1% Across the Board (ATB) Medicaid Rate Increases

Effective for dates of service on or after April 1, 2022, all non-exempt Department of Health state funds Medicaid rates will be uniformly increased by 1%.

The table below reflects the services that will receive the 1% Across-the-Board Medicaid rate increase:

Category Service Type
Inpatient Services Operating Costs for Hospital Inpatient Reimbursement (inc. FFS GME)
Graduate Medical Education payments for Medicaid Managed Care patients
Nursing Homes Operating Costs for In State Nursing Homes
Non-Institutional Long-Term Care Services Assisted Living programs
Consumer Directed Personal Assistance Program
Home Health
Personal Care
Private Duty Nursing
Traumatic Brain Injury Waiver (TBI)
Nursing Home Transition and Diversion Waiver (NHTD)
Managed Care Managed Long-Term Care (Partial Capitation, Medicaid Advantage Plus (MAP) and Programs of All-Inclusive Care for the Elderly (PACE)*)
Managed Care (Mainstream, Health and Recovery Plans (HARP) and HIV Special Needs Plans (HIV SNP))
Other Services Operating Costs for Article 28 Freestanding Clinics and Ambulatory Surgery Centers
Operating Costs for Article 28 Hospital Based Outpatient
Physicians both office-based and other places of service
Dental, Eye, X-ray, etc.
Hospice Services
Early Intervention
Operating Costs for Federally Qualified Health Center Services and Rural Health Clinics
Operating Costs for Health Home Serving Children and Adults**
Operating Costs for Medicaid Transportation Providers
Operating Costs for Article 29-I Health Facilities

* 1% increase must be within Federally required regulatory limit known as "Amount that Would Have Otherwise Been Paid" as established by the Department's independent actuary.
** Care Coordination Organization Health Homes and Health Home Plus are excluded from the 1%, as a 5.4% COLA will be applied, instead.

Medicaid payments that will be exempted from the uniform rate increase include:

  • Payments whereby Federal law precludes such an increase including, but not limited to Disproportionate Share Hospital (DSH) payments that would be in excess of federal statutory caps;
  • Payments made by Other State Agencies (OSAs) including, but not limited to, those made pursuant to Articles 16, 31 and 32 of the Mental Hygiene Law;
  • Payments the State is obligated to make pursuant to court orders or judgments;
  • Payments for which the non-federal share does not reflect any state funding
  • Payments at the discretion of the Commissioner of Health and the Director of the Budget, where application of increases pursuant to this section would result, by operation of federal law, in a lower Federal Medical Assistance Percentage (FMAP) applicable to such payments.

For further detail on services subject to the 1% ATB increase please refer to the State Plan Amendments (SPAs) pages posted here.

All questions should be submitted to the following electronic mailbox: health.sm.ATB-reduction@health.ny.gov. Please include your provider name and Medicaid number on the email so that questions may be reviewed by program area. Please access the website regularly for the most updated information.