EPS - FLSA Rate Adjustments

Certified Home Health Agencies
New York State Medicaid - Episodic Payment System
FLSA Rate Adjustment
Effective October 1, 2015

Rate Code Rate Code Description Previous Rate Non-NYC New Rate Non-NYC Previous Rate NYC Wage Parity New Rate NYC Wage Parity
4810 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 1 $1,643.24 $1,658.85 $1,821.70 $1,839.01
4811 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 2 $1,829.04 $1,846.42 $2,027.67 $2,046.93
4812 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 3 $1,829.04 $1,846.42 $2,027.67 $2,046.93
4813 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 4 $2,126.31 $2,146.51 $2,357.23 $2,379.62
4814 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 5 $2,126.31 $2,146.51 $2,357.23 $2,379.62
4815 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 6 $2,241.22 $2,262.51 $2,484.62 $2,508.22
4816 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 1 $2,551.01 $2,575.24 $2,828.05 $2,854.92
4817 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 2 $2,975.46 $3,003.73 $3,298.59 $3,329.93
4818 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 3 $2,975.46 $3,003.73 $3,298.59 $3,329.93
4819 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 4 $3,291.89 $3,323.16 $3,649.39 $3,684.06
4820 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 5 $3,291.89 $3,323.16 $3,649.39 $3,684.06
4821 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 6 $3,657.65 $3,692.40 $4,054.87 $4,093.39
4822 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 1 $3,082.57 $3,111.85 $3,417.34 $3,449.80
4823 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 2 $3,311.22 $3,342.68 $3,670.82 $3,705.69
4824 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 3 $3,311.22 $3,342.68 $3,670.82 $3,705.69
4825 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 4 $4,002.30 $4,040.32 $4,436.95 $4,479.10
4826 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 5 $4,002.30 $4,040.32 $4,436.95 $4,479.10
4827 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 6 $5,131.81 $5,180.56 $5,689.12 $5,743.17
4828 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 1 $1,848.50 $1,866.06 $2,049.25 $2,068.72
4829 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 2 $2,006.97 $2,026.04 $2,224.93 $2,246.07
4830 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 3 $2,006.97 $2,026.04 $2,224.93 $2,246.07
4831 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 4 $2,076.06 $2,095.78 $2,301.52 $2,323.38
4832 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 5 $2,076.06 $2,095.78 $2,301.52 $2,323.38
4833 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 6 $2,259.73 $2,281.20 $2,505.14 $2,528.94
4834 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 1 $2,833.83 $2,860.75 $3,141.58 $3,171.43
4835 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 2 $3,048.44 $3,077.40 $3,379.50 $3,411.61
4836 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 3 $3,048.44 $3,077.40 $3,379.50 $3,411.61
4837 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 4 $3,401.74 $3,434.06 $3,771.17 $3,807.00
4838 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 5 $3,401.74 $3,434.06 $3,771.17 $3,807.00
4839 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 6 $3,733.32 $3,768.79 $4,138.76 $4,178.08
4840 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 1 $3,965.99 $4,003.67 $4,396.70 $4,438.47
4841 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 2 $4,472.38 $4,514.87 $4,958.08 $5,005.18
4842 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 3 $4,472.38 $4,514.87 $4,958.08 $5,005.18
4843 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 4 $5,310.92 $5,361.37 $5,887.69 $5,943.62
4844 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 5 $5,310.92 $5,361.37 $5,887.69 $5,943.62
4845 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 6 $5,799.49 $5,854.59 $6,429.31 $6,490.39
4846 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 1 $2,026.11 $2,045.36 $2,246.15 $2,267.49
4847 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 2 $2,298.87 $2,320.71 $2,548.53 $2,572.74
4848 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 3 $2,298.87 $2,320.71 $2,548.53 $2,572.74
4849 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 4 $2,490.12 $2,513.78 $2,760.55 $2,786.78
4850 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 5 $2,490.12 $2,513.78 $2,760.55 $2,786.78
4851 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 6 $3,051.70 $3,080.69 $3,383.11 $3,415.25
4852 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 1 $3,639.87 $3,674.45 $4,035.16 $4,073.49
4853 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 2 $4,204.17 $4,244.11 $4,660.74 $4,705.02
4854 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 3 $4,204.17 $4,244.11 $4,660.74 $4,705.02
4855 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 4 $4,674.59 $4,719.00 $5,182.25 $5,231.48
4856 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 5 $4,674.59 $4,719.00 $5,182.25 $5,231.48
4857 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 6 $4,913.00 $4,959.67 $5,446.55 $5,498.29
4858 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 1 $4,556.38 $4,599.67 $5,051.20 $5,099.19
4859 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 2 $6,408.75 $6,469.63 $7,104.74 $7,172.24
4860 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 3 $6,408.75 $6,469.63 $7,104.74 $7,172.24
4861 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 4 $6,430.41 $6,491.50 $7,128.75 $7,196.47
4862 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 5 $6,430.41 $6,491.50 $7,128.75 $7,196.47
