CY2023 EPS HHA MW ROS Medicaid Rates

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Certified Home Health Agencies

New York State Medicaid - Episodic Payment System

Rate
Code		 Rate Code Description 1/1/20
Effective Date
Latest Approved		 4/1/22
Effective Date
1% Enhancement		 10/1/2022
Minimum Wage
Increase 5.25%
4810 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 1 $2,036.63 $2,057.00 $2,164.99
4811 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 2 $2,266.91 $2,289.58 $2,409.78
4812 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 3 $2,266.91 $2,289.58 $2,409.78
4813 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 4 $2,635.34 $2,661.69 $2,801.43
4814 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 5 $2,635.34 $2,661.69 $2,801.43
4815 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 6 $2,777.76 $2,805.54 $2,952.83
4816 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 1 $3,161.71 $3,193.33 $3,360.98
4817 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 2 $3,687.78 $3,724.66 $3,920.20
4818 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 3 $3,687.78 $3,724.66 $3,920.20
4819 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 4 $4,079.96 $4,120.76 $4,337.10
4820 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 5 $4,079.96 $4,120.76 $4,337.10
4821 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 6 $4,533.28 $4,578.61 $4,818.99
4822 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 1 $3,820.52 $3,858.73 $4,061.31
4823 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 2 $4,103.92 $4,144.96 $4,362.57
4824 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 3 $4,103.92 $4,144.96 $4,362.57
4825 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 4 $4,960.44 $5,010.04 $5,273.07
4826 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 5 $4,960.44 $5,010.04 $5,273.07
4827 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 6 $6,360.35 $6,423.95 $6,761.21
4828 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 1 $2,291.03 $2,313.94 $2,435.42
4829 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 2 $2,487.44 $2,512.31 $2,644.21
4830 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 3 $2,487.44 $2,512.31 $2,644.21
4831 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 4 $2,573.06 $2,598.79 $2,735.23
4832 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 5 $2,573.06 $2,598.79 $2,735.23
4833 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 6 $2,800.71 $2,828.72 $2,977.22
4834 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 1 $3,512.24 $3,547.36 $3,733.60
4835 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 2 $3,778.23 $3,816.01 $4,016.35
4836 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 3 $3,778.23 $3,816.01 $4,016.35
4837 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 4 $4,216.11 $4,258.27 $4,481.83
4838 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 5 $4,216.11 $4,258.27 $4,481.83
4839 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 6 $4,627.07 $4,673.34 $4,918.69
4840 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 1 $4,915.44 $4,964.59 $5,225.24
4841 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 2 $5,543.06 $5,598.49 $5,892.41
4842 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 3 $5,543.06 $5,598.49 $5,892.41
4843 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 4 $6,582.34 $6,648.16 $6,997.19
4844 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 5 $6,582.34 $6,648.16 $6,997.19
4845 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 6 $7,187.88 $7,259.76 $7,640.90
4846 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 1 $2,511.16 $2,536.27 $2,669.43
4847 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 2 $2,849.21 $2,877.70 $3,028.78
4848 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 3 $2,849.21 $2,877.70 $3,028.78
4849 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 4 $3,086.25 $3,117.11 $3,280.76
4850 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 5 $3,086.25 $3,117.11 $3,280.76
4851 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 6 $3,782.27 $3,820.09 $4,020.65
4852 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 1 $4,511.25 $4,556.36 $4,795.57
4853 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 2 $5,210.64 $5,262.75 $5,539.04
4854 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 3 $5,210.64 $5,262.75 $5,539.04
4855 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 4 $5,793.68 $5,851.62 $6,158.83
4856 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 5 $5,793.68 $5,851.62 $6,158.83
4857 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 6 $6,089.15 $6,150.04 $6,472.92
4858 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 1 $5,647.17 $5,703.64 $6,003.08
4859 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 2 $7,942.98 $8,022.41 $8,443.59
4860 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 3 $7,942.98 $8,022.41 $8,443.59
4861 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 4 $7,969.83 $8,049.53 $8,472.13
4862 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 5 $7,969.83 $8,049.53 $8,472.13
4863 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 6 $9,236.38 $9,328.74 $9,818.50
