Bureau of Nursing Home and Long-Term Care Rate Setting
Nursing Homes
Medicaid Fee-for-Service (FFS) Rates:
Medicaid FFS Rates are established for the following services:
- Geriatric
- Specialties
- AIDS
- Neurodegenerative (Huntington's disease and Amyotrophic Lateral Sclerosis)
- Pediatric
- Traumatic Brain Injury
- Ventilator Dependent
- Adult Day Health Care
- Out-of-State Nursing Homes
- 2% Penalty
- Bed Hold Reimbursement
Medicaid Managed Care Benchmark Rates
Nursing Home Quality Pool (NHQP) and 2% Supplemental Payment
Cash Receipts Assessments
Request for
- Equity Withdrawals
- Mortgage Refinancing
Nursing Home questions, email NFrates@health.ny.gov
Case Mix questions, email nfmds@health.ny.gov
Residential Health Care Facility Cost Report (RHCF-4) and Hospital Based Cost Report (RHCF-2):
RHCF-4 and RHCF-2 questions, email RHCF-HCS@health.ny.gov
Home Care
Medicaid Fee-for-Service (FFS) Rates:
Medicaid FFS Rates are established for the following services:
- Personal Care
- Level I
- Level II
- Level II Hard-To-Serve
- Shared Aide
- Live-In
- Nursing Supervision
- Nursing Assessment
- Rural County Enhancement
- Consumer Directed Personal Assistance Program (CDPAP)
- CDPAP
- CDPAP Enhanced
- CDPAP Live-In
- CDPAP Admin
- Certified Home Health Agency (CHHA)
- Pediatric
- Episodic (Adults)
- Personal Emergency Response System
- Private Duty Nursing
FFS Personal Care and CDPAP rate questions, email PersonalCare-Rates@health.ny.gov
FFS CHHA rate questions, email CHHA-Rates@health.ny.gov
Home Care Cost Reports:
For questions, email Homecare.reports@health.ny.gov
Assisted Living Program
Assisted Living Program (ALP)
Medicaid Fee-for-Service (FFS) Rates:
Medicaid FFS Rates are established for the following service:
Assisted Living Program questions, email ALP-Rates@health.ny.gov
Hospice Residence and Non-Residence
Medicaid Fee-for-Service (FFS) Rates:
Medicaid FFS Rates are established for the following service:
- Routine Home Care
- Continuous Home Care Rates
- Inpatient Respite Care
- General Inpatient Care
Hospice questions, email Hospice-Rates@health.ny.gov
Foster Care
Medicaid Rates:
Medicaid Rates are established for the following services:
- Core 29i Rates
- General Care – Congregate
- General Care – Family Boarding Home
- AIDS
- Boarder Babies
- Maternity
- Hard to Place
- Therapeutic Boarding Home
- Diagnostic
- Special Other
- Other Limited Health Related Services
Foster Care questions, email Fostercare@health.ny.gov
