Current Health Home Rate Codes
- Rate Codes are also available in Portable Document Format (PDF)
Health Home Rate Codes in Effect for Health Home Services on/after April 2023
Updated April 2023
| Health Home Rate Codes in Effect for Health Home Services on/after April 1, 2023 (Rate changes highlighted in yellow) | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Rate Code | Rate Description | Rates Apply to | Rates Effective April 1, 2022 | Rates Effective April 1, 2023*** | ||||||
| Upstate * | Downstate* | Upstate * | Downstate* | |||||||
| 1853 | Health Home Plus/Care Management | Health Homes Serving Adults | $790.50 | $843.20 | $822.12 | $876.93 | ||||
| 1860 | Health Home Services - Adult Home Transition ** | HHs Serving Adult Home Class Members | $800.00 | |||||||
| 1861 | Adult Home Assessment and Management Fee ** | HHs Serving Adult Home Class Members | $200.00 | |||||||
| 1864 | Health Home Services - Children (Low) | Health Homes Serving Children | $227.25 | $242.40 | $227.25 | $242.40 | ||||
| 1865 | Health Home Services - Children (Med) | Health Homes Serving Children | $454.50 | $483.79 | $454.50 | $483.79 | ||||
| 1866 | Health Home Services - Children (High) | Health Homes Serving Children | $757.50 | $806.99 | $757.50 | $806.99 | ||||
| 1868 | Health Home-CANS Assessment (Children) | Health Homes Serving Children | $186.85 | $186.85 | $186.85 | $186.85 | ||||
| 1869 | Health Home Services - Children (Low) (Inc FFP) | Health Homes Serving Children | $227.25 | $242.40 | $227.25 | $242.40 | ||||
| 1870 | Health Home Services - Children (Med) (Inc FFP) | Health Homes Serving Children | $454.50 | $483.79 | $454.50 | $483.79 | ||||
| 1871 | Health Home Services - Children (High) (Inc FFP) | Health Homes Serving Children | $757.50 | $806.99 | $757.50 | $806.99 | ||||
| 1873 | Health Home Care Management | Health Homes Serving Adults | $202.00 | $215.13 | $202.00 | $215.13 | ||||
| 1874 | Health Home High Risk/Need Care Management | Health Homes Serving Adults | $363.60 | $386.83 | $363.60 | $386.83 | ||||
| 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. ***Rates Effective April 1, 2023. |
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| The HARP BH HCBS Services Matrix and Fee Schedule can be found on the Office of Mental Health (OMH)'s Billing Behavioral Health (BH) Medicaid Services Under Managed Care, under: BH Rate Updates and Requirements (see: Medicaid Reimbursement Rates - Approved Medicaid fee-for-service rates for all OMH programs) at: | https://omh.ny.gov/omhweb/bho/billing-services.html | |||||||||
