Children's Consolidated Waiver Services (HCBS)

HCBS Fee schedule effective 1/1/2026

  • Summary is also available in Portable Document Format (PDF)

*The 4/1/2025 and 1/1/2026 rates below are pending Federal and State approval.

Current/Pending Rates Pending Rates Pending Rates
2.84% COLA 2.6% Targeted Inflationary Increase (TII)* Transitional Care Coordination (TCC), E/Vmod/AAT FMS Rebase, Transitional Services, consolidation of Day Hab into Comm Hab*
4/1/2024 4/1/2025 1/1/2026
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		 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   406.62 325.30   406.62
7947 BEREAVEMENT HH U MED episodic 634.11   792.64 650.60   813.25 650.60   813.25
7948 BEREAVEMENT HH U HIGH episodic 1,056.85   1,321.06 1,084.33   1,355.41 1,084.33   1,355.41
7949 BEREAVEMENT HH D LOW episodic   338.19     346.98     346.98  
7950 BEREAVEMENT HH D MED episodic   674.96     692.51     692.51  
7951 BEREAVEMENT HH D HIGH episodic   1,125.88     1,155.15     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 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 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 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 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 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 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 23.49 26.33 29.36
8006 PRE-VOCATIONAL INDIVIDUAL 15 minute 25.29 28.35 31.61 25.95 29.09 32.43 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 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 12.55 14.07 15.68
8012 COMMUNITY HABILITATION INDIVIDUAL 15 minute 14.65 14.70 18.32 15.03 15.08 18.80 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 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 7.11 7.51 8.90
8015 SUPPORTED EMPLOYMENT 15 minute 29.98 33.61 37.47 30.76 34.48 38.44 30.76 34.48 38.44
8016 PALLIATIVE CARE - PAIN AND SYMPTOM MANAGEMENT 15 minute 117.61 131.90 147.01 120.67 135.33 150.83 120.67 135.33 150.83
8017 PALLIATIVE CARE - COUNSELING AND SUPPORT SERVICES 30 minute 94.47 105.96 118.09 96.93 108.71 121.16 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 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 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 17.76 19.91 22.20
8024 PLANNED RESPITE - INDIVIDUAL (6-12 HOURS) per diem 413.16 463.41 516.45 423.90 475.46 529.88 423.90 475.46 529.88
8025 PLANNED RESPITE - INDIVIDUAL (12-24 HOURS) per diem 708.28 794.39 885.35 726.70 815.04 908.37 726.70 815.04 908.37
8065 PLANNED RESPITE - GROUP OF 2 (UP TO 6 HOURS) 15 minute 11.25 12.61 14.07 11.54 12.94 14.44 11.54 12.94 14.44
8066 PLANNED RESPITE - GROUP OF 2 (6-12 HOURS) per diem 268.58 301.22 335.72 275.56 309.05 344.45 275.56 309.05 344.45
8027 PLANNED RESPITE - GROUP OF 3 (UP TO 6 HOURS) 15 minute 8.36 9.38 10.45 8.58 9.62 10.72 8.58 9.62 10.72
8026 PLANNED RESPITE - GROUP OF 3 (6-12 HOURS) per diem 199.70 223.99 249.63 204.89 229.81 256.12 204.89 229.81 256.12
8028 CRISIS RESPITE (UP TO 6 HOURS) 15 minute 20.09 22.53 25.12 20.61 23.12 25.77 20.61 23.12 25.77
8029 CRISIS RESPITE (6-12 HOURS) per diem 479.70 538.01 599.62 492.17 552.00 615.21 492.17 552.00 615.21
8030 CRISIS RESPITE (12-24 HOURS) per diem 822.28 922.20 1,027.84 843.66 946.18 1,054.56 843.66 946.18 1,054.56
8057 TRANSITIONAL CARE COORDINATION monthly             1,228.00 1,399.00 1,600.00
8045 ENVIR MODS FMS ADMIN RATE per project 600.00 600.00 600.00 600.00 600.00 600.00 978.39 978.39 978.39
8032 ENVIR MODS - $1.00 UNIT per unit 1.00 1.00 1.00 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 10.00 10.00 10.00
8035 ENVIR MODS - $100.00 UNIT per unit 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
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 1,000.00 1,000.00 1,000.00
8020 V-MOD FMS ADMIN RATE per project 600.00 600.00 600.00 600.00 600.00 600.00 733.80 733.80 733.80
8041 VEHICLE MODIFICATIONS - $1.00 UNIT per unit 1.00 1.00 1.00 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 10.00 10.00 10.00
8043 VEHICLE MODIFICATIONS - $100.00 UNIT per unit 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
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 1,000.00 1,000.00 1,000.00
8046 ADAPTIVE AND ASSISTIVE TECH FMS ADMIN RATE per project 500.00 500.00 500.00 500.00 500.00 500.00 611.50 611.50 611.50
8037 ADAPTIVE AND ASSISTIVE TECHNOLOGY - $1.00 UNIT per unit 1.00 1.00 1.00 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 10.00 10.00 10.00
8039 ADAPTIVE AND ASSISTIVE TECHNOLOGY - $100.00 UNIT per unit 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00
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 1,000.00 1,000.00 1,000.00
8052 TRANSITIONAL SERVICES FMS ADMIN RATE per project             611.50 611.50 611.50
8053 TRANSITIONAL SERVICES - $1.00 UNIT per unit             1.00 1.00 1.00
8054 TRANSITIONAL SERVICES - $10.00 UNIT per unit             10.00 10.00 10.00
8055 TRANSITIONAL SERVICES - $100.00 UNIT per unit             100.00 100.00 100.00
8056 TRANSITIONAL SERVICES - $1000.00 UNIT per unit             1,000.00 1,000.00 1,000.00