Current Health Home Rate Codes
- Rate Codes is also available in Portable Document Format (PDF)
| Health Home Rate Codes in Effect for Health Home Services on/after July 2020 (Rate changes highlighted in yellow) | ||||
|---|---|---|---|---|
| Rate Code | Rate Code Description | Rates Apply to | Rates Effective July 1, 2020 | |
| Upstate * | Downstate* | |||
| 1853 | Health Home Plus/Care Management | Health Homes Serving Adults | $750.00 | $800.00 |
| 1860 | Health Home Services - Adult Home Transition ** | HHs Serving Adult Home Class Members | N/A | $800.00 |
| 1861 | Adult Home Assessment and Management Fee ** | HHs Serving Adult Home Class Members | N/A | $200.00 |
| 1873 | Health Home Care Management | Health Homes Serving Adults | $200.00 | $213.00 |
| 1874 | Health Home High Risk/Need Care Management | Health Homes Serving Adults | $360.00 | $383.00 |
| 1862 | Health Home Outreach (Adult) | Health Homes Serving Adults | N/A | N/A |
| 1863 | Health Home Outreach (Children) | Health Homes Serving Children | N/A | N/A |
| 1864 | Health Home Services - Children (Low) | Health Homes Serving Children | $225.00 | $240.00 |
| 1865 | Health Home Services - Children (Med) | Health Homes Serving Children | $450.00 | $479.00 |
| 1866 | Health Home Services - Children (High) | Health Homes Serving Children | $750.00 | $799.00 |
| 1868 | Health Home-CANS Assessment (Children) | Health Homes Serving Children | $185.00 | $185.00 |
| 1869 | Health Home Services - Children (Low) (Inc FFP) | Health Homes Serving Children | $225.00 | $240.00 |
| 1870 | Health Home Services - Children (Med) (Inc FFP) | Health Homes Serving Children | $450.00 | $479.00 |
| 1871 | Health Home Services - Children (High) (Inc FFP) | Health Homes Serving Children | $750.00 | $799.00 |
| Notes: * Downstate includes NYC, Dutchess, Nassau, Orange, Putnam, Rockland, Suffolk and Westchester Counties. Upstate includes all other counties. ** Rates only apply to impacted Adult Home class members. |
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