Dear Administrator Letter

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

May 12, 2025

Re: CY 2022 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 CY 2022 Medicaid Fee-for-Service rate sheets for LHCSA and CDPAP-FI providers who certified or appealed during the 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
for CDPAP-FI.

The rates took effect in eMedNY in cycle 2474, with a check release date of February 2, 2025.

The 2022 FFS rates were developed based on the data submitted in the 2020 cost reports and are all-inclusive. These rates continue the previously enacted one percent enhancement effective April 1, 2022, the $2.35 Statewide Home Care Minimum Wage adjustment effective October 1, 2022, and also include changes related to:

  1. Cost-based growth: subject to applicable ceilings, based on 2020 audited cost reports.
  2. Minimum Wage Adjustment for 2022 increases: 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.

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 2022 FFS Rate Sheets in the Health Commerce System

Attachment A - Instructions for Accessing the Post-Review 2022 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 Publicationssection 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 either the January, April or October 2022"Post Review Rates" from the drop down menu and
  7. Under Organization, select your agency, then select Search.
  8. Next, select the Downloadcheckbox to save the Dear Administrator Letter and rate sheet pdf files as necessary.

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