4864 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 1 $1,496.68 $1,511.65 $1,591.01
4865 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 2 $1,635.88 $1,652.24 $1,738.98
4866 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 3 $1,635.88 $1,652.24 $1,738.98
4867 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 4 $2,387.46 $2,411.33 $2,537.93
4868 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 5 $2,387.46 $2,411.33 $2,537.93
4869 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 6 $2,531.39 $2,556.70 $2,690.93
4870 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 1 $3,560.28 $3,595.88 $3,784.67
4871 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 2 $3,737.70 $3,775.08 $3,973.27
4872 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 3 $3,737.70 $3,775.08 $3,973.27
4873 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 4 $4,819.60 $4,867.80 $5,123.36
4874 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 5 $4,819.60 $4,867.80 $5,123.36
4875 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 6 $5,304.94 $5,357.99 $5,639.28
4876 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 1 $4,412.54 $4,456.67 $4,690.64
4877 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 2 $4,204.08 $4,246.12 $4,469.04
4878 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 3 $4,204.08 $4,246.12 $4,469.04
4879 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 4 $6,084.43 $6,145.27 $6,467.90
4880 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 5 $6,084.43 $6,145.27 $6,467.90
4881 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 6 $7,595.12 $7,671.07 $8,073.80
4882 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 1 $1,748.99 $1,766.48 $1,859.22
4883 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 2 $1,910.82 $1,929.93 $2,031.25
4884 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 3 $1,910.82 $1,929.93 $2,031.25
4885 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 4 $2,445.08 $2,469.53 $2,599.18
4886 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 5 $2,445.08 $2,469.53 $2,599.18
4887 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 6 $2,720.27 $2,747.47 $2,891.72
4888 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 1 $3,692.48 $3,729.40 $3,925.20
4889 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 2 $4,288.41 $4,331.29 $4,558.69
4890 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 3 $4,288.41 $4,331.29 $4,558.69
4891 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 4 $5,308.99 $5,362.08 $5,643.59
4892 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 5 $5,308.99 $5,362.08 $5,643.59
4893 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 6 $5,780.92 $5,838.73 $6,145.26
4894 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 1 $5,019.77 $5,069.97 $5,336.14
4895 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 2 $6,088.04 $6,148.92 $6,471.74
4896 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 3 $6,088.04 $6,148.92 $6,471.74
4897 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 4 $8,435.56 $8,519.92 $8,967.21
4898 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 5 $8,435.56 $8,519.92 $8,967.21
4899 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 6 $9,258.78 $9,351.37 $9,842.31
4900 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 1 $1,783.87 $1,801.71 $1,896.30
4901 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 2 $2,463.52 $2,488.16 $2,618.78
4902 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 3 $2,463.52 $2,488.16 $2,618.78
4903 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 4 $3,678.18 $3,714.96 $3,910.00
4904 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 5 $3,678.18 $3,714.96 $3,910.00
4905 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 6 $2,997.65 $3,027.63 $3,186.58
4906 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 1 $4,803.16 $4,851.19 $5,105.88
4907 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 2 $6,228.07 $6,290.35 $6,620.59
4908 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 3 $6,228.07 $6,290.35 $6,620.59
4909 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 4 $6,891.58 $6,960.50 $7,325.92
4910 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 5 $6,891.58 $6,960.50 $7,325.92
4911 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 6 $7,928.35 $8,007.63 $8,428.03
4912 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 1 $7,412.10 $7,486.22 $7,879.25
4913 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 2 $11,621.63 $11,737.85 $12,354.08
4914 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 3 $11,621.63 $11,737.85 $12,354.08
4915 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 4 $10,131.57 $10,232.88 $10,770.11
4916 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 5 $10,131.57 $10,232.88 $10,770.11
4917 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 6 $14,053.64 $14,194.17 $14,939.37
4920 EPS MATERNITY, NO OASIS, 18 AND OLDER $1,496.68 $1,511.65 $1,591.01
Rate
Code		 Rate Code Description 1/1/19
Effective Date
Latest Approved		 4/1/22
Effective Date
1% Enhancement		 10/1/2022
Minimum Wage
Increase 5.61%
4810 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 1 $2,321.72 $2,344.94 $2,476.49
