OPWDD Freestanding Clinic - Day Treatment
- Document also available in EXCEL Format (XLSX)
Effective April 1, 2025
| Corp Name | Site | Rate Codes | ||||
|---|---|---|---|---|---|---|
| 4170 Full Day |
4171 Half Day |
4172 Collocated Model |
4173 Intake |
4174 Diagnosis & Evaluation |
||
| UCP Suffolk | 250 Marcus Boulevard | $255.86 | $127.93 | $0.00 | $255.86 | $255.86 |
**Rates currently pending State Plan Amendment 25-0041 approval by the Centers for Medicare and Medicaid Services.