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{"sheet":"rpk04_SMSA NON-RESIDENCE SPREAD","index":0,"n_rows":883,"n_cols":8,"rows_kept":883,"cut":false,"hidden":false,"merged":[]}
["                      New York State Department of Health"]
["                     Bureau of Long Term Care Reimbursement"]
["                           Certified Hospice Program"]
[]
["                              Medicaid Rate Sheet"]
["                       Effective: 10/01/2024 - 09/30/2025"]
[]
[" SMSA: Albany-Schenectady-Troy"]
[]
[" Hospice Rate Sheets for the Counties of:"]
[" ALBANY, GREENE, MONTGOMERY, RENSSELAER, SARATOGA, SCHENECTADY"]
[" ","Rate","Description","        Base","  WRR Add-on","  RTR Add-on","       Total",0.01]
[" ","Code","-----------","        Rate","           *","           *","   w/ addons","Add-on"]
[" ",3945,"Routine Home Care",169.38,3.81,9.92,183.11,184.94]
[" ",3946,"Inpatient Respite",484.89,10.91,9.92,505.72,510.78]
[" ",3947,"General Inpatient Care",1033.55,23.25,9.92,1066.72,1077.3900000000001]
[" ",3948,"Continuous Home Care - Min 8 Hours",465.18,10.47,9.92,485.57,490.43]
[" ",3949,"Continuous Home Care - Min 9 Hours",523.33000000000004,11.77,9.92,545.02,550.47]
[" ",3950,"Continuous Home Care - Min 10 Hours",581.48,13.08,9.92,604.48,610.52]
[" ",3951,"Continuous Home Care - Min 11 Hours",639.62,14.39,9.92,663.93,670.57]
[" ",3952,"Continuous Home Care - Min 12 Hours",697.77,15.7,9.92,723.39,730.62]
[" ",3953,"Continuous Home Care - Min 13 Hours",755.92,17.010000000000002,9.92,782.85,790.68]
[" ",3954,"Continuous Home Care - Min 14 Hours",814.07,18.32,9.92,842.31,850.73]
[" ",3955,"Continuous Home Care - Min 15 Hours",872.21,19.62,9.92,901.75,910.77]
[" ",3956,"Continuous Home Care - Min 16 Hours",930.36,20.93,9.92,961.21,970.82]
[" ",3957,"Continuous Home Care - Min 17 Hours",988.51,22.24,9.92,1020.67,1030.8800000000001]
[" ",3958,"Continuous Home Care - Min 18 Hours",1046.6600000000001,23.55,9.92,1080.1300000000001,1090.93]
[" ",3959,"Continuous Home Care - Min 19 Hours",1104.8,24.86,9.92,1139.58,1150.98]
[" ",3960,"Continuous Home Care - Min 20 Hours",1162.95,26.17,9.92,1199.04,1211.03]
[" ",3961,"Continuous Home Care - Min 21 Hours",1221.0999999999999,27.47,9.92,1258.49,1271.07]
[" ",3962,"Continuous Home Care - Min 22 Hours",1279.25,28.78,9.92,1317.95,1331.13]
[" ",3963,"Continuous Home Care - Min 23 Hours",1337.39,30.09,9.92,1377.4,1391.17]
[" ",3964,"Continuous Home Care - Min 24 Hours",1395.54,31.4,9.92,1436.86,1451.23]
[" ",3965,"Hospice Inpatient Respite Care Coinsurance Rate -"]
[" ",null,"5% of 3946",24.24,0.55000000000000004,0.5,25.29,25.54]
[" ",3966,"Drugs Coinsurance Rate",1,0,0,1,1.01]
[" ",3969,"Routine Home Care w/AIDS",293.43,6.6,9.92,309.95,313.05]
[" ",3970,"Routine Home Care w/Escort",190.56,4.29,9.92,204.77,206.82]
[" ",3971,"Continuous Home Care w/AIDS Min 8 Hours",480.74,10.82,9.92,501.48,506.49]
[" ",3972,"Continuous Home Care w/AIDS Min 9 Hours",540.83000000000004,12.17,9.92,562.91999999999996,568.54999999999995]
[" ",3973,"Continuous Home Care w/AIDS Min 10 Hours",600.92999999999995,13.52,9.92,624.37,630.61]
[" ",3974,"Continuous Home Care w/AIDS Min 11 Hours",661.02,14.87,9.92,685.81,692.67]
[" ",3975,"Continuous Home Care w/AIDS Min 12 Hours",721.11,16.22,9.92,747.25,754.72]
[" ",3976,"Continuous Home Care w/AIDS Min 13 Hours",781.2,17.579999999999998,9.92,808.7,816.79]
[" ",3977,"Continuous Home Care w/AIDS Min 14 Hours",841.3,18.93,9.92,870.15,878.85]
[" ",3978,"Continuous Home Care w/AIDS Min 15 Hours",901.39,20.28,9.92,931.59,940.91]
[" ",3979,"Continuous Home Care w/AIDS Min 16 Hours",961.48,21.63,9.92,993.03,1002.96]
[" ",3980,"Continuous Home Care w/AIDS Min 17 Hours",1021.57,22.99,9.92,1054.48,1065.02]
[" ",3981,"Continuous Home Care w/AIDS Min 18 Hours",1081.67,24.34,9.92,1115.93,1127.0899999999999]
[" ",3982,"Continuous Home Care w/AIDS Min 19 Hours",1141.76,25.69,9.92,1177.3699999999999,1189.1400000000001]
[" ",3983,"Continuous Home Care w/AIDS Min 20 Hours",1201.8499999999999,27.04,9.92,1238.81,1251.2]
[" ",3984,"Continuous Home Care w/AIDS Min 21 Hours",1261.94,28.39,9.92,1300.25,1313.25]
[" ",3985,"Continuous Home Care w/AIDS Min 22 Hours",1322.04,29.75,9.92,1361.71,1375.33]
[" ",3986,"Continuous Home Care w/AIDS Min 23 Hours",1382.13,31.1,9.92,1423.15,1437.38]
[" ",3987,"Continuous Home Care w/AIDS Min 24 Hours",1442.22,32.450000000000003,9.92,1484.59,1499.44]
[" ",3988,"General Inpatient w/ AIDS",1148.69,25.85,9.92,1184.46,1196.3]
[" ",3989,"Routine Home Care w/ AIDS Escort",314.61,7.08,9.92,331.61,334.93]
[" ",3991,"Service Intensity Add-on",59.29,1.33,0,60.62,61.23]
[]
[" * WRR = 'Worker Recruitment and Retention addon' if applicable"]
[" * RTR = 'Recruitment, Training and Retention addon' if applicable"]
[]
["                      New York State Department of Health"]
["                     Bureau of Long Term Care Reimbursement"]
["                           Certified Hospice Program"]
[]
["                              Medicaid Rate Sheet"]
["                       Effective: 10/01/2024 - 09/30/2025"]
[]
[" SMSA: Binghamton"]
[]
[" Hospice Rate Sheets for the Counties of:"]
[" BROOME, TIOGA"]
[]
[" ","Rate","Description","        Base","  WRR Add-on","  RTR Add-on","       Total",0.01]
[" ","Code","-----------","        Rate","           *","           *","   w/ addons","Add-on"]
[" ",3945,"Routine Home Care",167.85,3.78,9.92,181.55,183.37]
[" ",3946,"Inpatient Respite",480.89,10.82,9.92,501.63,506.65]
[" ",3947,"General Inpatient Care",1024.6400000000001,23.05,9.92,1057.6099999999999,1068.19]
[" ",3948,"Continuous Home Care - Min 8 Hours",460.31,10.36,9.92,480.59,485.4]
[" ",3949,"Continuous Home Care - Min 9 Hours",517.85,11.65,9.92,539.41999999999996,544.80999999999995]
[" ",3950,"Continuous Home Care - Min 10 Hours",575.39,12.95,9.92,598.26,604.24]
[" ",3951,"Continuous Home Care - Min 11 Hours",632.92999999999995,14.24,9.92,657.09,663.66]
[" ",3952,"Continuous Home Care - Min 12 Hours",690.47,15.54,9.92,715.93,723.09]
[" ",3953,"Continuous Home Care - Min 13 Hours",748,16.829999999999998,9.92,774.75,782.5]
[" ",3954,"Continuous Home Care - Min 14 Hours",805.54,18.12,9.92,833.58,841.92]
[" ",3955,"Continuous Home Care - Min 15 Hours",863.08,19.420000000000002,9.92,892.42,901.34]
[" ",3956,"Continuous Home Care - Min 16 Hours",920.62,20.71,9.92,951.25,960.76]
[" ",3957,"Continuous Home Care - Min 17 Hours",978.16,22.01,9.92,1010.09,1020.19]
[" ",3958,"Continuous Home Care - Min 18 Hours",1035.7,23.3,9.92,1068.92,1079.6099999999999]
[" ",3959,"Continuous Home Care - Min 19 Hours",1093.24,24.6,9.92,1127.76,1139.04]
[" ",3960,"Continuous Home Care - Min 20 Hours",1150.78,25.89,9.92,1186.5899999999999,1198.46]
[" ",3961,"Continuous Home Care - Min 21 Hours",1208.31,27.19,9.92,1245.42,1257.8699999999999]
[" ",3962,"Continuous Home Care - Min 22 Hours",1265.8499999999999,28.48,9.92,1304.25,1317.29]
[" ",3963,"Continuous Home Care - Min 23 Hours",1323.39,29.78,9.92,1363.09,1376.72]
[" ",3964,"Continuous Home Care - Min 24 Hours",1380.93,31.07,9.92,1421.92,1436.14]
[" ",3965,"Hospice Inpatient Respite Care Coinsurance Rate -"]
[" ",null,"5% of 3946",24.04,0.54,0.5,25.08,25.33]
[" ",3966,"Drugs Coinsurance Rate",1,0,0,1,1.01]
[" ",3969,"Routine Home Care w/AIDS",290.79000000000002,6.54,9.92,307.25,310.32]
[" ",3970,"Routine Home Care w/Escort",189.03,4.25,9.92,203.2,205.23]
[" ",3971,"Continuous Home Care w/AIDS Min 8 Hours",474.33,10.67,9.92,494.92,499.87]
[" ",3972,"Continuous Home Care w/AIDS Min 9 Hours",533.63,12.01,9.92,555.55999999999995,561.12]
[" ",3973,"Continuous Home Care w/AIDS Min 10 Hours",592.91999999999996,13.34,9.92,616.17999999999995,622.34]
[" ",3974,"Continuous Home Care w/AIDS Min 11 Hours",652.21,14.67,9.92,676.8,683.57]
[" ",3975,"Continuous Home Care w/AIDS Min 12 Hours",711.5,16.010000000000002,9.92,737.43,744.8]
[" ",3976,"Continuous Home Care w/AIDS Min 13 Hours",770.79,17.34,9.92,798.05,806.03]
[" ",3977,"Continuous Home Care w/AIDS Min 14 Hours",830.08,18.68,9.92,858.68,867.27]
