Dear Administrator Letter

  • Letter is also available in Portable Document Format (PDF)

February 27, 2024

Dear Administrator:

RE: 2022 Medicaid Fee-for-Service Rates Posted for:
Licensed Home Care Service Agency (LHCSA - Personal Care-PC),
Certified Home Health Agency (CHHA) and
Consumer Directed Personal Care Assistance Program/ Fiscal Intermediary (CDPAP-FI)

Please be advised that 2022 Medicaid Fee-for-Service rate sheets for LHCSA, CHHA and CDPAP-FI providers who certified or appealed during the review period are now available on the Health Commerce System (HCS) and on the DOH website. The rates will take effect in eMedNY in cycle 2429, with a check release date of March 27, 2024.

The 2022 FFS rates were developed based on the data submitted in the 2020 cost reports and are all-inclusive. As noted in the May 9, 2023 DAL, and May 2, 2023 webinar, the minimum wage increases, detailed on your rate sheet, are captured within the rates as an add-on. These rates continue the previously enacted one percent (1%) enhancement effective April 1, 2022 and the $2.35 Statewide Home Care Minimum Wage adjustment effective October 1, 2022, and also include changes related to:

  • Cost-based growth: subject to applicable ceilings, based on 2020 audited cost reports.
  • Minimum Wage Adjustment for 2022 increases: as established by the Minimum Wage Act (Article 19 of the New York State Labor Law). Note: more information on NYS Minimum Wage is available on the Department of Labor website.

If you have any questions, please contact the Bureau via email: for LHCSAs and FIs - PersonalCare-Rates@health.ny.gov and for CHHA - chha-rates@health.ny.gov .

Sincerely,

Laura Rosenthal
Bureau Director, Nursing Home and Long Term Care Rate Setting Division of Finance and Rate Setting
Office of Health Insurance Programs

Enclosure:
Attachment A. Accessing the 2022 FFS Medicaid Rates in the Health Commerce System

ATTACHMENT A. INSTRUCTIONS ON ACCESSING THE 2022 FFS MEDICAID RATES IN THE HEALTH COMMERCE SYSTEM

  1. Login to HCS;
  2. Under "My Applications", select Healthcare Finance Data Gateway (or go to "My Content" from the top line menu, then All Applications to search for the application under "C" for CHHA or "P" for Personal Care);
  3. Click on the Publications section of this new application;
  4. Under Organization Type, select either "Home Health Agency" or "Personal Care" from the drop down menu;
  5. Under Collection, select either of the following "Jan, April or Oct 2022 Rates" from the drop down menu;
  6. Under Package, select "Jan, April or Oct 2022 Rates" from the drop down menu and
  7. Under Organization, select your agency, then select Search.
  8. Next select Download.

Please note:
If you have problems accessing your HCS account due to the expiration of your password, please contact the Commerce Accounts Management Unit (CAMU) at 1-866-529-1890.