Clinic Base Rates
Ambulatory Patient Groups (APG) Peer Group Base Rates for all Office of Mental Health (OMH)-Licensed Mental Health Clinics
| Peer Group | Base Rate effective 10/1/10 - 12/31/14 |
|---|---|
| Hospital-based Mental Health Clinics: | |
| Hospital-based clinics - Upstate | $139.25 |
| Hospital-based clinics - Downstate | $181.16 |
| Diagnostic and Treatment Center (D&TC), Private Freestanding and Public Freestanding Clinics Without Quality Improvement Supplement:* | |
| Upstate D&TC affiliated clinics | $133.83 |
| Downstate D&TC affiliated clinics | $145.47 |
| Upstate privately operated, freestanding clinics | $133.83 |
| Downstate privately operated, freestanding clinics | $145.47 |
| Freestanding mental health clinics operated by a county’s designated local governmental unit | $186.21 |
| D&TC, Private Freestanding and Public Freestanding Clinics Including Quality Improvement Supplement:* | |
| Upstate D&TC affiliated clinics | $138.97 |
| Downstate D&TC affiliated clinics | $151.05 |
| Upstate privately operated, freestanding clinics | $138.97 |
| Downstate privately operated, freestanding clinics | $151.05 |
| Freestanding mental health clinics operated by a county’s designated local governmental unit | $193.35 |
| State operated mental health clinics | $247.42 |
* Quality Improvement Supplement – additional payment available to providers participating in the Office of Mental Health quality improvement initiative. Hospital-based clinics are not eligible for the Quality Improvement Supplement.
Comments or questions about the information on this page can be directed to medicaidffsbillinghelp@omh.ny.gov.