Statutes, codes, and regulations
New York Codes, Rules and Regulations
Title 10 - DEPARTMENT OF HEALTHChapter II - Administrative Rules and RegulationsSubchapter L - Hospitals and Related FacilitiesPart 86 - Reporting and Rate Certifications for Facilities
Subpart 86-9 - Limited Home Care Services Agencies
Section 86-9.2 - Computation of the rates of payment

N.Y. Comp. Codes R. & Regs. Tit. 10 §§ 86-9.2

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Current through Register Vol. 46, No. 51, December 18, 2024
Section 86-9.2 - Computation of the rates of payment
(a) For purposes of this Subpart, rates of payment for Level II personal care services shall be calculated for two regions: a downstate region to consist of Bronx, Kings, New York, Queens and Richmond Counties and an upstate region to consist of all other counties in New York State. For purposes of this Subpart, rates of payment for registered professional nurse services shall be calculated for two regions: a downstate region to consist of Rockland, Westchester, Nassau, Suffolk, Bronx, Kings, New York, Queens and Richmond Counties and an upstate region to consist of all other counties in New York State.
(b) For each region, the unit of measure for which a limited home care services agency may bill for services rendered is a quarter hour.
(c) For purposes of this Subpart, the rate of payment for Level II personal care services for the downstate region shall be the weighted average January 1, 1997 Level II personal care rate for the downstate region. For purposes of this Subpart, the rate of payment for Level II personal care services for the upstate region shall be the weighted average January 1, 1997 Level II personal care rate for the upstate region for direct care and training, capital, and criminal checks, plus no more than 15 percent of such rate for administrative expenses.
(d) For purposes of this Subpart, the rate of payment for registered professional nurse services for the downstate region for the administration of subcutaneous and/or intramuscular injections and application of sterile dressings shall be the average January 1, 1997 fee established for nursing services rendered by a registered professional nurse on a private practitioner basis for the downstate region. For purposes of this Subpart, the rate of payment for registered professional nurse services for the upstate region for the administration of subcutaneous and/or intramuscular injections and application of sterile dressings shall be the average January 1, 1997 fee established for nursing services rendered by a registered professional nurse on a private practitioner basis for the upstate region.

N.Y. Comp. Codes R. & Regs. Tit. 10 §§ 86-9.2