[" ",3978,"Continuous Home Care w/AIDS Min 15 Hours",889.38,20.010000000000002,9.92,919.31,928.5]
[" ",3979,"Continuous Home Care w/AIDS Min 16 Hours",948.67,21.35,9.92,979.94,989.74]
[" ",3980,"Continuous Home Care w/AIDS Min 17 Hours",1007.96,22.68,9.92,1040.56,1050.97]
[" ",3981,"Continuous Home Care w/AIDS Min 18 Hours",1067.25,24.01,9.92,1101.18,1112.19]
[" ",3982,"Continuous Home Care w/AIDS Min 19 Hours",1126.54,25.35,9.92,1161.81,1173.43]
[" ",3983,"Continuous Home Care w/AIDS Min 20 Hours",1185.83,26.68,9.92,1222.43,1234.6500000000001]
[" ",3984,"Continuous Home Care w/AIDS Min 21 Hours",1245.1300000000001,28.02,9.92,1283.07,1295.9000000000001]
[" ",3985,"Continuous Home Care w/AIDS Min 22 Hours",1304.42,29.35,9.92,1343.69,1357.13]
[" ",3986,"Continuous Home Care w/AIDS Min 23 Hours",1363.71,30.68,9.92,1404.31,1418.35]
[" ",3987,"Continuous Home Care w/AIDS Min 24 Hours",1423,32.020000000000003,9.92,1464.94,1479.59]
[" ",3988,"General Inpatient w/ AIDS",1138.78,25.62,9.92,1174.32,1186.06]
[" ",3989,"Routine Home Care w/ AIDS Escort",311.97000000000003,7.02,9.92,328.91,332.2]
[" ",3991,"Service Intensity Add-on",58.76,1.32,0,60.08,60.68]
[]
[" * WRR = 'Worker Recruitment and Retention addon' if applicable"]
[" * RTR = 'Recruitment, Training and Retention addon' if applicable"]
[]
["                      New York State Department of Health"]
["                     Bureau of Long Term Care Reimbursement"]
["                           Certified Hospice Program"]
[]
["                              Medicaid Rate Sheet"]
["                       Effective: 10/01/2024 - 09/30/2025"]
[]
[" SMSA: Buffalo"]
[]
[" Hospice Rate Sheets for the County of"]
[" ERIE"]
[]
[" ","Rate","Description","        Base","  WRR Add-on","  RTR Add-on","       Total",0.01]
[" ","Code","-----------","        Rate","           *","           *","   w/ addons","Add-on"]
[" ",3945,"Routine Home Care",197.81,4.45,9.92,212.18,214.3]
[" ",3946,"Inpatient Respite",559.34,12.59,9.92,581.85,587.66999999999996]
[" ",3947,"General Inpatient Care",1199.6099999999999,26.99,9.92,1236.52,1248.8900000000001]
[" ",3948,"Continuous Home Care - Min 8 Hours",555.89,12.51,9.92,578.32000000000005,584.1]
[" ",3949,"Continuous Home Care - Min 9 Hours",625.38,14.07,9.92,649.37,655.86]
[" ",3950,"Continuous Home Care - Min 10 Hours",694.87,15.63,9.92,720.42,727.62]
[" ",3951,"Continuous Home Care - Min 11 Hours",764.35,17.2,9.92,791.47,799.38]
[" ",3952,"Continuous Home Care - Min 12 Hours",833.84,18.760000000000002,9.92,862.52,871.15]
[" ",3953,"Continuous Home Care - Min 13 Hours",903.33,20.32,9.92,933.57,942.91]
[" ",3954,"Continuous Home Care - Min 14 Hours",972.81,21.89,9.92,1004.62,1014.67]
[" ",3955,"Continuous Home Care - Min 15 Hours",1042.3,23.45,9.92,1075.67,1086.43]
[" ",3956,"Continuous Home Care - Min 16 Hours",1111.79,25.02,9.92,1146.73,1158.2]
[" ",3957,"Continuous Home Care - Min 17 Hours",1181.27,26.58,9.92,1217.77,1229.95]
[" ",3958,"Continuous Home Care - Min 18 Hours",1250.76,28.14,9.92,1288.82,1301.71]
[" ",3959,"Continuous Home Care - Min 19 Hours",1320.25,29.71,9.92,1359.88,1373.48]
[" ",3960,"Continuous Home Care - Min 20 Hours",1389.73,31.27,9.92,1430.92,1445.23]
[" ",3961,"Continuous Home Care - Min 21 Hours",1459.22,32.83,9.92,1501.97,1516.99]
[" ",3962,"Continuous Home Care - Min 22 Hours",1528.71,34.4,9.92,1573.03,1588.76]
[" ",3963,"Continuous Home Care - Min 23 Hours",1598.19,35.96,9.92,1644.07,1660.51]
[" ",3964,"Continuous Home Care - Min 24 Hours",1667.68,37.520000000000003,9.92,1715.12,1732.27]
[" ",3965,"Hospice Inpatient Respite Care Coinsurance Rate -"]
[" ",null,"5% of 3946",27.97,0.63,0.5,29.1,29.39]
[" ",3966,"Drugs Coinsurance Rate",1,0,0,1,1.01]
[" ",3969,"Routine Home Care w/AIDS",342.69,7.71,9.92,360.32,363.92]
[" ",3970,"Routine Home Care w/Escort",218.99,4.93,9.92,233.84,236.18]
[" ",3971,"Continuous Home Care w/AIDS Min 8 Hours",600.07000000000005,13.5,9.92,623.49,629.72]
[" ",3972,"Continuous Home Care w/AIDS Min 9 Hours",675.08,15.19,9.92,700.19,707.19]
[" ",3973,"Continuous Home Care w/AIDS Min 10 Hours",750.08,16.88,9.92,776.88,784.65]
[" ",3974,"Continuous Home Care w/AIDS Min 11 Hours",825.09,18.559999999999999,9.92,853.57,862.11]
[" ",3975,"Continuous Home Care w/AIDS Min 12 Hours",900.1,20.25,9.92,930.27,939.57]
[" ",3976,"Continuous Home Care w/AIDS Min 13 Hours",975.11,21.94,9.92,1006.97,1017.04]
[" ",3977,"Continuous Home Care w/AIDS Min 14 Hours",1050.1199999999999,23.63,9.92,1083.67,1094.51]
[" ",3978,"Continuous Home Care w/AIDS Min 15 Hours",1125.1300000000001,25.32,9.92,1160.3699999999999,1171.97]
[" ",3979,"Continuous Home Care w/AIDS Min 16 Hours",1200.1300000000001,27,9.92,1237.05,1249.42]
[" ",3980,"Continuous Home Care w/AIDS Min 17 Hours",1275.1400000000001,28.69,9.92,1313.75,1326.89]
[" ",3981,"Continuous Home Care w/AIDS Min 18 Hours",1350.15,30.38,9.92,1390.45,1404.35]
[" ",3982,"Continuous Home Care w/AIDS Min 19 Hours",1425.16,32.07,9.92,1467.15,1481.82]
[" ",3983,"Continuous Home Care w/AIDS Min 20 Hours",1500.17,33.75,9.92,1543.84,1559.28]
[" ",3984,"Continuous Home Care w/AIDS Min 21 Hours",1575.18,35.44,9.92,1620.54,1636.75]
[" ",3985,"Continuous Home Care w/AIDS Min 22 Hours",1650.18,37.130000000000003,9.92,1697.23,1714.2]
[" ",3986,"Continuous Home Care w/AIDS Min 23 Hours",1725.19,38.82,9.92,1773.93,1791.67]
[" ",3987,"Continuous Home Care w/AIDS Min 24 Hours",1800.2,40.5,9.92,1850.62,1869.13]
[" ",3988,"General Inpatient w/ AIDS",1333.25,30,9.92,1373.17,1386.9]
[" ",3989,"Routine Home Care w/ AIDS Escort",363.87,8.19,9.92,381.98,385.8]
[" ",3991,"Service Intensity Add-on",69.239999999999995,1.56,0,70.8,71.510000000000005]
[]
[" * WRR = 'Worker Recruitment and Retention addon' if applicable"]
[" * RTR = 'Recruitment, Training and Retention addon' if applicable"]
[]
["                      New York State Department of Health"]
["                     Bureau of Long Term Care Reimbursement"]
["                           Certified Hospice Program"]
[]
["                              Medicaid Rate Sheet"]
["                       Effective: 10/01/2024 - 09/30/2025"]
[]
[" SMSA: Elmira"]
[]
[" Hospice Rate Sheets for the County of"]
[" CHEMUNG"]
[]
[" ","Rate","Description","        Base","  WRR Add-on","  RTR Add-on","       Total",0.01]
[" ","Code","-----------","        Rate","           *","           *","   w/ addons","Add-on"]
[" ",3945,"Routine Home Care",171.29,3.85,9.92,185.06,186.91]
[" ",3946,"Inpatient Respite",489.88,11.02,9.92,510.82,515.92999999999995]
[" ",3947,"General Inpatient Care",1044.7,23.51,9.92,1078.1300000000001,1088.9100000000001]
[" ",3948,"Continuous Home Care - Min 8 Hours",471.27,10.6,9.92,491.79,496.71]
[" ",3949,"Continuous Home Care - Min 9 Hours",530.17999999999995,11.93,9.92,552.03,557.54999999999995]
[" ",3950,"Continuous Home Care - Min 10 Hours",589.08000000000004,13.25,9.92,612.25,618.37]
[" ",3951,"Continuous Home Care - Min 11 Hours",647.99,14.58,9.92,672.49,679.21]
[" ",3952,"Continuous Home Care - Min 12 Hours",706.9,15.91,9.92,732.73,740.06]
[" ",3953,"Continuous Home Care - Min 13 Hours",765.81,17.23,9.92,792.96,800.89]
[" ",3954,"Continuous Home Care - Min 14 Hours",824.72,18.559999999999999,9.92,853.2,861.73]
[" ",3955,"Continuous Home Care - Min 15 Hours",883.63,19.88,9.92,913.43,922.56]
[" ",3956,"Continuous Home Care - Min 16 Hours",942.53,21.21,9.92,973.66,983.4]
[" ",3957,"Continuous Home Care - Min 17 Hours",1001.44,22.53,9.92,1033.8900000000001,1044.23]
[" ",3958,"Continuous Home Care - Min 18 Hours",1060.3499999999999,23.86,9.92,1094.1300000000001,1105.07]
[" ",3959,"Continuous Home Care - Min 19 Hours",1119.26,25.18,9.92,1154.3599999999999,1165.9000000000001]
[" ",3960,"Continuous Home Care - Min 20 Hours",1178.17,26.51,9.92,1214.5999999999999,1226.75]
[" ",3961,"Continuous Home Care - Min 21 Hours",1237.08,27.83,9.92,1274.83,1287.58]
[" ",3962,"Continuous Home Care - Min 22 Hours",1295.98,29.16,9.92,1335.06,1348.41]
[" ",3963,"Continuous Home Care - Min 23 Hours",1354.89,30.49,9.92,1395.3,1409.25]