4863 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 6 $7,452.31 $7,523.11 $8,261.63 $8,340.12
4864 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 1 $1,207.59 $1,219.06 $1,338.73 $1,351.45
4865 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 2 $1,319.90 $1,332.44 $1,463.24 $1,477.14
4866 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 3 $1,319.90 $1,332.44 $1,463.24 $1,477.14
4867 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 4 $1,926.31 $1,944.61 $2,135.51 $2,155.80
4868 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 5 $1,926.31 $1,944.61 $2,135.51 $2,155.80
4869 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 6 $2,042.44 $2,061.84 $2,264.25 $2,285.76
4870 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 1 $2,872.59 $2,899.88 $3,184.55 $3,214.80
4871 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 2 $3,015.74 $3,044.39 $3,343.25 $3,375.01
4872 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 3 $3,015.74 $3,044.39 $3,343.25 $3,375.01
4873 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 4 $3,888.67 $3,925.61 $4,310.98 $4,351.93
4874 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 5 $3,888.67 $3,925.61 $4,310.98 $4,351.93
4875 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 6 $4,280.26 $4,320.92 $4,745.10 $4,790.18
4876 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 1 $3,560.23 $3,594.05 $3,946.87 $3,984.37
4877 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 2 $3,392.04 $3,424.26 $3,760.42 $3,796.14
4878 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 3 $3,392.04 $3,424.26 $3,760.42 $3,796.14
4879 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 4 $4,909.18 $4,955.82 $5,442.32 $5,494.02
4880 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 5 $4,909.18 $4,955.82 $5,442.32 $5,494.02
4881 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 6 $6,128.07 $6,186.29 $6,793.58 $6,858.12
4882 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 1 $1,411.16 $1,424.57 $1,564.41 $1,579.27
4883 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 2 $1,541.73 $1,556.38 $1,709.16 $1,725.40
4884 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 3 $1,541.73 $1,556.38 $1,709.16 $1,725.40
4885 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 4 $1,972.80 $1,991.54 $2,187.05 $2,207.83
4886 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 5 $1,972.80 $1,991.54 $2,187.05 $2,207.83
4887 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 6 $2,194.83 $2,215.68 $2,433.19 $2,456.31
4888 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 1 $2,979.26 $3,007.56 $3,302.81 $3,334.19
4889 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 2 $3,460.08 $3,492.95 $3,835.84 $3,872.28
4890 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 3 $3,460.08 $3,492.95 $3,835.84 $3,872.28
4891 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 4 $4,283.53 $4,324.22 $4,748.72 $4,793.83
4892 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 5 $4,283.53 $4,324.22 $4,748.72 $4,793.83
4893 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 6 $4,664.30 $4,708.61 $5,170.84 $5,219.96
4894 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 1 $4,050.17 $4,088.65 $4,490.02 $4,532.68
4895 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 2 $4,912.10 $4,958.76 $5,445.55 $5,497.28
4896 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 3 $4,912.10 $4,958.76 $5,445.55 $5,497.28
4897 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 4 $6,806.18 $6,870.84 $7,545.33 $7,617.01
4898 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 5 $6,806.18 $6,870.84 $7,545.33 $7,617.01
4899 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 6 $7,470.39 $7,541.36 $8,281.67 $8,360.35
4900 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 1 $1,439.31 $1,452.98 $1,595.62 $1,610.78
4901 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 2 $1,987.68 $2,006.56 $2,203.54 $2,224.47
4902 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 3 $1,987.68 $2,006.56 $2,203.54 $2,224.47
4903 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 4 $2,967.72 $2,995.91 $3,290.01 $3,321.27
4904 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 5 $2,967.72 $2,995.91 $3,290.01 $3,321.27
4905 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 6 $2,418.63 $2,441.61 $2,681.29 $2,706.76
4906 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 1 $3,875.40 $3,912.22 $4,296.27 $4,337.08
4907 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 2 $5,025.08 $5,072.82 $5,570.80 $5,623.72
4908 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 3 $5,025.08 $5,072.82 $5,570.80 $5,623.72
4909 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 4 $5,560.43 $5,613.25 $6,164.29 $6,222.85
4910 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 5 $5,560.43 $5,613.25 $6,164.29 $6,222.85
4911 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 6 $6,396.94 $6,457.71 $7,091.65 $7,159.02
4912 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 1 $5,980.41 $6,037.22 $6,629.88 $6,692.86
4913 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 2 $9,376.84 $9,465.92 $10,395.16 $10,493.91
4914 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 3 $9,376.84 $9,465.92 $10,395.16 $10,493.91
4915 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 4 $8,174.59 $8,252.25 $9,062.35 $9,148.44
4916 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 5 $8,174.59 $8,252.25 $9,062.35 $9,148.44
4917 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 6 $11,339.09 $11,446.81 $12,570.52 $12,689.94
4919 ASSESSMENTS - LUPA ONLY - NO CHANGE        
4920 EPS MATERNITY, NO OASIS, 18 AND OLDER $1,207.59 $1,219.06 $1,338.73 $1,351.45