New York State Children's Consolidated Waiver Services (HCBS)

HCBS Fee schedule effective 1/1/2026

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

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

Current rates (as of cycle 2517) Pending Rates
2.6% Targeted Inflationary Increase (TII) Transitional Care Coordination (TCC), E/Vmod/AAT FMS Rebase, Transitional Services, consolidation of Day Hab into Comm Hab*
4/1/2025 1/1/2026
Rate Code Description Billing Unit Upstate -
All other
NYS
Counties		 Downstate -
Bronx, Dutchess,
Kings, Nassau,
New York, Orange,
Putnam, Queens,
Richmond, Rockland,
Suffolk, Sullivan,
Ulster, and Westchester		 Rural -
Allegany, Clinton,
Delaware, Essex,
Franklin, Hamilton,
and St Lawrence		 Upstate -
All other
NYS
Counties		 Downstate -
Bronx, Dutchess,
Kings, Nassau,
New York, Orange,
Putnam, Queens,
Richmond, Rockland,
Suffolk, Sullivan,
Ulster, and Westchester		 Rural -
Allegany, Clinton,
Delaware, Essex,
Franklin, Hamilton,
and St Lawrence
7933 DAY HABILITATION INDIVIDUAL 15 minute 33.83 37.93 42.29      
7934 DAY HABILITATION GROUP OF 2 15 minute 21.99 24.67 27.49      
7935 DAY HABILITATION GROUP OF 3 15 minute 16.35 18.33 20.45      
7946 BEREAVEMENT HH U LOW episodic 325.30   406.62 325.30   406.62
7947 BEREAVEMENT HH U MED episodic 650.60   813.25 650.60   813.25
7948 BEREAVEMENT HH U HIGH episodic 1,084.33   1,355.41 1,084.33   1,355.41
7949 BEREAVEMENT HH D LOW episodic   346.98     346.98  
7950 BEREAVEMENT HH D MED episodic   692.51     692.51  
7951 BEREAVEMENT HH D HIGH episodic   1,155.15     1,155.15  
7952 BEREAVEMENT ASSESS/COUNSELING episodic 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 35.03 39.27 43.79 35.03 39.27 43.79
8004 CAREGIVER/FAMILY ADV&SUPP SERV L1-GROUP OF 2 15 minute 22.76 25.52 28.45 22.76 25.52 28.45
8005 CAREGIVER/FAMILY ADV&SUPP SERV L1-GROUP OF 3 15 minute 16.93 18.98 21.16 16.93 18.98 21.16
8009 CAREGIVER/FAMILY ADV&SUPP SERV L2-IND 15 minute 48.58 54.48 60.72 48.58 54.48 60.72
8010 CAREGIVER/FAMILY ADV&SUPP SERV L2-GROUP OF 2 15 minute 31.57 35.40 39.46 31.57 35.40 39.46
8011 CAREGIVER/FAMILY ADV&SUPP SERV L2-GROUP OF 3 15 minute 23.49 26.33 29.36 23.49 26.33 29.36
8006 PRE-VOCATIONAL INDIVIDUAL 15 minute 25.95 29.09 32.43 25.95 29.09 32.43
8007 PRE-VOCATIONAL GROUP OF 2 15 minute 16.86 18.91 21.08 16.86 18.91 21.08
8008 PRE-VOCATIONAL GROUP OF 3 15 minute 12.55 14.07 15.68 12.55 14.07 15.68
8012 COMMUNITY HABILITATION INDIVIDUAL 15 minute 15.03 15.08 18.80 15.03 15.08 18.80
8013 COMMUNITY HABILITATION GROUP OF 2 15 minute 9.40 9.41 11.76 9.40 9.41 11.76
8014 COMMUNITY HABILITATION GROUP OF 3 15 minute 7.11 7.51 8.90 7.11 7.51 8.90
8015 SUPPORTED EMPLOYMENT 15 minute 30.76 34.48 38.44 30.76 34.48 38.44
8016 PALLIATIVE CARE - PAIN AND SYMPTOM MANAGEMENT 15 minute 120.67 135.33 150.83 120.67 135.33 150.83
8017 PALLIATIVE CARE - COUNSELING AND SUPPORT SERVICES 30 minute 96.93 108.71 121.16 96.93 108.71 121.16
8018 PALLIATIVE CARE - MASSAGE THERAPY 15 minute 57.25 64.21 71.57 57.25 64.21 71.57
8019 PALLIATIVE CARE - EXPRESSIVE THERAPY 15 minute 39.71 44.53 49.64 39.71 44.53 49.64
8023 PLANNED RESPITE - INDIVIDUAL (UP TO 6 HOURS) 15 minute 17.76 19.91 22.20 17.76 19.91 22.20
8024 PLANNED RESPITE - INDIVIDUAL (6-12 HOURS) per diem 423.90 475.46 529.88 423.90 475.46 529.88
8025 PLANNED RESPITE - INDIVIDUAL (12-24 HOURS) per diem 726.70 815.04 908.37 726.70 815.04 908.37
8065 PLANNED RESPITE - GROUP OF 2 (UP TO 6 HOURS) 15 minute 11.54 12.94 14.44 11.54 12.94 14.44
8066 PLANNED RESPITE - GROUP OF 2 (6-12 HOURS) per diem 275.56 309.05 344.45 275.56 309.05 344.45
8027 PLANNED RESPITE - GROUP OF 3 (UP TO 6 HOURS) 15 minute 8.58 9.62 10.72 8.58 9.62 10.72
8026 PLANNED RESPITE - GROUP OF 3 (6-12 HOURS) per diem 204.89 229.81 256.12 204.89 229.81 256.12
8028 CRISIS RESPITE (UP TO 6 HOURS) 15 minute 20.61 23.12 25.77 20.61 23.12 25.77
8029 CRISIS RESPITE (6-12 HOURS) per diem 492.17 552.00 615.21 492.17 552.00 615.21
8030 CRISIS RESPITE (12-24 HOURS) per diem 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 600.00 600.00 600.00 978.39 978.39 978.39
8032 ENVIR MODS - $1.00 UNIT per unit 1.00 1.00 1.00 1.00 1.00 1.00
8034 ENVIR MODS - $10.00 UNIT per unit 10.00 10.00 10.00 10.00 10.00 10.00
8035 ENVIR MODS - TOTAL CHARGES 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 FMS ADMIN RATE per project 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
8042 VEHICLE MODIFICATIONS - $10.00 UNIT per unit 10.00 10.00 10.00 10.00 10.00 10.00
8043 VEHICLE MODIFICATIONS - TOTAL CHARGES 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 500.00 500.00 500.00 611.50 611.50 611.50
8037 ADAPTIVE AND ASSISTIVE TECHNOLOGY - $1.00 UNIT per unit 1.00 1.00 1.00 1.00 1.00 1.00
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 - TOTAL CHARGES 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
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 - TOTAL CHARGES 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