Dear Administrator Letter

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

August 28, 2024

Dear Administrator:

Re: 2023 Medicaid Fee-for-Service Rates Posted for Select Providers:
Licensed Home Care Service Agencies (LHCSA - Personal Care-PC) and
Consumer Directed Personal Care Assistance Program/ Fiscal Intermediary (CDPAP-FI)

Please be advised that post-review 2023 Medicaid Fee-for-Service rate sheets for LHCSA and CDPAP-FI providers that attested or appealed within the initial 30-day window are now available on the Health Commerce System (HCS - Attachment A provides instructions to access rate sheets on the HCS) and on the DOH website:

The rates will take effect in eMedNY in cycle 2455, with a check release date of September 25, 2024.

The 2023 FFS rates were developed based on the data submitted in the 2021 cost reports and are all-inclusive. These rates are effective January 1, 2023, and consist of the following components:

  • Cost-based growth: subject to applicable ceilings, based on 2021 audited cost reports.
  • Minimum Wage Adjustment for 2023 increases for the Rest of State providers: as established by the Minimum Wage Act (Article 19 of the New York State Labor Law). More information on NYS Minimum Wage Is available on the Department of Labor website.

If you have any questions, please contact the Bureau e-mail for LHCSAs and FIs at PersonalCare- Rates@health.ny.gov.

Sincerely,

Laura Rosenthal, Director
Bureau of Nursing Home and Long Term Care Rate Setting
Division of Finance and Rate Setting
Office of Health Insurance Programs

Enclosure:

  1. Login to HCS;
  2. Under "My Applications", select Healthcare Finance Data Gateway (or go to "My Content" from the top line menu, then All Applications to search for the application under "C" for CHHA or "P" for Personal Care);
  3. Click on the Publications section of this new application;
  4. Under Organization Type, select either "Home Health Agency" or "Personal Care" from the drop down menu;
  5. Under Collection, select either of the following "2023 Post-Review Rates" from the drop down menu;
  6. Under Package, select "2023 Post-Review Rates" from the drop down menu and
  7. Under Organization, select your agency, then select Search.
  8. Next select Download.

Please note: If you have problems accessing your HCS account due to password expiration, please contact the Commerce Accounts Management Unit (CAMU) at 1-866-529-1890.