 | Health Homes Serving Adults |
| 1862 | Health Home Outreach (Adult) **** | $135.00 | $135.00 | $135.00 | $135.00 | Health Homes Serving Adults |
| 1863 | Health Home Outreach (Children) **** | $135.00 | $135.00 | $135.00 | $135.00 | Health Homes Serving Children |
| 1864 | Health Home Services - Children (Low) | $225.00 | $240.00 | $225.00 | $240.00 | Health Homes Serving Children |
| 1865 | Health Home Services - Children (Med) | $450.00 | $479.00 | $450.00 | $479.00 | Health Homes Serving Children |
| 1866 | Health Home Services - Children (High) | $750.00 | $799.00 | $750.00 | $799.00 | Health Homes Serving Children |
| 1868 | Health Home-CANS Assessment (Children) | $185.00 | $185.00 | $185.00 | $185.00 | Health Homes Serving Children |
| 1869 | Health Home Services - Children (Low) (Inc FFP) | $225.00 | $240.00 | $225.00 | $240.00 | Health Homes Serving Children |
| 1870 | Health Home Services - Children (Med) (Inc FFP) | $450.00 | $479.00 | $450.00 | $479.00 | Health Homes Serving Children |
| 1871 | Health Home Services - Children (High) (Inc FFP) | $750.00 | $799.00 | $750.00 | $799.00 | Health Homes Serving Children |
| Current Health Home Rates that will remain in effect on/after December 1, 2016: | ||||||
| 1853 | Health Home Plus/Care Management | $700.00 | $800.00 | $700.00 | $800.00 | Health Homes Serving Adults |
| 1860 | Health Home Services - Adult Home Transition ** | N/A | $800.00 | N/A | $800.00 | HHs Serving Adult Home Class Members |
| 1861 | Adult Home Assessment and Management Fee ** | N/A | $200.00 | N/A | $200.00 | HHs Serving Adult Home Class Members |
| 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. *** HARP/non-HARP Low rates effective May 1, 2017 - Technical revenue neutral rate adjustment to the December 2016 rate. **** Upon receipt of rate approvals, the Outreach rate will be retroactively reduced to $110 effective 10/1/17. |
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