NURSING HOMES
APRIL 1, 2013 MEDICAID REIMBURSEMENT RATES
County
Opcert
7002351A
NEW YORK
NASSAU
2950302A
NASSAU
2950302N
NASSAU
2950302V
MONROE
2725301N
0226302N
ALLEGANY
BROOME
0302303N
CATTARAUGUS 0420302N
CATTARAUGUS 0433303N
CHAUTAUQUA 0601303N
CHAUTAUQUA 0675302N
ERIE
1422303N
ERIE
1435303N
ERIE
1461302N
3158302N
NIAGARA
STEUBEN
5026301N
SULLIVAN
5220303N
WARREN
5655302N
5154323N
SUFFOLK
0153302N
ALBANY
FRANKLIN
1624000N
2129303N
HERKIMER
NEW YORK
7002356N
WESTCHESTER 5926300N
5153311N
SUFFOLK
CHEMUNG
0701000N
KINGS
7001389N
0501309N
CAYUGA
OTSEGO
3801000N
ERIE
1430301N
5157313N
SUFFOLK
LIVINGSTON
2520301N
7000319N
BRONX
MONROE
2701357N
SCHENECTADY 4620300N
1023301N
COLUMBIA
GENESEE
1801306N
7000389N
BRONX
WESTCHESTER 5904317N
NASSAU
2961302N
NASSAU
2902303N
TOMPKINS
5401309N
ERIE
1451306N
NASSAU
2950301N
5151321N
SUFFOLK
KINGS
7001396N
5101301N
SUFFOLK
7000308N
BRONX
3201308N
ONEIDA
CHEMUNG
0722301N
WESTCHESTER 5921301N
WESTCHESTER 5905303N
0151300N
ALBANY
3201307N
ONEIDA
QUEENS
7003352N
QUEENS
7003356N
KINGS
7001379N
Name
(The) Robert Mapplethorpe
A Holly Patterson Extende
A Holly Patterson Extende
A Holly Patterson Extende
Aaron Manor Rehabilitatio
Absolut Center for Nursin
Absolut Center for Nursin
Absolut Center for Nursin
Absolut Center for Nursin
Absolut Center for Nursin
Absolut Center for Nursin
Absolut Center for Nursin
Absolut Center for Nursin
Absolut Center for Nursin
Absolut Center for Nursin
Absolut Center for Nursin
Achieve Rehab and Nursing
Adirondack Tri-County Nur
Affinity Skilled Living a
Albany County Nursing Hom
Alice Hyde Medical Center
Alpine Rehabilitation and
Amsterdam Nursing Home Co
Andrus On Hudson
Apex Rehabilitation & Car
Arnot Ogden Medical Cente
Atlantis Rehabilitation a
Auburn Nursing Home
Aurelia Osborn Fox Memori
Autumn View Health Care F
Avalon Gardens Rehabilita
Avon Nursing Home LLC
Bainbridge Nursing And Re
Baird Nursing Home
Baptist Health Nursing An
Barnwell Nursing and Reha
Batavia Nursing Home LLC
Bay Park Center for Nursi
Bayberry Nursing Home
Bayview Nursing and Rehab
Beach Terrace Care Center
Beechtree Care Center
Beechwood Homes
Belair Care Center Inc
Bellhaven Center For Reha
Bensonhurst Center for Re
Berkshire Nursing & Rehab
Beth Abraham Health Servi
Bethany Gardens Skilled L
Bethany Nursing Home & He
Bethel Nursing and Rehabi
Bethel Nursing Home Compa
Bethlehem Commons Care Ce
Betsy Ross Rehabilitation
Bezalel Rehabilitation an
Bishop Charles Waldo Macl
Bishop Henry B Hucles Epi
Type
AIDS
AIDS
NF
VENT
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
Effective
Date
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
Medicare
Non
Medicare
Eligible
Eligible
Rate
Rate
$366.08
$366.08
$569.11
$563.84
$244.20
$242.55
$723.74
$718.19
$213.93
$212.59
$162.19
$161.12
$162.75
$161.48
$152.82
$151.65
$161.60
$160.38
$155.76
$154.49
$172.55
$171.39
$181.88
$180.58
$158.45
$157.13
$169.19
$167.79
$169.49
$168.10
$161.91
$160.67
$276.77
$274.59
$156.12
$155.08
$281.64
$279.58
$188.73
$187.31
$212.87
$211.68
$186.79
$185.34
$299.77
$297.82
$196.94
$195.34
$257.87
$255.68
$215.71
$214.17
$258.63
$256.73
$158.42
$157.16
$175.45
$174.35