[" ",3964,"Continuous Home Care - Min 24 Hours",1413.8,31.81,9.92,1455.53,1470.09]
[" ",3965,"Hospice Inpatient Respite Care Coinsurance Rate -"]
[" ",null,"5% of 3946",24.49,0.55000000000000004,0.5,25.54,25.8]
[" ",3966,"Drugs Coinsurance Rate",1,0,0,1,1.01]
[" ",3969,"Routine Home Care w/AIDS",296.74,6.68,9.92,313.33999999999997,316.47000000000003]
[" ",3970,"Routine Home Care w/Escort",192.47,4.33,9.92,206.72,208.79]
[" ",3971,"Continuous Home Care w/AIDS Min 8 Hours",488.75,11,9.92,509.67,514.77]
[" ",3972,"Continuous Home Care w/AIDS Min 9 Hours",549.84,12.37,9.92,572.13,577.85]
[" ",3973,"Continuous Home Care w/AIDS Min 10 Hours",610.92999999999995,13.75,9.92,634.6,640.95000000000005]
[" ",3974,"Continuous Home Care w/AIDS Min 11 Hours",672.03,15.12,9.92,697.07,704.04]
[" ",3975,"Continuous Home Care w/AIDS Min 12 Hours",733.12,16.5,9.92,759.54,767.14]
[" ",3976,"Continuous Home Care w/AIDS Min 13 Hours",794.21,17.87,9.92,822,830.22]
[" ",3977,"Continuous Home Care w/AIDS Min 14 Hours",855.31,19.239999999999998,9.92,884.47,893.31]
[" ",3978,"Continuous Home Care w/AIDS Min 15 Hours",916.4,20.62,9.92,946.94,956.41]
[" ",3979,"Continuous Home Care w/AIDS Min 16 Hours",977.49,21.99,9.92,1009.4,1019.49]
[" ",3980,"Continuous Home Care w/AIDS Min 17 Hours",1038.5899999999999,23.37,9.92,1071.8800000000001,1082.5999999999999]
[" ",3981,"Continuous Home Care w/AIDS Min 18 Hours",1099.68,24.74,9.92,1134.3399999999999,1145.68]
[" ",3982,"Continuous Home Care w/AIDS Min 19 Hours",1160.77,26.12,9.92,1196.81,1208.78]
[" ",3983,"Continuous Home Care w/AIDS Min 20 Hours",1221.8699999999999,27.49,9.92,1259.28,1271.8699999999999]
[" ",3984,"Continuous Home Care w/AIDS Min 21 Hours",1282.96,28.87,9.92,1321.75,1334.97]
[" ",3985,"Continuous Home Care w/AIDS Min 22 Hours",1344.05,30.24,9.92,1384.21,1398.05]
[" ",3986,"Continuous Home Care w/AIDS Min 23 Hours",1405.15,31.62,9.92,1446.69,1461.16]
[" ",3987,"Continuous Home Care w/AIDS Min 24 Hours",1466.24,32.99,9.92,1509.15,1524.24]
[" ",3988,"General Inpatient w/ AIDS",1161.08,26.12,9.92,1197.1199999999999,1209.0899999999999]
[" ",3989,"Routine Home Care w/ AIDS Escort",317.92,7.15,9.92,334.99,338.34]
[" ",3991,"Service Intensity Add-on",59.96,1.35,0,61.31,61.92]
[]
[" * WRR = 'Worker Recruitment and Retention addon' if applicable"]
[" * RTR = 'Recruitment, Training and Retention addon' if applicable"]
[]
["                      New York State Department of Health"]
["                     Bureau of Long Term Care Reimbursement"]
["                           Certified Hospice Program"]
[]
["                              Medicaid Rate Sheet"]
["                       Effective: 10/01/2024 - 09/30/2025"]
[]
[" SMSA: Glens Falls"]
[]
[" Hospice Rate Sheets for the Counties of:"]
[" WARREN, WASHINGTON"]
[]
[" ","Rate","Description","        Base","  WRR Add-on","  RTR Add-on","       Total",0.01]
[" ","Code","-----------","        Rate","           *","           *","   w/ addons","Add-on"]
[" ",3945,"Routine Home Care",173.4,3.9,9.92,187.22,189.09]
[" ",3946,"Inpatient Respite",495.41,11.15,9.92,516.48,521.64]
[" ",3947,"General Inpatient Care",1057.03,23.78,9.92,1090.73,1101.6400000000001]
[" ",3948,"Continuous Home Care - Min 8 Hours",478.01,10.76,9.92,498.69,503.68]
[" ",3949,"Continuous Home Care - Min 9 Hours",537.76,12.1,9.92,559.78,565.38]
[" ",3950,"Continuous Home Care - Min 10 Hours",597.51,13.44,9.92,620.87,627.08000000000004]
[" ",3951,"Continuous Home Care - Min 11 Hours",657.26,14.79,9.92,681.97,688.79]
[" ",3952,"Continuous Home Care - Min 12 Hours",717.01,16.13,9.92,743.06,750.49]
[" ",3953,"Continuous Home Care - Min 13 Hours",776.76,17.48,9.92,804.16,812.2]
[" ",3954,"Continuous Home Care - Min 14 Hours",836.51,18.82,9.92,865.25,873.9]
[" ",3955,"Continuous Home Care - Min 15 Hours",896.26,20.170000000000002,9.92,926.35,935.61]
[" ",3956,"Continuous Home Care - Min 16 Hours",956.01,21.51,9.92,987.44,997.31]
[" ",3957,"Continuous Home Care - Min 17 Hours",1015.76,22.85,9.92,1048.53,1059.02]
[" ",3958,"Continuous Home Care - Min 18 Hours",1075.52,24.2,9.92,1109.6400000000001,1120.74]
[" ",3959,"Continuous Home Care - Min 19 Hours",1135.27,25.54,9.92,1170.73,1182.44]
[" ",3960,"Continuous Home Care - Min 20 Hours",1195.02,26.89,9.92,1231.83,1244.1500000000001]
[" ",3961,"Continuous Home Care - Min 21 Hours",1254.77,28.23,9.92,1292.92,1305.8499999999999]
[" ",3962,"Continuous Home Care - Min 22 Hours",1314.52,29.58,9.92,1354.02,1367.56]
[" ",3963,"Continuous Home Care - Min 23 Hours",1374.27,30.92,9.92,1415.11,1429.26]
[" ",3964,"Continuous Home Care - Min 24 Hours",1434.02,32.270000000000003,9.92,1476.21,1490.97]
[" ",3965,"Hospice Inpatient Respite Care Coinsurance Rate -"]
[" ",null,"5% of 3946",24.77,0.56000000000000005,0.5,25.83,26.09]
[" ",3966,"Drugs Coinsurance Rate",1,0,0,1,1.01]
[" ",3969,"Routine Home Care w/AIDS",300.39999999999998,6.76,9.92,317.08,320.25]
[" ",3970,"Routine Home Care w/Escort",194.58,4.38,9.92,208.88,210.97]
[" ",3971,"Continuous Home Care w/AIDS Min 8 Hours",497.61,11.2,9.92,518.73,523.91999999999996]
[" ",3972,"Continuous Home Care w/AIDS Min 9 Hours",559.80999999999995,12.6,9.92,582.33000000000004,588.15]
[" ",3973,"Continuous Home Care w/AIDS Min 10 Hours",622.01,14,9.92,645.92999999999995,652.39]
[" ",3974,"Continuous Home Care w/AIDS Min 11 Hours",684.21,15.39,9.92,709.52,716.62]
[" ",3975,"Continuous Home Care w/AIDS Min 12 Hours",746.42,16.79,9.92,773.13,780.86]
[" ",3976,"Continuous Home Care w/AIDS Min 13 Hours",808.62,18.190000000000001,9.92,836.73,845.1]
[" ",3977,"Continuous Home Care w/AIDS Min 14 Hours",870.82,19.59,9.92,900.33,909.33]
[" ",3978,"Continuous Home Care w/AIDS Min 15 Hours",933.02,20.99,9.92,963.93,973.57]
[" ",3979,"Continuous Home Care w/AIDS Min 16 Hours",995.22,22.39,9.92,1027.53,1037.81]
[" ",3980,"Continuous Home Care w/AIDS Min 17 Hours",1057.42,23.79,9.92,1091.1300000000001,1102.04]
[" ",3981,"Continuous Home Care w/AIDS Min 18 Hours",1119.6199999999999,25.19,9.92,1154.73,1166.28]
[" ",3982,"Continuous Home Care w/AIDS Min 19 Hours",1181.82,26.59,9.92,1218.33,1230.51]
[" ",3983,"Continuous Home Care w/AIDS Min 20 Hours",1244.03,27.99,9.92,1281.94,1294.76]
[" ",3984,"Continuous Home Care w/AIDS Min 21 Hours",1306.23,29.39,9.92,1345.54,1359]
[" ",3985,"Continuous Home Care w/AIDS Min 22 Hours",1368.43,30.79,9.92,1409.14,1423.23]
[" ",3986,"Continuous Home Care w/AIDS Min 23 Hours",1430.63,32.19,9.92,1472.74,1487.47]
[" ",3987,"Continuous Home Care w/AIDS Min 24 Hours",1492.83,33.590000000000003,9.92,1536.34,1551.7]
[" ",3988,"General Inpatient w/ AIDS",1174.78,26.43,9.92,1211.1300000000001,1223.24]
[" ",3989,"Routine Home Care w/ AIDS Escort",321.58,7.24,9.92,338.74,342.13]
[" ",3991,"Service Intensity Add-on",60.7,1.37,0,62.07,62.69]
[]
[" * WRR = 'Worker Recruitment and Retention addon' if applicable"]
[" * RTR = 'Recruitment, Training and Retention addon' if applicable"]
[]
["                      New York State Department of Health"]
["                     Bureau of Long Term Care Reimbursement"]
["                           Certified Hospice Program"]
[]
["                              Medicaid Rate Sheet"]
["                       Effective: 10/01/2024 - 09/30/2025"]
[]
[" SMSA: Nassau Suffolk"]
[]
[" Hospice Rate Sheets for the Counties of:"]
[" NASSAU, SUFFOLK"]
[]
[" ","Rate","Description","        Base","  WRR Add-on","  RTR Add-on","       Total",0.01]
[" ","Code","-----------","        Rate","           *","           *","   w/ addons","Add-on"]
[" ",3945,"Routine Home Care",226.73,5.0999999999999996,9.92,241.75,244.17]
[" ",3946,"Inpatient Respite",635.04999999999995,14.29,9.92,659.26,665.85]
[" ",3947,"General Inpatient Care",1368.49,30.79,9.92,1409.2,1423.29]
[" ",3948,"Continuous Home Care - Min 8 Hours",648.15,14.58,9.92,672.65,679.38]
[" ",3949,"Continuous Home Care - Min 9 Hours",729.17,16.41,9.92,755.5,763.06]
[" ",3950,"Continuous Home Care - Min 10 Hours",810.19,18.23,9.92,838.34,846.72]
[" ",3951,"Continuous Home Care - Min 11 Hours",891.21,20.05,9.92,921.18,930.39]
