New York State Department of Health

Bureau of Long Term Care Rate Setting
Certified Home Health Agencies
New York City Wage Parity Adjustment
Episodic Payment Rates Effective October 1, 2015: NYC ONLY

Rate Code Rate Code Description Adjusted Rate
4810 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 1 $1,821.70
4811 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 2 $2,027.67
4812 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 3 $2,027.67
4813 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 4 $2,357.23
4814 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 5 $2,357.23
4815 EPS START OF CARE, CLIN A, FUNC E, AGE GRP 6 $2,484.62
4816 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 1 $2,828.05
4817 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 2 $3,298.59
4818 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 3 $3,298.59
4819 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 4 $3,649.39
4820 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 5 $3,649.39
4821 EPS START OF CARE, CLIN A, FUNC F, AGE GRP 6 $4,054.87
4822 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 1 $3,417.34
4823 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 2 $3,670.82
4824 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 3 $3,670.82
4825 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 4 $4,436.95
4826 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 5 $4,436.95
4827 EPS START OF CARE, CLIN A, FUNC G, AGE GRP 6 $5,689.12
4828 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 1 $2,049.25
4829 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 2 $2,224.93
4830 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 3 $2,224.93
4831 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 4 $2,301.52
4832 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 5 $2,301.52
4833 EPS START OF CARE, CLIN B, FUNC E, AGE GRP 6 $2,505.14
4834 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 1 $3,141.58
4835 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 2 $3,379.50
4836 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 3 $3,379.50
4837 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 4 $3,771.17
4838 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 5 $3,771.17
4839 EPS START OF CARE, CLIN B, FUNC F, AGE GRP 6 $4,138.76
4840 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 1 $4,396.70
4841 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 2 $4,958.08
4842 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 3 $4,958.08
4843 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 4 $5,887.69
4844 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 5 $5,887.69
4845 EPS START OF CARE, CLIN B, FUNC G, AGE GRP 6 $6,429.31
4846 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 1 $2,246.15
4847 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 2 $2,548.53
4848 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 3 $2,548.53
4849 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 4 $2,760.55
4850 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 5 $2,760.55
4851 EPS START OF CARE, CLIN C, FUNC E, AGE GRP 6 $3,383.11
4852 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 1 $4,035.16
4853 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 2 $4,660.74
4854 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 3 $4,660.74
4855 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 4 $5,182.25
4856 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 5 $5,182.25
4857 EPS START OF CARE, CLIN C, FUNC F, AGE GRP 6 $5,446.55
4858 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 1 $5,051.20
4859 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 2 $7,104.74
4860 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 3 $7,104.74
4861 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 4 $7,128.75
4862 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 5 $7,128.75
4863 EPS START OF CARE, CLIN C, FUNC G, AGE GRP 6 $8,261.63
4864 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 1 $1,338.73
4865 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 2 $1,463.24
4866 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 3 $1,463.24
4867 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 4 $2,135.51
4868 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 5 $2,135.51
4869 EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 6 $2,264.25
4870 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 1 $3,184.55
4871 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 2 $3,343.25
4872 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 3 $3,343.25
4873 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 4 $4,310.98
4874 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 5 $4,310.98
4875 EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 6 $4,745.10
4876 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 1 $3,946.87
4877 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 2 $3,760.42
4878 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 3 $3,760.42
4879 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 4 $5,442.32
4880 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 5 $5,442.32
4881 EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 6 $6,793.58
4882 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 1 $1,564.41
4883 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 2 $1,709.16
4884 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 3 $1,709.16
4885 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 4 $2,187.05
4886 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 5 $2,187.05
4887 EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 6 $2,433.19
4888 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 1 $3,302.81
4889 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 2 $3,835.84
4890 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 3 $3,835.84
4891 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 4 $4,748.72
4892 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 5 $4,748.72
4893 EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 6 $5,170.84
4894 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 1 $4,490.02
4895 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 2 $5,445.55
4896 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 3 $5,445.55
4897 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 4 $7,545.33
4898 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 5 $7,545.33
4899 EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 6 $8,281.67
4900 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 1 $1,595.62
4901 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 2 $2,203.54
4902 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 3 $2,203.54
4903 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 4 $3,290.01
4904 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 5 $3,290.01
4905 EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 6 $2,681.29
4906 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 1 $4,296.27
4907 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 2 $5,570.80
4908 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 3 $5,570.80
4909 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 4 $6,164.29
4910 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 5 $6,164.29
4911 EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 6 $7,091.65
4912 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 1 $6,629.88
4913 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 2 $10,395.16
4914 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 3 $10,395.16
4915 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 4 $9,062.35
4916 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 5 $9,062.35
4917 EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 6 $12,570.52
4919 EPS ASSESSMENT WITH NO OASIS - 18 AND OLDER LUPA ONLY
4920 EPS MATERNITY, NO OASIS, 18 AND OLDER $1,338.73