$190.80
$189.09
$258.27
$256.27
$167.43
$166.01
$223.48
$221.43
$152.79
$151.79
$165.25
$164.02
$197.82
$196.10
$148.01
$146.93
$266.00
$264.07
$187.18
$185.65
$240.48
$238.68
$235.60
$233.93
$149.33
$148.34
$176.98
$175.88
$291.15
$289.20
$226.68
$224.39
$220.51
$218.56
$213.29
$211.73
$302.71
$300.70
$185.99
$184.48
$149.03
$147.93
$238.77
$237.21
$243.38
$241.65
$174.55
$173.26
$146.00
$144.83
$217.88
$216.08
$223.96
$222.25
$243.23
$241.35
Part D Part D & B
Rate
Rate
$366.08
$366.08
$569.11
$563.84
$244.20
$242.55
$723.74
$718.19
$213.93
$212.59
$162.19
$161.12
$162.75
$161.48
$152.82
$151.65
$161.60
$160.38
$155.76
$154.49
$172.55
$171.39
$181.88
$180.58
$158.45
$157.13
$169.19
$167.79
$169.49
$168.10
$161.91
$160.67
$276.77
$274.59
$156.12
$155.08
$281.64
$279.58
$188.73
$187.31
$212.87
$211.68
$186.79
$185.34
$299.77
$297.82
$196.94
$195.34
$257.87
$255.68
$215.71
$214.17
$258.63
$256.73
$158.42
$157.16
$175.45
$174.35
$190.80
$189.09
$258.27
$256.27
$167.43
$166.01
$223.48
$221.43
$152.79
$151.79
$165.25
$164.02
$197.82
$196.10
$148.01
$146.93
$266.00
$264.07
$187.18
$185.65
$240.48
$238.68
$235.60
$233.93
$149.33
$148.34
$176.98
$175.88
$291.15
$289.20
$226.68
$224.39
$220.51
$218.56
$213.29
$211.73
$302.71
$300.70
$185.99
$184.48
$149.03
$147.93
$238.77
$237.21
$243.38
$241.65
$174.55
$173.26
$146.00
$144.83
$217.88
$216.08
$223.96
$222.25
$243.23
$241.35
1
NURSING HOMES
APRIL 1, 2013 MEDICAID REIMBURSEMENT RATES
County
Opcert
2701354N
MONROE
MONROE
2701360N
MONROE
2701361N
WAYNE
5828301N
KINGS
7001394N
QUEENS
7003309N
BROOME
0301308N
BROOME
0301308V
3101300N
NIAGARA
5120301N
SUFFOLK
7000381N
BRONX
7000380N
BRONX
7000364A
BRONX
7000364N
BRONX
5123304N
SUFFOLK
QUEENS
7003399N
KINGS
7001388N
KINGS
7001308N
KINGS
7001382N
ERIE
1456300N
KINGS
7001383N
KINGS
7001364N
NEW YORK
7002350N
KINGS
7001307N
ORANGE
3557302N
ERIE
1421305N
MONTGOMERY 2850300N
5153306N
SUFFOLK
RICHMOND
7004310N
JEFFERSON
2238001N
7000373A
BRONX
KINGS
7001366N
SULLIVAN
5263000N
0566301N
CAYUGA
TOMPKINS
5401311N
5151320N
SUFFOLK
WESTCHESTER 5905308N
KINGS
7001354N
NASSAU
2952308N
CLINTON
0901001N
QUEENS
7003351N
3227304N
ONEIDA
CHENANGO
0823300N
CHAUTAUQUA 0601300N
CHEMUNG
0701301N
CHENANGO
0824000N
OTSEGO
3801303N
MADISON
2629303N
MONROE
2701339N
QUEENS
7003380N
QUEENS
7003380V
ONTARIO
3421000N
ONTARIO
3421000V
CLINTON
0952300N
RICHMOND
7004321N
KINGS
7001323N
NASSAU
2952307N
Name
Blossom Health Care Cente
Blossom North Nursing and
Blossom South Nursing and
Blossom View Nursing Home
Boro Park Center for Reha
Bridge View Nursing Home
Bridgewater Center for Re
Bridgewater Center for Re
Briody Health Care Facili
Broadlawn Manor Nursing a
Bronx Center For Rehabili
Bronx Park Rehabilitation
Bronx-Lebanon Special Car
Bronx-Lebanon Special Car
Brookhaven Health Care Fa
Brookhaven Rehabilitation
Brooklyn Center for Rehab
Brooklyn United Methodist
Brooklyn-Queens Nursing H
Brothers Of Mercy Nursing
Buena Vida Continuing Car
Bushwick Center for Rehab
Cabrini Center For Nursin
Cabs Nursing Home Company
Campbell Hall Rehabilitat
Canterbury Woods
Capstone Center for Rehab
Carillon Nursing and Reha
Carmel Richmond Healthcar