[" ",3952,"Continuous Home Care - Min 12 Hours",972.23,21.88,9.92,1004.03,1014.07]
[" ",3953,"Continuous Home Care - Min 13 Hours",1053.24,23.7,9.92,1086.8599999999999,1097.73]
[" ",3954,"Continuous Home Care - Min 14 Hours",1134.26,25.52,9.92,1169.7,1181.4000000000001]
[" ",3955,"Continuous Home Care - Min 15 Hours",1215.28,27.34,9.92,1252.54,1265.07]
[" ",3956,"Continuous Home Care - Min 16 Hours",1296.3,29.17,9.92,1335.39,1348.74]
[" ",3957,"Continuous Home Care - Min 17 Hours",1377.32,30.99,9.92,1418.23,1432.41]
[" ",3958,"Continuous Home Care - Min 18 Hours",1458.34,32.81,9.92,1501.07,1516.08]
[" ",3959,"Continuous Home Care - Min 19 Hours",1539.36,34.64,9.92,1583.92,1599.76]
[" ",3960,"Continuous Home Care - Min 20 Hours",1620.38,36.46,9.92,1666.76,1683.43]
[" ",3961,"Continuous Home Care - Min 21 Hours",1701.39,38.28,9.92,1749.59,1767.09]
[" ",3962,"Continuous Home Care - Min 22 Hours",1782.41,40.1,9.92,1832.43,1850.75]
[" ",3963,"Continuous Home Care - Min 23 Hours",1863.43,41.93,9.92,1915.28,1934.43]
[" ",3964,"Continuous Home Care - Min 24 Hours",1944.45,43.75,9.92,1998.12,2018.1]
[" ",3965,"Hospice Inpatient Respite Care Coinsurance Rate -"]
[" ",null,"5% of 3946",31.75,0.71,0.5,32.96,33.29]
[" ",3966,"Drugs Coinsurance Rate",1,0,0,1,1.01]
[" ",3969,"Routine Home Care w/AIDS",392.79,8.84,9.92,411.55,415.67]
[" ",3970,"Routine Home Care w/Escort",247.91,5.58,9.92,263.41000000000003,266.04000000000002]
[" ",3971,"Continuous Home Care w/AIDS Min 8 Hours",721.42,16.23,9.92,747.57,755.05]
[" ",3972,"Continuous Home Care w/AIDS Min 9 Hours",811.6,18.260000000000002,9.92,839.78,848.18]
[" ",3973,"Continuous Home Care w/AIDS Min 10 Hours",901.78,20.29,9.92,931.99,941.31]
[" ",3974,"Continuous Home Care w/AIDS Min 11 Hours",991.95,22.32,9.92,1024.19,1034.43]
[" ",3975,"Continuous Home Care w/AIDS Min 12 Hours",1082.1300000000001,24.35,9.92,1116.4000000000001,1127.56]
[" ",3976,"Continuous Home Care w/AIDS Min 13 Hours",1172.31,26.38,9.92,1208.6099999999999,1220.7]
[" ",3977,"Continuous Home Care w/AIDS Min 14 Hours",1262.49,28.41,9.92,1300.82,1313.83]
[" ",3978,"Continuous Home Care w/AIDS Min 15 Hours",1352.66,30.43,9.92,1393.01,1406.94]
[" ",3979,"Continuous Home Care w/AIDS Min 16 Hours",1442.84,32.46,9.92,1485.22,1500.07]
[" ",3980,"Continuous Home Care w/AIDS Min 17 Hours",1533.02,34.49,9.92,1577.43,1593.2]
[" ",3981,"Continuous Home Care w/AIDS Min 18 Hours",1623.2,36.520000000000003,9.92,1669.64,1686.34]
[" ",3982,"Continuous Home Care w/AIDS Min 19 Hours",1713.37,38.549999999999997,9.92,1761.84,1779.46]
[" ",3983,"Continuous Home Care w/AIDS Min 20 Hours",1803.55,40.58,9.92,1854.05,1872.59]
[" ",3984,"Continuous Home Care w/AIDS Min 21 Hours",1893.73,42.61,9.92,1946.26,1965.72]
[" ",3985,"Continuous Home Care w/AIDS Min 22 Hours",1983.91,44.64,9.92,2038.47,2058.85]
[" ",3986,"Continuous Home Care w/AIDS Min 23 Hours",2074.08,46.67,9.92,2130.67,2151.98]
[" ",3987,"Continuous Home Care w/AIDS Min 24 Hours",2164.2600000000002,48.7,9.92,2222.88,2245.11]
[" ",3988,"General Inpatient w/ AIDS",1520.94,34.22,9.92,1565.08,1580.73]
[" ",3989,"Routine Home Care w/ AIDS Escort",413.97,9.31,9.92,433.2,437.53]
[" ",3991,"Service Intensity Add-on",79.36,1.79,0,81.150000000000006,81.96]
[]
[" * WRR = 'Worker Recruitment and Retention addon' if applicable"]
[" * RTR = 'Recruitment, Training and Retention addon' if applicable"]
[]
["                      New York State Department of Health"]
["                     Bureau of Long Term Care Reimbursement"]
["                           Certified Hospice Program"]
[]
["                              Medicaid Rate Sheet"]
["                       Effective: 10/01/2024 - 09/30/2025"]
[]
[" SMSA: New York City"]
[]
[" Hospice Rate Sheets for the Counties of:"]
[" BRONX, KINGS, NEW YORK, PUTNAM, QUEENS, RICHMOND, ROCKLAND, WESTCHESTER"]
[]
[" ","Rate","Description","        Base","  WRR Add-on","  RTR Add-on","       Total",0.01]
[" ","Code","-----------","        Rate","           *","           *","   w/ addons","Add-on"]
[" ",3945,"Routine Home Care",232.67,5.24,9.92,247.83,250.31]
[" ",3946,"Inpatient Respite",650.61,14.64,9.92,675.17,681.92]
[" ",3947,"General Inpatient Care",1403.19,31.57,9.92,1444.68,1459.13]
[" ",3948,"Continuous Home Care - Min 8 Hours",667.11,15.01,9.92,692.04,698.96]
[" ",3949,"Continuous Home Care - Min 9 Hours",750.5,16.89,9.92,777.31,785.08]
[" ",3950,"Continuous Home Care - Min 10 Hours",833.88,18.760000000000002,9.92,862.56,871.19]
[" ",3951,"Continuous Home Care - Min 11 Hours",917.27,20.64,9.92,947.83,957.31]
[" ",3952,"Continuous Home Care - Min 12 Hours",1000.66,22.51,9.92,1033.0899999999999,1043.42]
[" ",3953,"Continuous Home Care - Min 13 Hours",1084.05,24.39,9.92,1118.3599999999999,1129.54]
[" ",3954,"Continuous Home Care - Min 14 Hours",1167.44,26.27,9.92,1203.6300000000001,1215.67]
[" ",3955,"Continuous Home Care - Min 15 Hours",1250.83,28.14,9.92,1288.8900000000001,1301.78]
[" ",3956,"Continuous Home Care - Min 16 Hours",1334.21,30.02,9.92,1374.15,1387.89]
[" ",3957,"Continuous Home Care - Min 17 Hours",1417.6,31.9,9.92,1459.42,1474.01]
[" ",3958,"Continuous Home Care - Min 18 Hours",1500.99,33.770000000000003,9.92,1544.68,1560.13]
[" ",3959,"Continuous Home Care - Min 19 Hours",1584.38,35.65,9.92,1629.95,1646.25]
[" ",3960,"Continuous Home Care - Min 20 Hours",1667.77,37.520000000000003,9.92,1715.21,1732.36]
[" ",3961,"Continuous Home Care - Min 21 Hours",1751.16,39.4,9.92,1800.48,1818.48]
[" ",3962,"Continuous Home Care - Min 22 Hours",1834.54,41.28,9.92,1885.74,1904.6]
[" ",3963,"Continuous Home Care - Min 23 Hours",1917.93,43.15,9.92,1971,1990.71]
[" ",3964,"Continuous Home Care - Min 24 Hours",2001.32,45.03,9.92,2056.27,2076.83]
[" ",3965,"Hospice Inpatient Respite Care Coinsurance Rate -"]
[" ",null,"5% of 3946",32.53,0.73,0.5,33.76,34.1]
[" ",3966,"Drugs Coinsurance Rate",1,0,0,1,1.01]
[" ",3969,"Routine Home Care w/AIDS",403.08,9.07,9.92,422.07,426.29]
[" ",3970,"Routine Home Care w/Escort",253.85,5.71,9.92,269.48,272.17]
[" ",3971,"Continuous Home Care w/AIDS Min 8 Hours",746.35,16.79,9.92,773.06,780.79]
[" ",3972,"Continuous Home Care w/AIDS Min 9 Hours",839.65,18.89,9.92,868.46,877.14]
[" ",3973,"Continuous Home Care w/AIDS Min 10 Hours",932.94,20.99,9.92,963.85,973.49]
[" ",3974,"Continuous Home Care w/AIDS Min 11 Hours",1026.24,23.09,9.92,1059.25,1069.8399999999999]
[" ",3975,"Continuous Home Care w/AIDS Min 12 Hours",1119.53,25.19,9.92,1154.6400000000001,1166.19]
[" ",3976,"Continuous Home Care w/AIDS Min 13 Hours",1212.82,27.29,9.92,1250.03,1262.53]
[" ",3977,"Continuous Home Care w/AIDS Min 14 Hours",1306.1199999999999,29.39,9.92,1345.43,1358.88]
[" ",3978,"Continuous Home Care w/AIDS Min 15 Hours",1399.41,31.49,9.92,1440.82,1455.23]
[" ",3979,"Continuous Home Care w/AIDS Min 16 Hours",1492.71,33.590000000000003,9.92,1536.22,1551.58]
[" ",3980,"Continuous Home Care w/AIDS Min 17 Hours",1586,35.69,9.92,1631.61,1647.93]
[" ",3981,"Continuous Home Care w/AIDS Min 18 Hours",1679.3,37.78,9.92,1727,1744.27]
[" ",3982,"Continuous Home Care w/AIDS Min 19 Hours",1772.59,39.880000000000003,9.92,1822.39,1840.61]
[" ",3983,"Continuous Home Care w/AIDS Min 20 Hours",1865.88,41.98,9.92,1917.78,1936.96]
[" ",3984,"Continuous Home Care w/AIDS Min 21 Hours",1959.18,44.08,9.92,2013.18,2033.31]
[" ",3985,"Continuous Home Care w/AIDS Min 22 Hours",2052.4699999999998,46.18,9.92,2108.5700000000002,2129.66]
[" ",3986,"Continuous Home Care w/AIDS Min 23 Hours",2145.77,48.28,9.92,2203.9699999999998,2226.0100000000002]
[" ",3987,"Continuous Home Care w/AIDS Min 24 Hours",2239.06,50.38,9.92,2299.36,2322.35]
[" ",3988,"General Inpatient w/ AIDS",1559.51,35.090000000000003,9.92,1604.52,1620.57]
[" ",3989,"Routine Home Care w/ AIDS Escort",424.26,9.5500000000000007,9.92,443.73,448.17]
[" ",3991,"Service Intensity Add-on",81.44,1.83,0,83.27,84.1]
[]
[" * WRR = 'Worker Recruitment and Retention addon' if applicable"]
[" * RTR = 'Recruitment, Training and Retention addon' if applicable"]
[]
