Children's Consolidated Waiver Services (HCBS)
Fee schedule effective 4/1/2025
- Summary is also available in Portable Document Format (PDF)
*The 4/1/2025 rates below are pending Federal and State approval.
| Current/Pending Rates | Pending Rates | |||||||
| 2.84% COLA | 2.6% Targeted Inflationary Increase (TII)* | |||||||
| 4/1/2024 | 4/1/2025 | |||||||
|---|---|---|---|---|---|---|---|---|
| Rate Code | Description | Billing Unit | Upstate - All other NYS Counties |
Downstate - Westchester, Ulster, Sullivan, Suffolk, Rockland, Richmond, Queens, Putnam, Orange, New York, Nassau, Kings, Dutchess and Bronx |
Rural - St Lawrence, Hamilton, Franklin, Essex, Delaware, Clinton and Allegany | Upstate - All other NYS Counties |
Downstate - Westchester, Ulster, Sullivan, Suffolk, Rockland, Richmond, Queens, Putnam, Orange, New York, Nassau, Kings, Dutchess and Bronx |
Rural - St Lawrence, Hamilton, Franklin, Essex, Delaware, Clinton and Allegany |
| 7933 | DAY HABILITATION INDIVIDUAL | 15 minute | 32.97 | 36.97 | 41.22 | 33.83 | 37.93 | 42.29 |
| 7934 | DAY HABILITATION GROUP OF 2 | 15 minute | 21.43 | 24.04 | 26.79 | 21.99 | 24.67 | 27.49 |
| 7935 | DAY HABILITATION GROUP OF 3 | 15 minute | 15.94 | 17.87 | 19.93 | 16.35 | 18.33 | 20.45 |
| 7946 | BEREAVEMENT HH U LOW | episodic | 317.06 | 396.32 | 325.30 | 406.62 | ||
| 7947 | BEREAVEMENT HH U MED | episodic | 634.11 | 792.64 | 650.60 | 813.25 | ||
| 7948 | BEREAVEMENT HH U HIGH | episodic | 1,056.85 | 1,321.06 | 1,084.33 | 1,355.41 | ||
| 7949 | BEREAVEMENT HH D LOW | episodic | 338.19 | 346.98 | ||||
| 7950 | BEREAVEMENT HH D MED | episodic | 674.96 | 692.51 | ||||
| 7951 | BEREAVEMENT HH D HIGH | episodic | 1,125.88 | 1,155.15 | ||||
| 7952 | BEREAVEMENT ASSESS/COUNSELING | episodic | 3,064.83 | 3,437.41 | 3,831.04 | 3,144.52 | 3,526.78 | 3,930.65 |
| 8003 | CAREGIVER/FAMILY ADV&SUPP SERV L1-IND | 15 minute | 34.14 | 38.27 | 42.68 | 35.03 | 39.27 | 43.79 |
| 8004 | CAREGIVER/FAMILY ADV&SUPP SERV L1-GROUP OF 2 | 15 minute | 22.18 | 24.87 | 27.73 | 22.76 | 25.52 | 28.45 |
| 8005 | CAREGIVER/FAMILY ADV&SUPP SERV L1-GROUP OF 3 | 15 minute | 16.50 | 18.50 | 20.62 | 16.93 | 18.98 | 21.16 |
| 8009 | CAREGIVER/FAMILY ADV&SUPP SERV L2-IND | 15 minute | 47.35 | 53.10 | 59.18 | 48.58 | 54.48 | 60.72 |
| 8010 | CAREGIVER/FAMILY ADV&SUPP SERV L2-GROUP OF 2 | 15 minute | 30.77 | 34.50 | 38.46 | 31.57 | 35.40 | 39.46 |
| 8011 | CAREGIVER/FAMILY ADV&SUPP SERV L2-GROUP OF 3 | 15 minute | 22.89 | 25.66 | 28.62 | 23.49 | 26.33 | 29.36 |
| 8006 | PRE-VOCATIONAL INDIVIDUAL | 15 minute | 25.29 | 28.35 | 31.61 | 25.95 | 29.09 | 32.43 |
| 8007 | PRE-VOCATIONAL GROUP OF 2 | 15 minute | 16.43 | 18.43 | 20.55 | 16.86 | 18.91 | 21.08 |
| 8008 | PRE-VOCATIONAL GROUP OF 3 | 15 minute | 12.23 | 13.71 | 15.28 | 12.55 | 14.07 | 15.68 |
| 8012 | COMMUNITY HABILITATION INDIVIDUAL | 15 minute | 14.65 | 14.70 | 18.32 | 15.03 | 15.08 | 18.80 |
| 8013 | COMMUNITY HABILITATION GROUP OF 2 | 15 minute | 9.16 | 9.17 | 11.46 | 9.40 | 9.41 | 11.76 |
| 8014 | COMMUNITY HABILITATION GROUP OF 3 | 15 minute | 6.93 | 7.32 | 8.67 | 7.11 | 7.51 | 8.90 |
| 8015 | SUPPORTED EMPLOYMENT | 15 minute | 29.98 | 33.61 | 37.47 | 30.76 | 34.48 | 38.44 |