4811 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 2 $2,584.22 $2,610.06 $2,756.49
4812 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 3 $2,584.22 $2,610.06 $2,756.49
4813 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 4 $3,004.23 $3,034.28 $3,204.50
4814 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 5 $3,004.23 $3,034.28 $3,204.50
4815 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 6 $3,166.59 $3,198.26 $3,377.68
4816 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 1 $3,604.29 $3,640.34 $3,844.56
4817 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 2 $4,203.99 $4,246.03 $4,484.23
4818 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 3 $4,203.99 $4,246.03 $4,484.23
4819 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 4 $4,651.07 $4,697.58 $4,961.12
4820 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 5 $4,651.07 $4,697.58 $4,961.12
4821 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 6 $5,167.84 $5,219.52 $5,512.34
4822 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 1 $4,355.32 $4,398.87 $4,645.65
4823 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 2 $4,678.38 $4,725.16 $4,990.24
4824 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 3 $4,678.38 $4,725.16 $4,990.24
4825 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 4 $5,654.80 $5,711.35 $6,031.75
4826 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 5 $5,654.80 $5,711.35 $6,031.75
4827 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 6 $7,250.67 $7,323.17 $7,734.00
4828 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 1 $2,611.73 $2,637.85 $2,785.83
4829 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 2 $2,835.63 $2,863.99 $3,024.66
4830 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 3 $2,835.63 $2,863.99 $3,024.66
4831 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 4 $2,933.23 $2,962.57 $3,128.76
4832 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 5 $2,933.23 $2,962.57 $3,128.76
4833 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 6 $3,192.75 $3,224.68 $3,405.58
4834 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 1 $4,003.88 $4,043.92 $4,270.79
4835 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 2 $4,307.11 $4,350.18 $4,594.22
4836 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 3 $4,307.11 $4,350.18 $4,594.22
4837 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 4 $4,806.28 $4,854.34 $5,126.67
4838 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 5 $4,806.28 $4,854.34 $5,126.67
4839 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 6 $5,274.76 $5,327.51 $5,626.38
4840 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 1 $5,603.50 $5,659.54 $5,977.04
4841 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 2 $6,318.97 $6,382.15 $6,740.19
4842 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 3 $6,318.97 $6,382.15 $6,740.19
4843 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 4 $7,503.73 $7,578.77 $8,003.94
4844 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 5 $7,503.73 $7,578.77 $8,003.94
4845 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 6 $8,194.02 $8,275.96 $8,740.24
4846 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 1 $2,862.67 $2,891.30 $3,053.50
4847 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 2 $3,248.05 $3,280.53 $3,464.56
4848 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 3 $3,248.05 $3,280.53 $3,464.56
4849 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 4 $3,518.27 $3,553.45 $3,752.80
4850 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 5 $3,518.27 $3,553.45 $3,752.80
4851 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 6 $4,311.70 $4,354.82 $4,599.12
4852 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 1 $5,142.72 $5,194.15 $5,485.54
4853 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 2 $5,940.02 $5,999.42 $6,335.99
4854 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 3 $5,940.02 $5,999.42 $6,335.99
4855 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 4 $6,604.67 $6,670.71 $7,044.94
4856 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 5 $6,604.67 $6,670.71 $7,044.94
4857 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 6 $6,941.51 $7,010.92 $7,404.24
4858 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 1 $6,437.65 $6,502.03 $6,866.79
4859 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 2 $9,054.85 $9,145.39 $9,658.45
4860 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 3 $9,054.85 $9,145.39 $9,658.45
4861 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 4 $9,085.44 $9,176.29 $9,691.08
4862 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 5 $9,085.44 $9,176.29 $9,691.08
4863 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 6 $10,529.28 $10,634.57 $11,231.17
4864 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 1 $1,706.19 $1,723.25 $1,819.92
4865 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 2 $1,864.87 $1,883.52 $1,989.18
4866 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 3 $1,864.87 $1,883.52 $1,989.18
4867 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 4 $2,721.67 $2,748.88 $2,903.09
4868 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 5 $2,721.67 $2,748.88 $2,903.09
