Care Health Home Services Provided by Care Coordination Organizations (CCO) FEES
EFFECTIVE AUGUST 1, 2024
*Fees currently pending State Plan Amendment 24-0066 approval by the Centers for Medicare and Medicaid Services and New York State Division of the Budget approval.
- Fees also available in EXCEL Format (XLSX)
| Rate Code | Fee Description | Fee |
|---|---|---|
| 1900 | Level 1 - Upstate | $278.86 |
| 1900 | Level 1 - Downstate | $296.76 |
| 1901 | Level 2 - Upstate | $340.95 |
| 1901 | Level 2 - Downstate | $363.05 |
| 1902 | Level 3 - Upstate | $412.50 |
| 1902 | Level 3 - Downstate | $439.86 |
| 1903 | Level 4 - Upstate | $527.21 |
| 1903 | Level 4 - Downstate | $561.94 |
| 1904 | Opt-Out - Statewide | $260.19 |
| 1905 | Transition - Upstate | $836.59 |
| 1905 | Transition - Downstate | $890.26 |
| 1906 | Opt-Out - Transition - Statewide | $780.55 |