["                      New York State Department of Health"]
["                     Bureau of Long Term Care Reimbursement"]
["                           Certified Hospice Program"]
[]
["                              Medicaid Rate Sheet"]
["                       Effective: 10/01/2024 - 09/30/2025"]
[]
[" SMSA: Niagara Falls"]
[]
[" Hospice Rate Sheets for the County of"]
[" NIAGARA"]
[]
[" ","Rate","Description","        Base","  WRR Add-on","  RTR Add-on","       Total",0.01]
[" ","Code","-----------","        Rate","           *","           *","   w/ addons","Add-on"]
[" ",3945,"Routine Home Care",197.81,4.45,9.92,212.18,214.3]
[" ",3946,"Inpatient Respite",559.34,12.59,9.92,581.85,587.66999999999996]
[" ",3947,"General Inpatient Care",1199.6099999999999,26.99,9.92,1236.52,1248.8900000000001]
[" ",3948,"Continuous Home Care - Min 8 Hours",555.89,12.51,9.92,578.32000000000005,584.1]
[" ",3949,"Continuous Home Care - Min 9 Hours",625.38,14.07,9.92,649.37,655.86]
[" ",3950,"Continuous Home Care - Min 10 Hours",694.87,15.63,9.92,720.42,727.62]
[" ",3951,"Continuous Home Care - Min 11 Hours",764.35,17.2,9.92,791.47,799.38]
[" ",3952,"Continuous Home Care - Min 12 Hours",833.84,18.760000000000002,9.92,862.52,871.15]
[" ",3953,"Continuous Home Care - Min 13 Hours",903.33,20.32,9.92,933.57,942.91]
[" ",3954,"Continuous Home Care - Min 14 Hours",972.81,21.89,9.92,1004.62,1014.67]
[" ",3955,"Continuous Home Care - Min 15 Hours",1042.3,23.45,9.92,1075.67,1086.43]
[" ",3956,"Continuous Home Care - Min 16 Hours",1111.79,25.02,9.92,1146.73,1158.2]
[" ",3957,"Continuous Home Care - Min 17 Hours",1181.27,26.58,9.92,1217.77,1229.95]
[" ",3958,"Continuous Home Care - Min 18 Hours",1250.76,28.14,9.92,1288.82,1301.71]
[" ",3959,"Continuous Home Care - Min 19 Hours",1320.25,29.71,9.92,1359.88,1373.48]
[" ",3960,"Continuous Home Care - Min 20 Hours",1389.73,31.27,9.92,1430.92,1445.23]
[" ",3961,"Continuous Home Care - Min 21 Hours",1459.22,32.83,9.92,1501.97,1516.99]
[" ",3962,"Continuous Home Care - Min 22 Hours",1528.71,34.4,9.92,1573.03,1588.76]
[" ",3963,"Continuous Home Care - Min 23 Hours",1598.19,35.96,9.92,1644.07,1660.51]
[" ",3964,"Continuous Home Care - Min 24 Hours",1667.68,37.520000000000003,9.92,1715.12,1732.27]
[" ",3965,"Hospice Inpatient Respite Care Coinsurance Rate -"]
[" ",null,"5% of 3946",27.97,0.63,0.5,29.1,29.39]
[" ",3966,"Drugs Coinsurance Rate",1,0,0,1,1.01]
[" ",3969,"Routine Home Care w/AIDS",342.69,7.71,9.92,360.32,363.92]
[" ",3970,"Routine Home Care w/Escort",218.99,4.93,9.92,233.84,236.18]
[" ",3971,"Continuous Home Care w/AIDS Min 8 Hours",600.07000000000005,13.5,9.92,623.49,629.72]
[" ",3972,"Continuous Home Care w/AIDS Min 9 Hours",675.08,15.19,9.92,700.19,707.19]
[" ",3973,"Continuous Home Care w/AIDS Min 10 Hours",750.08,16.88,9.92,776.88,784.65]
[" ",3974,"Continuous Home Care w/AIDS Min 11 Hours",825.09,18.559999999999999,9.92,853.57,862.11]
[" ",3975,"Continuous Home Care w/AIDS Min 12 Hours",900.1,20.25,9.92,930.27,939.57]
[" ",3976,"Continuous Home Care w/AIDS Min 13 Hours",975.11,21.94,9.92,1006.97,1017.04]
[" ",3977,"Continuous Home Care w/AIDS Min 14 Hours",1050.1199999999999,23.63,9.92,1083.67,1094.51]
[" ",3978,"Continuous Home Care w/AIDS Min 15 Hours",1125.1300000000001,25.32,9.92,1160.3699999999999,1171.97]
[" ",3979,"Continuous Home Care w/AIDS Min 16 Hours",1200.1300000000001,27,9.92,1237.05,1249.42]
[" ",3980,"Continuous Home Care w/AIDS Min 17 Hours",1275.1400000000001,28.69,9.92,1313.75,1326.89]
[" ",3981,"Continuous Home Care w/AIDS Min 18 Hours",1350.15,30.38,9.92,1390.45,1404.35]
[" ",3982,"Continuous Home Care w/AIDS Min 19 Hours",1425.16,32.07,9.92,1467.15,1481.82]
[" ",3983,"Continuous Home Care w/AIDS Min 20 Hours",1500.17,33.75,9.92,1543.84,1559.28]
[" ",3984,"Continuous Home Care w/AIDS Min 21 Hours",1575.18,35.44,9.92,1620.54,1636.75]
[" ",3985,"Continuous Home Care w/AIDS Min 22 Hours",1650.18,37.130000000000003,9.92,1697.23,1714.2]
[" ",3986,"Continuous Home Care w/AIDS Min 23 Hours",1725.19,38.82,9.92,1773.93,1791.67]
[" ",3987,"Continuous Home Care w/AIDS Min 24 Hours",1800.2,40.5,9.92,1850.62,1869.13]
[" ",3988,"General Inpatient w/ AIDS",1333.25,30,9.92,1373.17,1386.9]
[" ",3989,"Routine Home Care w/ AIDS Escort",363.87,8.19,9.92,381.98,385.8]
[" ",3991,"Service Intensity Add-on",69.239999999999995,1.56,0,70.8,71.510000000000005]
[]
[" * WRR = 'Worker Recruitment and Retention addon' if applicable"]
[" * RTR = 'Recruitment, Training and Retention addon' if applicable"]
[]
["                      New York State Department of Health"]
["                     Bureau of Long Term Care Reimbursement"]
["                           Certified Hospice Program"]
[]
["                              Medicaid Rate Sheet"]
["                       Effective: 10/01/2024 - 09/30/2025"]
[]
[" SMSA: Orange County"]
[]
[" Hospice Rate Sheets for the County of"]
[" ORANGE"]
[]
[" ","Rate","Description","        Base","  WRR Add-on","  RTR Add-on","       Total",0.01]
[" ","Code","-----------","        Rate","           *","           *","   w/ addons","Add-on"]
[" ",3945,"Routine Home Care",232.67,5.24,9.92,247.83,250.31]
[" ",3946,"Inpatient Respite",650.61,14.64,9.92,675.17,681.92]
[" ",3947,"General Inpatient Care",1403.19,31.57,9.92,1444.68,1459.13]
[" ",3948,"Continuous Home Care - Min 8 Hours",667.11,15.01,9.92,692.04,698.96]
[" ",3949,"Continuous Home Care - Min 9 Hours",750.5,16.89,9.92,777.31,785.08]
[" ",3950,"Continuous Home Care - Min 10 Hours",833.88,18.760000000000002,9.92,862.56,871.19]
[" ",3951,"Continuous Home Care - Min 11 Hours",917.27,20.64,9.92,947.83,957.31]
[" ",3952,"Continuous Home Care - Min 12 Hours",1000.66,22.51,9.92,1033.0899999999999,1043.42]
[" ",3953,"Continuous Home Care - Min 13 Hours",1084.05,24.39,9.92,1118.3599999999999,1129.54]
[" ",3954,"Continuous Home Care - Min 14 Hours",1167.44,26.27,9.92,1203.6300000000001,1215.67]
[" ",3955,"Continuous Home Care - Min 15 Hours",1250.83,28.14,9.92,1288.8900000000001,1301.78]
[" ",3956,"Continuous Home Care - Min 16 Hours",1334.21,30.02,9.92,1374.15,1387.89]
[" ",3957,"Continuous Home Care - Min 17 Hours",1417.6,31.9,9.92,1459.42,1474.01]
[" ",3958,"Continuous Home Care - Min 18 Hours",1500.99,33.770000000000003,9.92,1544.68,1560.13]
[" ",3959,"Continuous Home Care - Min 19 Hours",1584.38,35.65,9.92,1629.95,1646.25]
[" ",3960,"Continuous Home Care - Min 20 Hours",1667.77,37.520000000000003,9.92,1715.21,1732.36]
[" ",3961,"Continuous Home Care - Min 21 Hours",1751.16,39.4,9.92,1800.48,1818.48]
[" ",3962,"Continuous Home Care - Min 22 Hours",1834.54,41.28,9.92,1885.74,1904.6]
[" ",3963,"Continuous Home Care - Min 23 Hours",1917.93,43.15,9.92,1971,1990.71]
[" ",3964,"Continuous Home Care - Min 24 Hours",2001.32,45.03,9.92,2056.27,2076.83]
[" ",3965,"Hospice Inpatient Respite Care Coinsurance Rate -"]
[" ",null,"5% of 3946",32.53,0.73,0.5,33.76,34.1]
[" ",3966,"Drugs Coinsurance Rate",1,0,0,1,1.01]
[" ",3969,"Routine Home Care w/AIDS",403.08,9.07,9.92,422.07,426.29]
[" ",3970,"Routine Home Care w/Escort",253.85,5.71,9.92,269.48,272.17]
[" ",3971,"Continuous Home Care w/AIDS Min 8 Hours",746.35,16.79,9.92,773.06,780.79]
[" ",3972,"Continuous Home Care w/AIDS Min 9 Hours",839.65,18.89,9.92,868.46,877.14]
[" ",3973,"Continuous Home Care w/AIDS Min 10 Hours",932.94,20.99,9.92,963.85,973.49]
[" ",3974,"Continuous Home Care w/AIDS Min 11 Hours",1026.24,23.09,9.92,1059.25,1069.8399999999999]
[" ",3975,"Continuous Home Care w/AIDS Min 12 Hours",1119.53,25.19,9.92,1154.6400000000001,1166.19]
[" ",3976,"Continuous Home Care w/AIDS Min 13 Hours",1212.82,27.29,9.92,1250.03,1262.53]
[" ",3977,"Continuous Home Care w/AIDS Min 14 Hours",1306.1199999999999,29.39,9.92,1345.43,1358.88]
[" ",3978,"Continuous Home Care w/AIDS Min 15 Hours",1399.41,31.49,9.92,1440.82,1455.23]
[" ",3979,"Continuous Home Care w/AIDS Min 16 Hours",1492.71,33.590000000000003,9.92,1536.22,1551.58]
[" ",3980,"Continuous Home Care w/AIDS Min 17 Hours",1586,35.69,9.92,1631.61,1647.93]
[" ",3981,"Continuous Home Care w/AIDS Min 18 Hours",1679.3,37.78,9.92,1727,1744.27]
