EPS - NYC Minimum Wage Rate Adjustment Effective January 1, 2017

Certified Home Health Agencies
New York State Medicaid – Episodic Payment System
New York City Minimum Wage Rate Adjustment
Effective January 1, 2017

Certified Home Health Agencies New York State Medicaid - Episodic Payment System New York City Minimum Wage Rate Adjustment Effective January 1, 2017
Rate Code Rate Code Description NYC Wage
Parity/FLSA Rate
10/1/15
NYC Min.
Wage Rate
1/1/17
4810 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 1 $1,839.01 $1,952.66
4811 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 2 $2,046.93 $2,173.43
4812 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 3 $2,046.93 $2,173.43
4813 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 4 $2,379.62 $2,526.68
4814 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 5 $2,379.62 $2,526.68
4815 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 6 $2,508.22 $2,663.23
4816 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 1 $2,854.92 $3,031.35
4817 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 2 $3,329.93 $3,535.72
4818 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 3 $3,329.93 $3,535.72
4819 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 4 $3,684.06 $3,911.73
4820 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 5 $3,684.06 $3,911.73
4821 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 6 $4,093.39 $4,346.36
4822 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 1 $3,449.80 $3,663.00
4823 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 2 $3,705.69 $3,934.70
4824 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 3 $3,705.69 $3,934.70
4825 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 4 $4,479.10 $4,755.91
4826 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 5 $4,479.10 $4,755.91
4827 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 6 $5,743.17 $6,098.10
4828 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 1 $2,068.72 $2,196.57
4829 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 2 $2,246.07 $2,384.88
4830 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 3 $2,246.07 $2,384.88
4831 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 4 $2,323.38 $2,466.96
4832 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 5 $2,323.38 $2,466.96
4833 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 6 $2,528.94 $2,685.23
4834 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 1 $3,171.43 $3,367.42
4835 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 2 $3,411.61 $3,622.45
4836 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 3 $3,411.61 $3,622.45
4837 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 4 $3,807.00 $4,042.27
4838 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 5 $3,807.00 $4,042.27
4839 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 6 $4,178.08 $4,436.29
4840 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 1 $4,438.47 $4,712.77
4841 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 2 $5,005.18 $5,314.50
4842 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 3 $5,005.18 $5,314.50
4843 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 4 $5,943.62 $6,310.94
4844 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 5 $5,943.62 $6,310.94
4845 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 6 $6,490.39 $6,891.50
4846 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 1 $2,267.49 $2,407.62
4847 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 2 $2,572.74 $2,731.74
4848 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 3 $2,572.74 $2,731.74
4849 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 4 $2,786.78 $2,959.00
4850 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 5 $2,786.78 $2,959.00
4851 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 6 $3,415.25 $3,626.31
4852 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 1 $4,073.49 $4,325.23
4853 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 2 $4,705.02 $4,995.79
4854 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 3 $4,705.02 $4,995.79
4855 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 4 $5,231.48 $5,554.79
4856 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 5 $5,231.48 $5,554.79
4857 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 6 $5,498.29 $5,838.08
4858 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 1 $5,099.19 $5,414.32
4859 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 2 $7,172.24 $7,615.48
4860 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 3 $7,172.24 $7,615.48
4861 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 4 $7,196.47 $7,641.21
4862 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 5 $7,196.47 $7,641.21
4863 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 6 $8,340.12 $8,855.54
4864 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 1 $1,351.45 $1,434.97
4865 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 2 $1,477.14 $1,568.43
4866 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 3 $1,477.14 $1,568.43
4867 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 4 $2,155.80 $2,289.03
4868 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 5 $2,155.80 $2,289.03
4869 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 6 $2,285.76 $2,427.02
4870 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 1 $3,214.80 $3,413.47
4871 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 2 $3,375.01 $3,583.59
4872 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 3 $3,375.01 $3,583.59
4873 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 4 $4,351.93 $4,620.88
4874 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 5 $4,351.93 $4,620.88
4875 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 6 $4,790.18 $5,086.21
4876 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 1 $3,984.37 $4,230.60
4877 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 2 $3,796.14 $4,030.74
4878 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 3 $3,796.14 $4,030.74
4879 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 4 $5,494.02 $5,833.55
4880 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 5 $5,494.02 $5,833.55
4881 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 6 $6,858.12 $7,281.95
4882 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 1 $1,579.27 $1,676.87
4883 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 2 $1,725.40 $1,832.03
4884 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 3 $1,725.40 $1,832.03
4885 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 4 $2,207.83 $2,344.27
4886 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 5 $2,207.83 $2,344.27
4887 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 6 $2,456.31 $2,608.11
4888 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 1 $3,334.19 $3,540.24
4889 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 2 $3,872.28 $4,111.59
4890 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 3 $3,872.28 $4,111.59
4891 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 4 $4,793.83 $5,090.09
4892 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 5 $4,793.83 $5,090.09
4893 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 6 $5,219.96 $5,542.55
4894 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 1 $4,532.68 $4,812.80
4895 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 2 $5,497.28 $5,837.01
4896 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 3 $5,497.28 $5,837.01
4897 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 4 $7,617.01 $8,087.74
4898 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 5 $7,617.01 $8,087.74
4899 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 6 $8,360.35 $8,877.02
4900 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 1 $1,610.78 $1,710.33
4901 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 2 $2,224.47 $2,361.94
4902 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 3 $2,224.47 $2,361.94
4903 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 4 $3,321.27 $3,526.52
4904 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 5 $3,321.27 $3,526.52
4905 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 6 $2,706.76 $2,874.04
4906 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 1 $4,337.08 $4,605.11
4907 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 2 $5,623.72 $5,971.27
4908 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 3 $5,623.72 $5,971.27
4909 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 4 $6,222.85 $6,607.42
4910 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 5 $6,222.85 $6,607.42
4911 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 6 $7,159.02 $7,601.45
4912 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 1 $6,692.86 $7,106.48
4913 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 2 $10,493.91 $11,142.43
4914 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 3 $10,493.91 $11,142.43
4915 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 4 $9,148.44 $9,713.81
4916 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 5 $9,148.44 $9,713.81
4917 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 6 $12,689.94 $13,474.18
4919 ASSESSMENTS – LUPA ONLY – NO CHANGE $5.63 $5.63
4920 EPS MATERNITY, NO OASIS, 18 AND OLDER $1,351.45 $1,434.97