| 8016 | PALLIATIVE CARE - PAIN AND SYMPTOM MANAGEMENT | 15 minute | 117.61 | 131.90 | 147.01 | 120.67 | 135.33 | 150.83 |
| 8017 | PALLIATIVE CARE - COUNSELING AND SUPPORT SERVICES | 30 minute | 94.47 | 105.96 | 118.09 | 96.93 | 108.71 | 121.16 |
| 8018 | PALLIATIVE CARE - MASSAGE THERAPY | 15 minute | 55.80 | 62.58 | 69.76 | 57.25 | 64.21 | 71.57 |
| 8019 | PALLIATIVE CARE - EXPRESSIVE THERAPY | 15 minute | 38.70 | 43.40 | 48.38 | 39.71 | 44.53 | 49.64 |
| 8023 | PLANNED RESPITE - INDIVIDUAL (UP TO 6 HOURS) | 15 minute | 17.31 | 19.41 | 21.64 | 17.76 | 19.91 | 22.20 |
| 8024 | PLANNED RESPITE - INDIVIDUAL (6-12 HOURS) | per diem | 413.16 | 463.41 | 516.45 | 423.90 | 475.46 | 529.88 |
| 8025 | PLANNED RESPITE - INDIVIDUAL (12-24 HOURS) | per diem | 708.28 | 794.39 | 885.35 | 726.70 | 815.04 | 908.37 |
| 8065 | PLANNED RESPITE - GROUP OF 2 (UP TO 6 HOURS) | 15 minute | 11.25 | 12.61 | 14.07 | 11.54 | 12.94 | 14.44 |
| 8066 | PLANNED RESPITE - GROUP OF 2 (6-12 HOURS) | per diem | 268.58 | 301.22 | 335.72 | 275.56 | 309.05 | 344.45 |
| 8027 | PLANNED RESPITE - GROUP OF 3 (UP TO 6 HOURS) | 15 minute | 8.36 | 9.38 | 10.45 | 8.58 | 9.62 | 10.72 |
| 8026 | PLANNED RESPITE - GROUP OF 3 (6-12 HOURS) | per diem | 199.70 | 223.99 | 249.63 | 204.89 | 229.81 | 256.12 |
| 8028 | CRISIS RESPITE (UP TO 6 HOURS) | 15 minute | 20.09 | 22.53 | 25.12 | 20.61 | 23.12 | 25.77 |
| 8029 | CRISIS RESPITE (6-12 HOURS) | per diem | 479.70 | 538.01 | 599.62 | 492.17 | 552.00 | 615.21 |
| 8030 | CRISIS RESPITE (12-24 HOURS) | per diem | 822.28 | 922.20 | 1,027.84 | 843.66 | 946.18 | 1,054.56 |
| 8045 | ENVIR MODS FMS ADMIN RATE | per project | 600.00 | 600.00 | 600.00 | 600.00 | 600.00 | 600.00 |
| 8032 | ENVIR MODS - $1.00 UNIT | per unit | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| 8034 | ENVIR MODS - $10.00 UNIT | per unit | 10.00 | 10.00 | 10.00 | 10.00 | 10.00 | 10.00 |
| 8035 | ENVIR MODS - $100.00 UNIT | per unit | 100.00 | 100.00 | 100.00 | 100.00 | 100.00 | 100.00 |
| 8036 | ENVIR MODS - $1000.00 UNIT | per unit | 1,000.00 | 1,000.00 | 1,000.00 | 1,000.00 | 1,000.00 | 1,000.00 |
| 8020 | V-MOD ADMIN RATE | per project | 600.00 | 600.00 | 600.00 | 600.00 | 600.00 | 600.00 |
| 8041 | VEHICLE MODIFICATIONS - $1.00 UNIT | per unit | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| 8042 | VEHICLE MODIFICATIONS - $10.00 UNIT | per unit | 10.00 | 10.00 | 10.00 | 10.00 | 10.00 | 10.00 |
| 8043 | VEHICLE MODIFICATIONS - $100.00 UNIT | per unit | 100.00 | 100.00 | 100.00 | 100.00 | 100.00 | 100.00 |
| 8044 | VEHICLE MODIFICATIONS - $1000.00 UNIT | per unit | 1,000.00 | 1,000.00 | 1,000.00 | 1,000.00 | 1,000.00 | 1,000.00 |
| 8046 | ADAPTIVE AND ASSISTIVE TECH FMS ADMIN RATE | per project | 500.00 | 500.00 | 500.00 | 500.00 | 500.00 | 500.00 |
| 8037 | ADAPTIVE AND ASSISTIVE TECHNOLOGY - $1.00 UNIT | per unit | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 |
| 8038 | ADAPTIVE AND ASSISTIVE TECHNOLOGY - $10.00 UNIT | per unit | 10.00 | 10.00 | 10.00 | 10.00 | 10.00 | 10.00 |
| 8039 | ADAPTIVE AND ASSISTIVE TECHNOLOGY - $100.00 UNIT | per unit | 100.00 | 100.00 | 100.00 | 100.00 | 100.00 | 100.00 |
| 8040 | ADAPTIVE AND ASSISTIVE TECHNOLOGY - $1000.00 UNIT | per unit | 1,000.00 | 1,000.00 | 1,000.00 | 1,000.00 | 1,000.00 | 1,000.00 |