[" ",3982,"Continuous Home Care w/AIDS Min 19 Hours",1772.59,39.880000000000003,9.92,1822.39,1840.61]
[" ",3983,"Continuous Home Care w/AIDS Min 20 Hours",1865.88,41.98,9.92,1917.78,1936.96]
[" ",3984,"Continuous Home Care w/AIDS Min 21 Hours",1959.18,44.08,9.92,2013.18,2033.31]
[" ",3985,"Continuous Home Care w/AIDS Min 22 Hours",2052.4699999999998,46.18,9.92,2108.5700000000002,2129.66]
[" ",3986,"Continuous Home Care w/AIDS Min 23 Hours",2145.77,48.28,9.92,2203.9699999999998,2226.0100000000002]
[" ",3987,"Continuous Home Care w/AIDS Min 24 Hours",2239.06,50.38,9.92,2299.36,2322.35]
[" ",3988,"General Inpatient w/ AIDS",1559.51,35.090000000000003,9.92,1604.52,1620.57]
[" ",3989,"Routine Home Care w/ AIDS Escort",424.26,9.5500000000000007,9.92,443.73,448.17]
[" ",3991,"Service Intensity Add-on",81.44,1.83,0,83.27,84.1]
[]
[" * WRR = 'Worker Recruitment and Retention addon' if applicable"]
[" * RTR = 'Recruitment, Training and Retention addon' if applicable"]
[]
["                      New York State Department of Health"]
["                     Bureau of Long Term Care Reimbursement"]
["                           Certified Hospice Program"]
[]
["                              Medicaid Rate Sheet"]
["                       Effective: 10/01/2024 - 09/30/2025"]
[]
[" SMSA: Poughkeepsie"]
[]
[" Hospice Rate Sheets for the County of"]
[" DUTCHESS"]
[]
[" ","Rate","Description","        Base","  WRR Add-on","  RTR Add-on","       Total",0.01]
[" ","Code","-----------","        Rate","           *","           *","   w/ addons","Add-on"]
[" ",3945,"Routine Home Care",221.22,4.9800000000000004,9.92,236.12,238.48]
[" ",3946,"Inpatient Respite",620.63,13.96,9.92,644.51,650.96]
[" ",3947,"General Inpatient Care",1336.32,30.07,9.92,1376.31,1390.07]
[" ",3948,"Continuous Home Care - Min 8 Hours",630.58000000000004,14.19,9.92,654.69000000000005,661.24]
[" ",3949,"Continuous Home Care - Min 9 Hours",709.4,15.96,9.92,735.28,742.63]
[" ",3950,"Continuous Home Care - Min 10 Hours",788.22,17.73,9.92,815.87,824.03]
[" ",3951,"Continuous Home Care - Min 11 Hours",867.04,19.510000000000002,9.92,896.47,905.43]
[" ",3952,"Continuous Home Care - Min 12 Hours",945.87,21.28,9.92,977.07,986.84]
[" ",3953,"Continuous Home Care - Min 13 Hours",1024.69,23.06,9.92,1057.67,1068.25]
[" ",3954,"Continuous Home Care - Min 14 Hours",1103.51,24.83,9.92,1138.26,1149.6400000000001]
[" ",3955,"Continuous Home Care - Min 15 Hours",1182.33,26.6,9.92,1218.8499999999999,1231.04]
[" ",3956,"Continuous Home Care - Min 16 Hours",1261.1500000000001,28.38,9.92,1299.45,1312.44]
[" ",3957,"Continuous Home Care - Min 17 Hours",1339.98,30.15,9.92,1380.05,1393.85]
[" ",3958,"Continuous Home Care - Min 18 Hours",1418.8,31.92,9.92,1460.64,1475.25]
[" ",3959,"Continuous Home Care - Min 19 Hours",1497.62,33.700000000000003,9.92,1541.24,1556.65]
[" ",3960,"Continuous Home Care - Min 20 Hours",1576.44,35.47,9.92,1621.83,1638.05]
[" ",3961,"Continuous Home Care - Min 21 Hours",1655.26,37.24,9.92,1702.42,1719.44]
[" ",3962,"Continuous Home Care - Min 22 Hours",1734.09,39.020000000000003,9.92,1783.03,1800.86]
[" ",3963,"Continuous Home Care - Min 23 Hours",1812.91,40.79,9.92,1863.62,1882.26]
[" ",3964,"Continuous Home Care - Min 24 Hours",1891.73,42.56,9.92,1944.21,1963.65]
[" ",3965,"Hospice Inpatient Respite Care Coinsurance Rate -"]
[" ",null,"5% of 3946",31.03,0.7,0.5,32.229999999999997,32.549999999999997]
[" ",3966,"Drugs Coinsurance Rate",1,0,0,1,1.01]
[" ",3969,"Routine Home Care w/AIDS",383.24,8.6199999999999992,9.92,401.78,405.8]
[" ",3970,"Routine Home Care w/Escort",242.4,5.45,9.92,257.77,260.35000000000002]
[" ",3971,"Continuous Home Care w/AIDS Min 8 Hours",698.3,15.71,9.92,723.93,731.17]
[" ",3972,"Continuous Home Care w/AIDS Min 9 Hours",785.59,17.68,9.92,813.19,821.32]
[" ",3973,"Continuous Home Care w/AIDS Min 10 Hours",872.88,19.64,9.92,902.44,911.46]
[" ",3974,"Continuous Home Care w/AIDS Min 11 Hours",960.17,21.6,9.92,991.69,1001.61]
[" ",3975,"Continuous Home Care w/AIDS Min 12 Hours",1047.46,23.57,9.92,1080.95,1091.76]
[" ",3976,"Continuous Home Care w/AIDS Min 13 Hours",1134.74,25.53,9.92,1170.19,1181.8900000000001]
[" ",3977,"Continuous Home Care w/AIDS Min 14 Hours",1222.03,27.5,9.92,1259.45,1272.04]
[" ",3978,"Continuous Home Care w/AIDS Min 15 Hours",1309.32,29.46,9.92,1348.7,1362.19]
[" ",3979,"Continuous Home Care w/AIDS Min 16 Hours",1396.61,31.42,9.92,1437.95,1452.33]
[" ",3980,"Continuous Home Care w/AIDS Min 17 Hours",1483.89,33.39,9.92,1527.2,1542.47]
[" ",3981,"Continuous Home Care w/AIDS Min 18 Hours",1571.18,35.35,9.92,1616.45,1632.61]
[" ",3982,"Continuous Home Care w/AIDS Min 19 Hours",1658.47,37.32,9.92,1705.71,1722.77]
[" ",3983,"Continuous Home Care w/AIDS Min 20 Hours",1745.76,39.28,9.92,1794.96,1812.91]
[" ",3984,"Continuous Home Care w/AIDS Min 21 Hours",1833.05,41.24,9.92,1884.21,1903.05]
[" ",3985,"Continuous Home Care w/AIDS Min 22 Hours",1920.33,43.21,9.92,1973.46,1993.19]
[" ",3986,"Continuous Home Care w/AIDS Min 23 Hours",2007.62,45.17,9.92,2062.71,2083.34]
[" ",3987,"Continuous Home Care w/AIDS Min 24 Hours",2094.91,47.14,9.92,2151.9699999999998,2173.4899999999998]
[" ",3988,"General Inpatient w/ AIDS",1485.19,33.42,9.92,1528.53,1543.82]
[" ",3989,"Routine Home Care w/ AIDS Escort",404.42,9.1,9.92,423.44,427.67]
[" ",3991,"Service Intensity Add-on",77.44,1.74,0,79.180000000000007,79.97]
[]
[" * WRR = 'Worker Recruitment and Retention addon' if applicable"]
[" * RTR = 'Recruitment, Training and Retention addon' if applicable"]
[]
["                      New York State Department of Health"]
["                     Bureau of Long Term Care Reimbursement"]
["                           Certified Hospice Program"]
[]
["                              Medicaid Rate Sheet"]
["                       Effective: 10/01/2024 - 09/30/2025"]
[]
[" SMSA: Rochester"]
[]
[" Hospice Rate Sheets for the Counties of:"]
[" LIVINGSTON, MONROE, ONTARIO, ORLEANS, WAYNE"]
[]
[" ","Rate","Description","        Base","  WRR Add-on","  RTR Add-on","       Total",0.01]
[" ","Code","-----------","        Rate","           *","           *","   w/ addons","Add-on"]
[" ",3945,"Routine Home Care",180.96,4.07,9.92,194.95,196.9]
[" ",3946,"Inpatient Respite",515.20000000000005,11.59,9.92,536.71,542.08000000000004]
[" ",3947,"General Inpatient Care",1101.17,24.78,9.92,1135.8699999999999,1147.23]
[" ",3948,"Continuous Home Care - Min 8 Hours",502.11,11.3,9.92,523.33000000000004,528.55999999999995]
[" ",3949,"Continuous Home Care - Min 9 Hours",564.88,12.71,9.92,587.51,593.39]
[" ",3950,"Continuous Home Care - Min 10 Hours",627.64,14.12,9.92,651.67999999999995,658.2]
[" ",3951,"Continuous Home Care - Min 11 Hours",690.41,15.53,9.92,715.86,723.02]
[" ",3952,"Continuous Home Care - Min 12 Hours",753.17,16.95,9.92,780.04,787.84]
[" ",3953,"Continuous Home Care - Min 13 Hours",815.93,18.36,9.92,844.21,852.65]
[" ",3954,"Continuous Home Care - Min 14 Hours",878.7,19.77,9.92,908.39,917.47]
[" ",3955,"Continuous Home Care - Min 15 Hours",941.46,21.18,9.92,972.56,982.29]
[" ",3956,"Continuous Home Care - Min 16 Hours",1004.23,22.6,9.92,1036.75,1047.1199999999999]
[" ",3957,"Continuous Home Care - Min 17 Hours",1066.99,24.01,9.92,1100.92,1111.93]
[" ",3958,"Continuous Home Care - Min 18 Hours",1129.76,25.42,9.92,1165.0999999999999,1176.75]
[" ",3959,"Continuous Home Care - Min 19 Hours",1192.52,26.83,9.92,1229.27,1241.56]
[" ",3960,"Continuous Home Care - Min 20 Hours",1255.28,28.24,9.92,1293.44,1306.3699999999999]
[" ",3961,"Continuous Home Care - Min 21 Hours",1318.05,29.66,9.92,1357.63,1371.21]
[" ",3962,"Continuous Home Care - Min 22 Hours",1380.81,31.07,9.92,1421.8,1436.02]
[" ",3963,"Continuous Home Care - Min 23 Hours",1443.58,32.479999999999997,9.92,1485.98,1500.84]
[" ",3964,"Continuous Home Care - Min 24 Hours",1506.34,33.89,9.92,1550.15,1565.65]
[" ",3965,"Hospice Inpatient Respite Care Coinsurance Rate -"]
[" ",null,"5% of 3946",25.76,0.57999999999999996,0.5,26.84,27.11]
[" ",3966,"Drugs Coinsurance Rate",1,0,0,1,1.01]
