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DOH Posts CHHA Pediatric and Episodic Rates

The Department of Health (DOH) issued two Dear Administrator Letters (DALs) to Certified Home Health Agencies (CHHAs) this week. One DAL announces the posting of CHHA Episodic Medicaid reimbursement rates effective April 1, 2022, which include a 1 percent increase in provider reimbursement rates retroactive to April 1, 2022 per the State Fiscal Year (SFY) 2022-23 Enacted Budget. This rate increase was applied to the most recent rates available in eMedNY as outlined:

  • Downstate (Nassau, Suffolk, and Westchester) CHHA Episodic – Jan. 1, 2020
  • New York City CHHA Episodic – Jan. 1, 2019
  • Rest of State CHHA Episodic – Oct. 1, 2015

The provider-specific rates have been posted here.

The payment for the April 1, 2022 rates to effectuate the interim 1 percent increase will be made in Cycle 2353, with a check release date of Oct. 12, 2022.

Another DAL announces CHHA Pediatric Medicaid reimbursement rates effective April 1, 2022. The SFY 2022-23 Enacted Budget provided for a 1 percent increase in provider reimbursement rates retroactive to April 1, 2022. This rate increase would normally be applied to the Jan. 1, 2022 rates. However, because the Jan. 1, 2022 rates are under development, DOH is utilizing the latest available rates on eMedNY (Jan. 1, 2021 for CHHA Pediatric).

Once the Jan. 1, 2022 rates are finalized, the Department will recalculate and reconcile the 1 percent initially calculated on the Jan. 1, 2021 CHHA rates and apply it to the 2022 rates. The provider-specific rates have been posted here.

The payment for the April 1, 2022 rates to effectuate the interim 1 percent increase will be made in Cycle 2353, with a check release date of Oct. 12, 2022.

If you have any questions regarding the above information, please send an email to CHHA-Rates@health.ny.govand the Department will respond to your inquiries.

Contact: Meg Everett, meverett@leadingageny.org, 518-867-8871