Bureau of Hospital and Clinic Rate Setting

Medicaid Fee-for-Service (FFS) Rates

Medicaid FFS Inpatient Rates are established for the following services and the rates noted with an * are provided here.

  • Acute, Psychiatric, Psychiatric Dual Diagnosis, Medical Rehabilitation, Chemical Dependency Rehabilitation, Chemical Dependency Detoxification*
  • Specialty Hospitals*
  • Critical Access Hospitals*
  • Swing Bed
  • Medical Language Assistance Service
  • Out-of-State Acute*

Medicaid FFS Outpatient Rates are established for the following services:

  • Clinic (including School-based Health Clinics and Integrated Services)
  • Emergency Department
  • Ambulatory Surgery
  • Federally Qualified Health Centers/Rural Health Clinics
  • Out-of-State Clinic, Emergency Department and Ambulatory Surgery

    Hospital FFS rate questions, email HospFFSunit@health.ny.gov

Hospital Institutional Cost Report (ICR):

Information regarding the Hospital ICR can be found here.

ICR questions, email Hospital.ICR@health.ny.gov

Freestanding Clinics, Ambulatory Surgery Centers and Federally Qualified Health Centers/Rural Health Clinics


Medicaid Fee-for-Service (FFS) Rates

Medicaid FFS Rates are established for the following services:

  • Clinic (including School-based Health Clinics and Integrated Services)
  • Renal Clinics
  • Academic Dental Clinics
  • Ambulatory Surgery Centers
  • Federally Qualified Health Centers/Rural Health Clinics
  • Out-of-State Clinic and Ambulatory Surgery

    D&TC FFS rate questions, email dtcffsunit@health.ny.gov

Ambulatory Health Care Facility (AHCF) Cost Report

AHCF questions, email dtcffsunit@health.ny.gov

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