[" ",3969,"Routine Home Care w/AIDS",313.49,7.05,9.92,330.46,333.76]
[" ",3970,"Routine Home Care w/Escort",202.14,4.55,9.92,216.61,218.78]
[" ",3971,"Continuous Home Care w/AIDS Min 8 Hours",529.32000000000005,11.91,9.92,551.15,556.66]
[" ",3972,"Continuous Home Care w/AIDS Min 9 Hours",595.49,13.4,9.92,618.80999999999995,625]
[" ",3973,"Continuous Home Care w/AIDS Min 10 Hours",661.65,14.89,9.92,686.46,693.32]
[" ",3974,"Continuous Home Care w/AIDS Min 11 Hours",727.82,16.38,9.92,754.12,761.66]
[" ",3975,"Continuous Home Care w/AIDS Min 12 Hours",793.99,17.86,9.92,821.77,829.99]
[" ",3976,"Continuous Home Care w/AIDS Min 13 Hours",860.15,19.350000000000001,9.92,889.42,898.31]
[" ",3977,"Continuous Home Care w/AIDS Min 14 Hours",926.32,20.84,9.92,957.08,966.65]
[" ",3978,"Continuous Home Care w/AIDS Min 15 Hours",992.48,22.33,9.92,1024.73,1034.98]
[" ",3979,"Continuous Home Care w/AIDS Min 16 Hours",1058.6500000000001,23.82,9.92,1092.3900000000001,1103.31]
[" ",3980,"Continuous Home Care w/AIDS Min 17 Hours",1124.81,25.31,9.92,1160.04,1171.6400000000001]
[" ",3981,"Continuous Home Care w/AIDS Min 18 Hours",1190.98,26.8,9.92,1227.7,1239.98]
[" ",3982,"Continuous Home Care w/AIDS Min 19 Hours",1257.1400000000001,28.29,9.92,1295.3499999999999,1308.3]
[" ",3983,"Continuous Home Care w/AIDS Min 20 Hours",1323.31,29.77,9.92,1363,1376.63]
[" ",3984,"Continuous Home Care w/AIDS Min 21 Hours",1389.47,31.26,9.92,1430.65,1444.96]
[" ",3985,"Continuous Home Care w/AIDS Min 22 Hours",1455.64,32.75,9.92,1498.31,1513.29]
[" ",3986,"Continuous Home Care w/AIDS Min 23 Hours",1521.8,34.24,9.92,1565.96,1581.62]
[" ",3987,"Continuous Home Care w/AIDS Min 24 Hours",1587.97,35.729999999999997,9.92,1633.62,1649.96]
[" ",3988,"General Inpatient w/ AIDS",1223.8399999999999,27.54,9.92,1261.3,1273.9100000000001]
[" ",3989,"Routine Home Care w/ AIDS Escort",334.67,7.53,9.92,352.12,355.64]
[" ",3991,"Service Intensity Add-on",63.34,1.43,0,64.77,65.42]
[]
[" * WRR = 'Worker Recruitment and Retention addon' if applicable"]
[" * RTR = 'Recruitment, Training and Retention addon' if applicable"]
[]
["                      New York State Department of Health"]
["                     Bureau of Long Term Care Reimbursement"]
["                           Certified Hospice Program"]
[]
["                              Medicaid Rate Sheet"]
["                       Effective: 10/01/2024 - 09/30/2025"]
[]
[" SMSA: Syracuse"]
[]
[" Hospice Rate Sheets for the Counties of:"]
[" MADISON, ONONDAGA, OSWEGO"]
[]
[" ","Rate","Description","        Base","  WRR Add-on","  RTR Add-on","       Total",0.01]
[" ","Code","-----------","        Rate","           *","           *","   w/ addons","Add-on"]
[" ",3945,"Routine Home Care",186.86,4.2,9.92,200.98,202.99]
[" ",3946,"Inpatient Respite",530.66,11.94,9.92,552.52,558.04999999999995]
[" ",3947,"General Inpatient Care",1135.6400000000001,25.55,9.92,1171.1099999999999,1182.82]
[" ",3948,"Continuous Home Care - Min 8 Hours",520.95000000000005,11.72,9.92,542.59,548.02]
[" ",3949,"Continuous Home Care - Min 9 Hours",586.07000000000005,13.19,9.92,609.17999999999995,615.27]
[" ",3950,"Continuous Home Care - Min 10 Hours",651.17999999999995,14.65,9.92,675.75,682.51]
[" ",3951,"Continuous Home Care - Min 11 Hours",716.3,16.12,9.92,742.34,749.76]
[" ",3952,"Continuous Home Care - Min 12 Hours",781.42,17.579999999999998,9.92,808.92,817.01]
[" ",3953,"Continuous Home Care - Min 13 Hours",846.54,19.05,9.92,875.51,884.27]
[" ",3954,"Continuous Home Care - Min 14 Hours",911.66,20.51,9.92,942.09,951.51]
[" ",3955,"Continuous Home Care - Min 15 Hours",976.78,21.98,9.92,1008.68,1018.77]
[" ",3956,"Continuous Home Care - Min 16 Hours",1041.8900000000001,23.44,9.92,1075.25,1086]
[" ",3957,"Continuous Home Care - Min 17 Hours",1107.01,24.91,9.92,1141.8399999999999,1153.26]
[" ",3958,"Continuous Home Care - Min 18 Hours",1172.1300000000001,26.37,9.92,1208.42,1220.5]
[" ",3959,"Continuous Home Care - Min 19 Hours",1237.25,27.84,9.92,1275.01,1287.76]
[" ",3960,"Continuous Home Care - Min 20 Hours",1302.3699999999999,29.3,9.92,1341.59,1355.01]
[" ",3961,"Continuous Home Care - Min 21 Hours",1367.49,30.77,9.92,1408.18,1422.26]
[" ",3962,"Continuous Home Care - Min 22 Hours",1432.6,32.229999999999997,9.92,1474.75,1489.5]
[" ",3963,"Continuous Home Care - Min 23 Hours",1497.72,33.700000000000003,9.92,1541.34,1556.75]
[" ",3964,"Continuous Home Care - Min 24 Hours",1562.84,35.159999999999997,9.92,1607.92,1624]
[" ",3965,"Hospice Inpatient Respite Care Coinsurance Rate -"]
[" ",null,"5% of 3946",26.53,0.6,0.5,27.63,27.91]
[" ",3966,"Drugs Coinsurance Rate",1,0,0,1,1.01]
[" ",3969,"Routine Home Care w/AIDS",323.72000000000003,7.28,9.92,340.92,344.33]
[" ",3970,"Routine Home Care w/Escort",208.04,4.68,9.92,222.64,224.87]
[" ",3971,"Continuous Home Care w/AIDS Min 8 Hours",554.1,12.47,9.92,576.49,582.25]
[" ",3972,"Continuous Home Care w/AIDS Min 9 Hours",623.36,14.03,9.92,647.30999999999995,653.78]
[" ",3973,"Continuous Home Care w/AIDS Min 10 Hours",692.62,15.58,9.92,718.12,725.3]
[" ",3974,"Continuous Home Care w/AIDS Min 11 Hours",761.88,17.14,9.92,788.94,796.83]
[" ",3975,"Continuous Home Care w/AIDS Min 12 Hours",831.15,18.7,9.92,859.77,868.37]
[" ",3976,"Continuous Home Care w/AIDS Min 13 Hours",900.41,20.260000000000002,9.92,930.59,939.9]
[" ",3977,"Continuous Home Care w/AIDS Min 14 Hours",969.67,21.82,9.92,1001.41,1011.42]
[" ",3978,"Continuous Home Care w/AIDS Min 15 Hours",1038.93,23.38,9.92,1072.23,1082.95]
[" ",3979,"Continuous Home Care w/AIDS Min 16 Hours",1108.19,24.93,9.92,1143.04,1154.47]
[" ",3980,"Continuous Home Care w/AIDS Min 17 Hours",1177.46,26.49,9.92,1213.8699999999999,1226.01]
[" ",3981,"Continuous Home Care w/AIDS Min 18 Hours",1246.72,28.05,9.92,1284.69,1297.54]
[" ",3982,"Continuous Home Care w/AIDS Min 19 Hours",1315.98,29.61,9.92,1355.51,1369.07]
[" ",3983,"Continuous Home Care w/AIDS Min 20 Hours",1385.24,31.17,9.92,1426.33,1440.59]
[" ",3984,"Continuous Home Care w/AIDS Min 21 Hours",1454.5,32.729999999999997,9.92,1497.15,1512.12]
[" ",3985,"Continuous Home Care w/AIDS Min 22 Hours",1523.77,34.28,9.92,1567.97,1583.65]
[" ",3986,"Continuous Home Care w/AIDS Min 23 Hours",1593.03,35.840000000000003,9.92,1638.79,1655.18]
[" ",3987,"Continuous Home Care w/AIDS Min 24 Hours",1662.29,37.4,9.92,1709.61,1726.71]
[" ",3988,"General Inpatient w/ AIDS",1262.1500000000001,28.4,9.92,1300.47,1313.47]
[" ",3989,"Routine Home Care w/ AIDS Escort",344.9,7.76,9.92,362.58,366.21]
[" ",3991,"Service Intensity Add-on",65.41,1.47,0,66.88,67.55]
[]
[" * WRR = 'Worker Recruitment and Retention addon' if applicable"]
[" * RTR = 'Recruitment, Training and Retention addon' if applicable"]
[]
["                      New York State Department of Health"]
["                     Bureau of Long Term Care Reimbursement"]
["                           Certified Hospice Program"]
[]
["                              Medicaid Rate Sheet"]
["                       Effective: 10/01/2024 - 09/30/2025"]
[]
[" SMSA: Utica-Rome"]
[]
[" Hospice Rate Sheets for the Counties of:"]
[" HERKIMER, ONEIDA"]
[]
[" ","Rate","Description","        Base","  WRR Add-on","  RTR Add-on","       Total",0.01]
[" ","Code","-----------","        Rate","           *","           *","   w/ addons","Add-on"]
[" ",3945,"Routine Home Care",178.3,4.01,9.92,192.23,194.15]
[" ",3946,"Inpatient Respite",508.24,11.44,9.92,529.6,534.9]
[" ",3947,"General Inpatient Care",1085.6400000000001,24.43,9.92,1119.99,1131.19]
[" ",3948,"Continuous Home Care - Min 8 Hours",493.63,11.11,9.92,514.66,519.80999999999995]
[" ",3949,"Continuous Home Care - Min 9 Hours",555.33000000000004,12.49,9.92,577.74,583.52]
[" ",3950,"Continuous Home Care - Min 10 Hours",617.04,13.88,9.92,640.84,647.25]
[" ",3951,"Continuous Home Care - Min 11 Hours",678.74,15.27,9.92,703.93,710.97]
[" ",3952,"Continuous Home Care - Min 12 Hours",740.45,16.66,9.92,767.03,774.7]
[" ",3953,"Continuous Home Care - Min 13 Hours",802.15,18.05,9.92,830.12,838.42]
