DAL - CY 2023 Medicaid Fee-for-Service Rates Posted for Select Providers

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

January 13, 2025

Re: CY 2023 Medicaid Fee-for-Service Rates Posted for Select Providers: Licensed Home Care Service Agencies (LHCSA - Personal Care-PC) and Consumer Directed Personal Care Assistance Program/ Fiscal Intermediary (CDPAP-FI)

Dear Medicaid Provider Administrator:

Please be advised that post-review 2023 Medicaid Fee-for-Service rate sheets for LHCSA and CDPAP-FI providers that attested or appealed during the 90-day review period are now available on the Health Commerce System (HCS - Attachment A provides instructions to access rate sheets on the HCS) and on the DOH website for PC and for CDPAP-FI.

The rates will take effect in eMedNY in cycle 2473, check release date January 29, 2025.

The 2023 FFS rates were developed based on the data submitted in the 2021 cost reports and are all-inclusive. These rates are effective January 1, 2023, and consist of the following components:

  • Cost-based growth: subject to applicable ceilings, based on 2021 audited cost reports.
  • Minimum Wage Adjustment for 2023 increases for the Rest of State providers: as established by the Minimum Wage Act (Article 19 of the New York State Labor Law). More information on NYS Minimum Wage Is available on the Department of Labor website.

Please Note: For providers that offer Nursing Supervision and Nursing Assessment services, please be advised that these rates have not been posted to HCS or uploaded to eMedNY as those rates are currently pending additional Departmental review. All providers will be further informed as these rates are finalized and approved to load. At that point, the updated rate sheets will be posted to HCS and the approved rates will be uploaded to eMedNY, thus initiating the automatic retro-payments process for all providers.

If you have any questions, please contact the Bureau e-mail for LHCSAs and FIs at PersonalCare-Rates@health.ny.gov.

Sincerely,

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

Enclosure:

Attachment A - Instructions for Accessing the 2023 FFS Rate Sheets in the Health Commerce System

Attachment A - Instructions for Accessing the Post-Review 2023 FFS Medicaid Rate Sheets in the Health Commerce System (HCS)

  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 "Personal Care" from the drop down menu;
  5. Under Collection, select either "Personal Care Rate Reports" or "CDPAP Rate Reports" from the drop down menu;
  6. Under Package, select the "2023 Post Review Rates" from the drop down menu and
  7. Under Organization, select your agency, then select Search.
  8. Next select the Download checkbox to save the Dear Administrator Letter and rate sheet pdf files as necessary.