4869 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 6 $2,885.74 $2,914.60 $3,078.10
4870 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 1 $4,058.64 $4,099.22 $4,329.19
4871 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 2 $4,260.90 $4,303.51 $4,544.94
4872 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 3 $4,260.90 $4,303.51 $4,544.94
4873 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 4 $5,494.25 $5,549.19 $5,860.50
4874 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 5 $5,494.25 $5,549.19 $5,860.50
4875 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 6 $6,047.53 $6,108.01 $6,450.67
4876 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 1 $5,030.21 $5,080.51 $5,365.53
4877 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 2 $4,792.57 $4,840.50 $5,112.05
4878 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 3 $4,792.57 $4,840.50 $5,112.05
4879 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 4 $6,936.12 $7,005.48 $7,398.49
4880 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 5 $6,936.12 $7,005.48 $7,398.49
4881 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 6 $8,658.27 $8,744.86 $9,235.44
4882 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 1 $1,993.80 $2,013.74 $2,126.71
4883 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 2 $2,178.29 $2,200.07 $2,323.50
4884 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 3 $2,178.29 $2,200.07 $2,323.50
4885 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 4 $2,787.35 $2,815.23 $2,973.16
4886 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 5 $2,787.35 $2,815.23 $2,973.16
4887 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 6 $3,101.05 $3,132.07 $3,307.77
4888 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 1 $4,209.37 $4,251.46 $4,489.97
4889 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 2 $4,888.70 $4,937.58 $5,214.58
4890 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 3 $4,888.70 $4,937.58 $5,214.58
4891 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 4 $6,052.14 $6,112.66 $6,455.58
4892 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 5 $6,052.14 $6,112.66 $6,455.58
4893 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 6 $6,590.12 $6,656.02 $7,029.43
4894 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 1 $5,722.44 $5,779.67 $6,103.90
4895 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 2 $6,940.23 $7,009.64 $7,402.88
4896 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 3 $6,940.23 $7,009.64 $7,402.88
4897 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 4 $9,616.36 $9,712.53 $10,257.40
4898 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 5 $9,616.36 $9,712.53 $10,257.40
4899 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 6 $10,554.82 $10,660.37 $11,258.41
4900 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 1 $2,033.59 $2,053.92 $2,169.15
4901 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 2 $2,808.36 $2,836.44 $2,995.57
4902 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 3 $2,808.36 $2,836.44 $2,995.57
4903 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 4 $4,193.05 $4,234.98 $4,472.57
4904 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 5 $4,193.05 $4,234.98 $4,472.57
4905 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 6 $3,417.24 $3,451.42 $3,645.04
4906 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 1 $5,475.50 $5,530.25 $5,840.50
4907 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 2 $7,099.86 $7,170.86 $7,573.15
4908 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 3 $7,099.86 $7,170.86 $7,573.15
4909 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 4 $7,856.26 $7,934.82 $8,379.96
4910 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 5 $7,856.26 $7,934.82 $8,379.96
4911 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 6 $9,038.16 $9,128.54 $9,640.65
4912 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 1 $8,449.64 $8,534.13 $9,012.90
4913 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 2 $13,248.41 $13,380.89 $14,131.56
4914 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 3 $13,248.41 $13,380.89 $14,131.56
4915 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 4 $11,549.77 $11,665.27 $12,319.69
4916 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 5 $11,549.77 $11,665.27 $12,319.69
4917 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 6 $16,020.86 $16,181.07 $17,088.83
4920 EPS MATERNITY, NO OASIS, 18 AND OLDER $1,706.19 $1,723.25 $1,819.92
Rate
Code 		Rate Code Description 10/1/15
Effective Date
Latest Approved		 4/1/22
Effective Date
1% Enhancement		 10/1/2022
Minimum Wage
Increase 3.56%		 1/1/2023
Minimum Wage
Increase 1.83%
4810 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 1 $1,658.85 $1,675.44 $1,735.08 $1,766.83
4811 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 2 $1,846.42 $1,864.88 $1,931.27 $1,966.61
4812 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 3 $1,846.42 $1,864.88 $1,931.27 $1,966.61
4813 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 4 $2,146.51 $2,167.98 $2,245.16 $2,286.25
4814 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 5 $2,146.51 $2,167.98 $2,245.16 $2,286.25