[" ",3954,"Continuous Home Care - Min 14 Hours",863.85,19.440000000000001,9.92,893.21,902.14]
[" ",3955,"Continuous Home Care - Min 15 Hours",925.56,20.83,9.92,956.31,965.87]
[" ",3956,"Continuous Home Care - Min 16 Hours",987.26,22.21,9.92,1019.39,1029.58]
[" ",3957,"Continuous Home Care - Min 17 Hours",1048.96,23.6,9.92,1082.48,1093.3]
[" ",3958,"Continuous Home Care - Min 18 Hours",1110.67,24.99,9.92,1145.58,1157.04]
[" ",3959,"Continuous Home Care - Min 19 Hours",1172.3699999999999,26.38,9.92,1208.67,1220.76]
[" ",3960,"Continuous Home Care - Min 20 Hours",1234.08,27.77,9.92,1271.77,1284.49]
[" ",3961,"Continuous Home Care - Min 21 Hours",1295.78,29.16,9.92,1334.86,1348.21]
[" ",3962,"Continuous Home Care - Min 22 Hours",1357.48,30.54,9.92,1397.94,1411.92]
[" ",3963,"Continuous Home Care - Min 23 Hours",1419.19,31.93,9.92,1461.04,1475.65]
[" ",3964,"Continuous Home Care - Min 24 Hours",1480.89,33.32,9.92,1524.13,1539.37]
[" ",3965,"Hospice Inpatient Respite Care Coinsurance Rate -"]
[" ",null,"5% of 3946",25.41,0.56999999999999995,0.5,26.48,26.74]
[" ",3966,"Drugs Coinsurance Rate",1,0,0,1,1.01]
[" ",3969,"Routine Home Care w/AIDS",308.88,6.95,9.92,325.75,329.01]
[" ",3970,"Routine Home Care w/Escort",199.48,4.49,9.92,213.89,216.03]
[" ",3971,"Continuous Home Care w/AIDS Min 8 Hours",518.16999999999996,11.66,9.92,539.75,545.15]
[" ",3972,"Continuous Home Care w/AIDS Min 9 Hours",582.94000000000005,13.12,9.92,605.98,612.04]
[" ",3973,"Continuous Home Care w/AIDS Min 10 Hours",647.71,14.57,9.92,672.2,678.92]
[" ",3974,"Continuous Home Care w/AIDS Min 11 Hours",712.48,16.03,9.92,738.43,745.81]
[" ",3975,"Continuous Home Care w/AIDS Min 12 Hours",777.25,17.489999999999998,9.92,804.66,812.71]
[" ",3976,"Continuous Home Care w/AIDS Min 13 Hours",842.02,18.95,9.92,870.89,879.6]
[" ",3977,"Continuous Home Care w/AIDS Min 14 Hours",906.79,20.399999999999999,9.92,937.11,946.48]
[" ",3978,"Continuous Home Care w/AIDS Min 15 Hours",971.56,21.86,9.92,1003.34,1013.37]
[" ",3979,"Continuous Home Care w/AIDS Min 16 Hours",1036.33,23.32,9.92,1069.57,1080.27]
[" ",3980,"Continuous Home Care w/AIDS Min 17 Hours",1101.0999999999999,24.77,9.92,1135.79,1147.1500000000001]
[" ",3981,"Continuous Home Care w/AIDS Min 18 Hours",1165.8800000000001,26.23,9.92,1202.03,1214.05]
[" ",3982,"Continuous Home Care w/AIDS Min 19 Hours",1230.6500000000001,27.69,9.92,1268.26,1280.94]
[" ",3983,"Continuous Home Care w/AIDS Min 20 Hours",1295.42,29.15,9.92,1334.49,1347.83]
[" ",3984,"Continuous Home Care w/AIDS Min 21 Hours",1360.19,30.6,9.92,1400.71,1414.72]
[" ",3985,"Continuous Home Care w/AIDS Min 22 Hours",1424.96,32.06,9.92,1466.94,1481.61]
[" ",3986,"Continuous Home Care w/AIDS Min 23 Hours",1489.73,33.520000000000003,9.92,1533.17,1548.5]
[" ",3987,"Continuous Home Care w/AIDS Min 24 Hours",1554.5,34.979999999999997,9.92,1599.4,1615.39]
[" ",3988,"General Inpatient w/ AIDS",1206.58,27.15,9.92,1243.6500000000001,1256.0899999999999]
[" ",3989,"Routine Home Care w/ AIDS Escort",330.06,7.43,9.92,347.41,350.88]
[" ",3991,"Service Intensity Add-on",62.41,1.4,0,63.81,64.45]
[]
[" * WRR = 'Worker Recruitment and Retention addon' if applicable"]
[" * RTR = 'Recruitment, Training and Retention addon' if applicable"]
[]
["                      New York State Department of Health"]
["                     Bureau of Long Term Care Reimbursement"]
["                           Certified Hospice Program"]
[]
["                              Medicaid Rate Sheet"]
["                       Effective: 10/01/2024 - 09/30/2025"]
[]
[" SMSA: Rural"]
[]
[" Hospice Rate Sheets for the Counties of:"]
[" ALLEGANY, CATTARAUGUS, CAYUGA, CHAUTAUQUA, CHENANGO, CLINTON, COLUMBIA,"]
[" CORTLAND, DELAWARE, ESSEX, FRANKLIN, FULTON, GENESEE, HAMILTON,"]
[" JEFFERSON, LEWIS, OTSEGO, SCHOHARIE, SCHUYLER, SENECA, ST. LAWRENCE,"]
[" STEUBEN, SULLIVAN, TOMPKINS, ULSTER, WYOMING, YATES"]
[]
[" ","Rate","Description","        Base","  WRR Add-on","  RTR Add-on","       Total",0.01]
[" ","Code","-----------","        Rate","           *","           *","   w/ addons","Add-on"]
[" ",3945,"Routine Home Care",175.61,3.95,9.92,189.48,191.37]
[" ",3946,"Inpatient Respite",501.21,11.28,9.92,522.41,527.63]
[" ",3947,"General Inpatient Care",1069.96,24.07,9.92,1103.95,1114.99]
[" ",3948,"Continuous Home Care - Min 8 Hours",485.07,10.91,9.92,505.9,510.96]
[" ",3949,"Continuous Home Care - Min 9 Hours",545.70000000000005,12.28,9.92,567.9,573.58000000000004]
[" ",3950,"Continuous Home Care - Min 10 Hours",606.33000000000004,13.64,9.92,629.89,636.19000000000005]
[" ",3951,"Continuous Home Care - Min 11 Hours",666.97,15.01,9.92,691.9,698.82]
[" ",3952,"Continuous Home Care - Min 12 Hours",727.6,16.37,9.92,753.89,761.43]
[" ",3953,"Continuous Home Care - Min 13 Hours",788.23,17.739999999999998,9.92,815.89,824.05]
[" ",3954,"Continuous Home Care - Min 14 Hours",848.87,19.100000000000001,9.92,877.89,886.67]
[" ",3955,"Continuous Home Care - Min 15 Hours",909.5,20.46,9.92,939.88,949.28]
[" ",3956,"Continuous Home Care - Min 16 Hours",970.13,21.83,9.92,1001.88,1011.9]
[" ",3957,"Continuous Home Care - Min 17 Hours",1030.77,23.19,9.92,1063.8800000000001,1074.52]
[" ",3958,"Continuous Home Care - Min 18 Hours",1091.4000000000001,24.56,9.92,1125.8800000000001,1137.1400000000001]
[" ",3959,"Continuous Home Care - Min 19 Hours",1152.03,25.92,9.92,1187.8699999999999,1199.75]
[" ",3960,"Continuous Home Care - Min 20 Hours",1212.67,27.29,9.92,1249.8800000000001,1262.3800000000001]
[" ",3961,"Continuous Home Care - Min 21 Hours",1273.3,28.65,9.92,1311.87,1324.99]
[" ",3962,"Continuous Home Care - Min 22 Hours",1333.93,30.01,9.92,1373.86,1387.6]
[" ",3963,"Continuous Home Care - Min 23 Hours",1394.57,31.38,9.92,1435.87,1450.23]
[" ",3964,"Continuous Home Care - Min 24 Hours",1455.2,32.74,9.92,1497.86,1512.84]
[" ",3965,"Hospice Inpatient Respite Care Coinsurance Rate -"]
[" ",null,"5% of 3946",25.06,0.56000000000000005,0.5,26.12,26.38]
[" ",3966,"Drugs Coinsurance Rate",1,0,0,1,1.01]
[" ",3969,"Routine Home Care w/AIDS",304.23,6.85,9.92,321,324.20999999999998]
[" ",3970,"Routine Home Care w/Escort",196.79,4.43,9.92,211.14,213.25]
[" ",3971,"Continuous Home Care w/AIDS Min 8 Hours",506.9,11.41,9.92,528.23,533.51]
[" ",3972,"Continuous Home Care w/AIDS Min 9 Hours",570.26,12.83,9.92,593.01,598.94000000000005]
[" ",3973,"Continuous Home Care w/AIDS Min 10 Hours",633.63,14.26,9.92,657.81,664.39]
[" ",3974,"Continuous Home Care w/AIDS Min 11 Hours",696.99,15.68,9.92,722.59,729.82]
[" ",3975,"Continuous Home Care w/AIDS Min 12 Hours",760.35,17.11,9.92,787.38,795.25]
[" ",3976,"Continuous Home Care w/AIDS Min 13 Hours",823.71,18.53,9.92,852.16,860.68]
[" ",3977,"Continuous Home Care w/AIDS Min 14 Hours",887.08,19.96,9.92,916.96,926.13]
[" ",3978,"Continuous Home Care w/AIDS Min 15 Hours",950.44,21.38,9.92,981.74,991.56]
[" ",3979,"Continuous Home Care w/AIDS Min 16 Hours",1013.8,22.81,9.92,1046.53,1057]
[" ",3980,"Continuous Home Care w/AIDS Min 17 Hours",1077.1600000000001,24.24,9.92,1111.32,1122.43]
[" ",3981,"Continuous Home Care w/AIDS Min 18 Hours",1140.53,25.66,9.92,1176.1099999999999,1187.8699999999999]
[" ",3982,"Continuous Home Care w/AIDS Min 19 Hours",1203.8900000000001,27.09,9.92,1240.9000000000001,1253.31]
[" ",3983,"Continuous Home Care w/AIDS Min 20 Hours",1267.25,28.51,9.92,1305.68,1318.74]
[" ",3984,"Continuous Home Care w/AIDS Min 21 Hours",1330.61,29.94,9.92,1370.47,1384.17]
[" ",3985,"Continuous Home Care w/AIDS Min 22 Hours",1393.98,31.36,9.92,1435.26,1449.61]
[" ",3986,"Continuous Home Care w/AIDS Min 23 Hours",1457.34,32.79,9.92,1500.05,1515.05]
[" ",3987,"Continuous Home Care w/AIDS Min 24 Hours",1520.7,34.22,9.92,1564.84,1580.49]
[" ",3988,"General Inpatient w/ AIDS",1189.1500000000001,26.76,9.92,1225.83,1238.0899999999999]
[" ",3989,"Routine Home Care w/ AIDS Escort",325.41000000000003,7.32,9.92,342.65,346.08]
[" ",3991,"Service Intensity Add-on",61.47,1.38,0,62.85,63.48]
[]
[" * WRR = 'Worker Recruitment and Retention addon' if applicable"]
[" * RTR = 'Recruitment, Training and Retention addon' if applicable"]