Medicaid Reimbursement Rates
This page contains approved Medicaid fee-for-service rates for all OMH programs.
Assertive Community Treatment (ACT) - Regional Rate - New Rates Effective 1/1/2019
Clinic
- APG Peer Group Base Rates - New Rates Effective 1/1/2019
- APG Peer Group Base Rates - Provider-Specific - New Rates Effective 1/1/2019
- Clinic APG Payment Modifiers
- Blend Rates -- Provider-Specific – Phased out for claims with dates of service on or after 10/1/13. This spreadsheet is being provided for informational purposes only.
Collaborative Care - Statewide Rate
Continuing Day Treatment (CDT) – Adult - Regional Rates – New Rates Effective 1/1/2019
Community Residence – Adult - Provider-Specific Rates
Community Residence and Teaching Family Home – Children - Provider-Specific Rates – New rates effective 4/1/2015 to reflect 2% COLA increase
Children’s Case Management - Regional Rates
Comprehensive Psychiatric Emergency Program (CPEP) - Statewide Rates – New Rates Effective 1/1/2019
Day Treatment Services for Children - Regional Rates - New Rates Effective 1/1/2019
Federally Qualified Health Center (FQHC) - Provider-Specific Rates
Health and Recovery Plans (HARP) Behavioral Health Home and Community Based Services (BH HCBS) Fee Schedule – These are the codes that the HARP plans and HIV-SNPs will be using to bill Medicaid for HCBS services that are provided to HARP enrollees (or HIV-SNP enrolled HARP-eligibles).
- Upstate HARP BH HCBS Fee Schedule – Updated 3-1-2018
- Downstate HARP BH HCBS Fee Schedule – Updated 3-1-2018
Home and Community Based Services Waiver (HCBS) – Regional Rates - Updated 6-15-2018
Intensive Psychiatric Rehabilitation Treatment (IPRT) - Statewide Rates – New rates effective 4/1/2015 to reflect 2% COLA increase
Partial Hospitalization - Regional Rates – New Rates Effective 1/1/2019
Personalized Recovery Oriented Services (PROS) - Regional Rates – New Rates Effective 1/1/2019
Private Psychiatric Hospitals - Regional Rates – New Rates Effective 1/1/2018
Comments or questions about the information on this page can be directed to the Bureau of Financial Planning.