The Situation Report | October 17, 2022
The state Department of Health (DOH) has released Dear Administrator Letters (DALs) announcing Medicaid rate increases retrospective to October 1, 2022, for Personal Care and/or Consumer Directed Personal Assistance Program (CDPAP) providers as well as for the Certified Home Health Agencies (CHHAs) Episodic Payment System (PPS) and CHHA Pediatric or fee-for-service (FFS) rates.
The State Fiscal Year (SFY) 2022-23 Enacted Budget provided for a Minimum Wage increase for home care aides of $2 plus an adjustment for corresponding fringe benefits.
The provider-specific rates have been posted for your information at:
- Personal Care Medicaid Rates: https://www.health.ny.gov/facilities/long_term_care/reimbursement/pcr/
- CDPAP Medicaid Rates: https://www.health.ny.gov/facilities/long_term_care/reimbursement/cdpap/
- CHHA EPS & FFS Medicaid Rates: https://www.health.ny.gov/facilities/long_term_care/reimbursement/chha/
The CHHA EPS rate increase was applied retrospectively to the October 1, 2022 Medicaid rates by the following state Minimum Wage regions:
- Downstate (Nassau, Suffolk and Westchester) CHHA Episodic – 5.25% increase.
- NYC CHHA Episodic – 5.61% increase.
- Rest of State CHHA Episodic – 3.56% increase.
The Medicaid payment for the October 1, 2022, rates to effectuate the Minimum Wage increase for all providers will be made in Cycle 2356 with a Check Date of October 24, 2022, and a Check Release Date of November 9, 2022.
Personal Care and/or CDPAP providers that have any questions regarding the above information, can send DOH an email to: PersonalCare-Rates@health.ny.gov and CHHAs can email DOH questions at: CHHA-Rates@health.ny.gov and the Department will respond to your inquiries.