4815 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 6 $2,262.51 $2,285.14 $2,366.49 $2,409.80
4816 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 1 $2,575.24 $2,600.99 $2,693.59 $2,742.88
4817 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 2 $3,003.73 $3,033.77 $3,141.77 $3,199.26
4818 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 3 $3,003.73 $3,033.77 $3,141.77 $3,199.26
4819 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 4 $3,323.16 $3,356.39 $3,475.88 $3,539.49
4820 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 5 $3,323.16 $3,356.39 $3,475.88 $3,539.49
4821 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 6 $3,692.40 $3,729.32 $3,862.09 $3,932.77
4822 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 1 $3,111.85 $3,142.97 $3,254.86 $3,314.42
4823 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 2 $3,342.68 $3,376.11 $3,496.30 $3,560.28
4824 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 3 $3,342.68 $3,376.11 $3,496.30 $3,560.28
4825 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 4 $4,040.32 $4,080.72 $4,226.00 $4,303.34
4826 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 5 $4,040.32 $4,080.72 $4,226.00 $4,303.34
4827 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 6 $5,180.56 $5,232.37 $5,418.64 $5,517.80
4828 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 1 $1,866.06 $1,884.72 $1,951.82 $1,987.54
4829 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 2 $2,026.04 $2,046.30 $2,119.15 $2,157.93
4830 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 3 $2,026.04 $2,046.30 $2,119.15 $2,157.93
4831 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 4 $2,095.78 $2,116.74 $2,192.09 $2,232.21
4832 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 5 $2,095.78 $2,116.74 $2,192.09 $2,232.21
4833 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 6 $2,281.20 $2,304.01 $2,386.03 $2,429.69
4834 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 1 $2,860.75 $2,889.36 $2,992.22 $3,046.98
4835 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 2 $3,077.40 $3,108.17 $3,218.82 $3,277.72
4836 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 3 $3,077.40 $3,108.17 $3,218.82 $3,277.72
4837 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 4 $3,434.06 $3,468.40 $3,591.88 $3,657.61
4838 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 5 $3,434.06 $3,468.40 $3,591.88 $3,657.61
4839 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 6 $3,768.79 $3,806.48 $3,941.99 $4,014.13
4840 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 1 $4,003.67 $4,043.71 $4,187.66 $4,264.29
4841 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 2 $4,514.87 $4,560.02 $4,722.36 $4,808.78
4842 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 3 $4,514.87 $4,560.02 $4,722.36 $4,808.78
4843 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 4 $5,361.37 $5,414.98 $5,607.76 $5,710.38
4844 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 5 $5,361.37 $5,414.98 $5,607.76 $5,710.38
4845 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 6 $5,854.59 $5,913.14 $6,123.64 $6,235.70
4846 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 1 $2,045.36 $2,065.81 $2,139.36 $2,178.51
4847 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 2 $2,320.71 $2,343.92 $2,427.36 $2,471.78
4848 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 3 $2,320.71 $2,343.92 $2,427.36 $2,471.78
4849 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 4 $2,513.78 $2,538.92 $2,629.30 $2,677.42
4850 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 5 $2,513.78 $2,538.92 $2,629.30 $2,677.42
4851 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 6 $3,080.69 $3,111.50 $3,222.27 $3,281.24
4852 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 1 $3,674.45 $3,711.19 $3,843.31 $3,913.64
4853 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 2 $4,244.11 $4,286.55 $4,439.15 $4,520.39
4854 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 3 $4,244.11 $4,286.55 $4,439.15 $4,520.39
4855 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 4 $4,719.00 $4,766.19 $4,935.87 $5,026.20
4856 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 5 $4,719.00 $4,766.19 $4,935.87 $5,026.20
4857 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 6 $4,959.67 $5,009.27 $5,187.60 $5,282.53
4858 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 1 $4,599.67 $4,645.67 $4,811.05 $4,899.09
4859 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 2 $6,469.63 $6,534.33 $6,766.95 $6,890.79
4860 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 3 $6,469.63 $6,534.33 $6,766.95 $6,890.79
4861 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 4 $6,491.50 $6,556.42 $6,789.82 $6,914.07
4862 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 5 $6,491.50 $6,556.42 $6,789.82 $6,914.07
4863 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 6 $7,523.11 $7,598.34 $7,868.84 $8,012.84
4864 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 1 $1,219.06 $1,231.25 $1,275.08 $1,298.41
4865 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 2 $1,332.44 $1,345.76 $1,393.67 $1,419.17
4866 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 3 $1,332.44 $1,345.76 $1,393.67 $1,419.17
