OPWDD Freestanding Clinic - Day Treatment

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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.