The Department is seeking and anticipates receiving CMS approval for this Section.
There are four separate proposed rate changes pending before CMS: one submitted in September 2015, one submitted in July 2016, one submitted in August 2017, and one submitted in July 2018; thus there are four retroactive effective dates applicable for these rates.
Pending CMS approval, the following rates will be effective.
PROCEDURE CODE | DESCRIPTION | UNITS | AMOUNT Effective 10/1/15 | AMOUNT Effective 7/29/16 to 2/21/17 | AMOUNT Effective 2/22/17 to 6/30/17 and 7/1/18 to 7/31/18 | AMOUNT Effective 7/1/17 - 6/30/18 | AMOUNT Effective 8/1/18 to 6/30/19 | AMOUNT Effective 7/1/19 |
S5125 U2 | Attendant Care Services | 15 minutes | $2.93 | $3.33 | $3.33 | $3.66 | $4.07 | $3.73 |
S5125 U2 UN | Attendant Care Services 2 person | 15 minutes | N/A | N/A | $1.83 | $2.01 | $2.24 | $2.05 |
S5125 U2 UP | Attendant Care Services 3 person | 15 minutes | N/A | N/A | $1.33 | $1.47 | $1.63 | $1.49 |
H2014 | Skills Training Service | 15 minutes | $14.03 | $14.03 | $14.03 | $14.03 | $14.03 | $14.03 |
G9001 | Care Coordination Service - Initial Visit | 15 minutes | $17.00 | $17.00 | $17.00 | $17.00 | $17.00 | $17.00 |
G9002 | Care Coordination Service - Ongoing | 15 minutes | $17.00 | $17.00 | $17.00 | $17.00 | $17.00 | $17.00 |
10-144 C.M.R. ch. 101, § III-12
2/11/2019 - filing 2019-030