DAL - 2023 Medicaid Fee-For Service Post Appeal 90 Day Pediatric Rates

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July 9, 2025

Dear Medicaid Administrator:

RE: 2023 Medicaid Fee-For Service (FFS) Post Appeal 90 Day Certified Home Health Agency (CHHA) Pediatric Rates

Please be advised that post-review 2023 Medicaid FFS CHHA Pediatric rates that providers attested or appealed during the 90-day review period have been loaded to eMedNY. The rates were developed based on the data submitted in the 2021 cost reports and are all-inclusive. These pediatric rates include changes related to:

Cost-based growth: subject to applicable ceiling. The 2023 pediatric rate Regional Group Ceilings and the Statewide Average Admin Cap were calculated using all CY 2021 Cost Report submissions.

Minimum Wage Adjustment for 2023 increases: as established by the Minimum Wage Act (Article 19 of the New York State Labor Law). The minimum wage increases detailed on the CHHA rate sheet are within the rates as an add-on. More information on NYS Minimum Wage is available on the Department of Labor website.

The rate sheets for these rates are available on the Health Commerce System (HCS) Gateway. The Attachment A enclosure provides instructions on how to access the 2023 rate sheets.

A facility-specific list by effective date and pediatric rate code category and dollar amount is available on the Department's website.

These rates will take effect in eMedNY in cycle 2499, with a check release date of July 30, 2025.

If you have any questions, please contact the Bureau via email at 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 2023 FFS Medicaid Rates in the Health Commerce System Gateway

Instructions:

Login to HCS: https://commerce.health.state.ny.us/public/hcs_login.html

Under "My Applications" tab heading in the upper left corner, 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);

Click on the Publications section of this new application;

Under Organization Type, select "Home Health Agencies" from the drop down menu;

Under Collection, select the following "2023 CHHA Ped Post Appeal V2.2" from the drop-down menu:

Under Package, select "2023 CHHA Ped Post Appeal V2.2 Rate Sheet" from the drop-down menu:

Under Organization, select your agency, then click the Search button;
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.