4867 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 4 $1,944.61 $1,964.06 $2,033.98 $2,071.20
4868 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 5 $1,944.61 $1,964.06 $2,033.98 $2,071.20
4869 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 6 $2,061.84 $2,082.46 $2,156.59 $2,196.06
4870 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 1 $2,899.88 $2,928.88 $3,033.15 $3,088.66
4871 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 2 $3,044.39 $3,074.83 $3,184.30 $3,242.57
4872 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 3 $3,044.39 $3,074.83 $3,184.30 $3,242.57
4873 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 4 $3,925.61 $3,964.87 $4,106.02 $4,181.16
4874 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 5 $3,925.61 $3,964.87 $4,106.02 $4,181.16
4875 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 6 $4,320.92 $4,364.13 $4,519.49 $4,602.20
4876 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 1 $3,594.05 $3,629.99 $3,759.22 $3,828.01
4877 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 2 $3,424.26 $3,458.50 $3,581.63 $3,647.17
4878 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 3 $3,424.26 $3,458.50 $3,581.63 $3,647.17
4879 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 4 $4,955.82 $5,005.38 $5,183.57 $5,278.43
4880 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 5 $4,955.82 $5,005.38 $5,183.57 $5,278.43
4881 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 6 $6,186.29 $6,248.15 $6,470.59 $6,589.00
4882 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 1 $1,424.57 $1,438.82 $1,490.04 $1,517.31
4883 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 2 $1,556.38 $1,571.94 $1,627.90 $1,657.69
4884 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 3 $1,556.38 $1,571.94 $1,627.90 $1,657.69
4885 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 4 $1,991.54 $2,011.46 $2,083.06 $2,121.18
4886 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 5 $1,991.54 $2,011.46 $2,083.06 $2,121.18
4887 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 6 $2,215.68 $2,237.84 $2,317.50 $2,359.91
4888 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 1 $3,007.56 $3,037.64 $3,145.78 $3,203.35
4889 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 2 $3,492.95 $3,527.88 $3,653.47 $3,720.33
4890 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 3 $3,492.95 $3,527.88 $3,653.47 $3,720.33
4891 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 4 $4,324.22 $4,367.46 $4,522.94 $4,605.71
4892 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 5 $4,324.22 $4,367.46 $4,522.94 $4,605.71
4893 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 6 $4,708.61 $4,755.70 $4,925.00 $5,015.13
4894 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 1 $4,088.65 $4,129.54 $4,276.55 $4,354.81
4895 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 2 $4,958.76 $5,008.35 $5,186.64 $5,281.56
4896 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 3 $4,958.76 $5,008.35 $5,186.64 $5,281.56
4897 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 4 $6,870.84 $6,939.55 $7,186.60 $7,318.11
4898 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 5 $6,870.84 $6,939.55 $7,186.60 $7,318.11
4899 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 6 $7,541.36 $7,616.77 $7,887.93 $8,032.28
4900 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 1 $1,452.98 $1,467.51 $1,519.75 $1,547.56
4901 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 2 $2,006.56 $2,026.63 $2,098.77 $2,137.18
4902 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 3 $2,006.56 $2,026.63 $2,098.77 $2,137.18
4903 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 4 $2,995.91 $3,025.87 $3,133.59 $3,190.93
4904 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 5 $2,995.91 $3,025.87 $3,133.59 $3,190.93
4905 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 6 $2,441.61 $2,466.03 $2,553.82 $2,600.55
4906 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 1 $3,912.22 $3,951.34 $4,092.01 $4,166.89
4907 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 2 $5,072.82 $5,123.55 $5,305.95 $5,403.05
4908 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 3 $5,072.82 $5,123.55 $5,305.95 $5,403.05
4909 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 4 $5,613.25 $5,669.38 $5,871.21 $5,978.65
4910 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 5 $5,613.25 $5,669.38 $5,871.21 $5,978.65
4911 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 6 $6,457.71 $6,522.29 $6,754.48 $6,878.09
4912 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 1 $6,037.22 $6,097.59 $6,314.67 $6,430.23
4913 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 2 $9,465.92 $9,560.58 $9,900.94 $10,082.13
4914 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 3 $9,465.92 $9,560.58 $9,900.94 $10,082.13
4915 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 4 $8,252.25 $8,334.77 $8,631.49 $8,789.45
4916 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 5 $8,252.25 $8,334.77 $8,631.49 $8,789.45
4917 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 6 $11,446.81 $11,561.28 $11,972.86 $12,191.96
4920 EPS MATERNITY, NO OASIS, 18 AND OLDER $1,219.06 $1,231.25 $1,275.08 $1,298.41