Carthage Area Hospital
Casa Promesa
Caton Park Nursing Home
Catskill Regional Medical
Cayuga County Nursing Hom
Cayuga Ridge Extended Car
Cedar Lodge Nursing Home
Cedar Manor Nursing & Reh
Center For Nursing & Reha
Central Island Healthcare
Champlain Valley Physicia
Chapin Home For The Aging
Charles T Sitrin Health C
Chase Memorial Nursing Ho
Chautauqua County Home
Chemung County Health Cen
Chenango Memorial Hospita
Chestnut Park Rehabilitat
Chittenango Center for Re
Church Home Of The Protes
Cliffside Rehabilitation
Cliffside Rehabilitation
Clifton Springs Hospital
Clifton Springs Hospital
Clinton County Nursing Ho
Clove Lakes Health Care a
Cobble Hill Health Center
Cold Spring Hills Center
Type
NF
NF
NF
NF
NF
NF
NF
VENT
NF
NF
NF
NF
AIDS
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
AIDS
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
VENT
NF
VENT
NF
NF
NF
NF
Effective
Date
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
Medicare
Non
Eligible
Rate
$154.38
$153.09
$162.64
$175.25
$308.92
$185.94
$188.10
$521.63
$159.40
$250.04
$279.33
$190.96
$460.16
$252.47
$289.71
$237.69
$237.24
$243.59
$186.10
$158.42
$252.25
$272.02
$236.84
$186.33
$190.31
$229.07
$168.90
$249.18
$280.95
$164.24
$420.29
$219.27
$222.90
$156.45
$158.67
$223.92
$208.62
$248.85
$252.55
$246.37
$206.53
$243.77
$148.91
$179.90
$182.32
$198.31
$157.82
$180.26
$173.75
$218.41
$688.96
$187.31
$573.73
$162.87
$241.26
$259.94
$284.77
Medicare
Eligible
Rate
$153.16
$152.07
$161.34
$173.85
$306.46
$184.34
$186.58
$516.07
$158.28
$248.18
$277.08
$189.26
$454.92
$250.81
$287.22
$235.81
$235.06
$241.96
$184.30
$157.32
$250.71
$269.83
$234.84
$184.86
$188.61
$227.77
$167.52
$246.99
$278.90
$163.26
$415.13
$217.29
$221.39
$155.26
$157.62
$222.20
$206.77
$246.92
$250.68
$245.04
$204.91
$242.55
$147.80
$178.69
$181.14
$197.26
$156.54
$178.64
$172.45
$216.50
$681.88
$186.14
$573.11
$161.52
$239.31
$258.07
$282.68
Part D
Rate
$154.38
$153.09
$162.64
$175.25
$308.92
$185.94
$188.10
$521.63
$159.40
$250.04
$279.33
$190.96
$460.16
$252.47
$289.71
$237.69
$237.24
$243.59
$186.10
$158.42
$252.25
$272.02
$236.84
$186.33
$190.31
$229.07
$168.90
$249.18
$280.95
$164.24
$420.29
$219.27
$222.90
$156.45
$158.67
$223.92
$208.62
$248.85
$252.55
$246.37
$206.53
$243.77
$148.91
$179.90
$182.32
$198.31
$157.82
$180.26
$173.75
$218.41
$688.96
$187.31
$573.73
$162.87
$241.26
$259.94
$284.77
Part D & B
Rate
$153.16
$152.07
$161.34
$173.85
$306.46
$184.34
$186.58
$516.07
$158.28
$248.18
$277.08
$189.26
$454.92
$250.81
$287.22
$235.81
$235.06
$241.96
$184.30
$157.32
$250.71
$269.83
$234.84
$184.86
$188.61
$227.77
$167.52
$246.99
$278.90
$163.26
$415.13
$217.29
$221.39
$155.26
$157.62
$222.20
$206.77
$246.92
$250.68
$245.04
$204.91
$242.55
$147.80
$178.69
$181.14
$197.26
$156.54
$178.64
$172.45
$216.50
$681.88
$186.14
$573.11
$161.52
$239.31
$258.07
$282.68
2
NURSING HOMES
APRIL 1, 2013 MEDICAID REIMBURSEMENT RATES
County
Opcert
2952307V
NASSAU
NEW YORK
7002336N
NEW YORK
7002337N
3201305N
ONEIDA
MADISON
2625000N
KINGS
7001348N
KINGS
7001348V
7000375N
BRONX
7000375V
BRONX
LIVINGSTON
2525301N
CORTLAND
1101307N
CORTLAND
1101306N
WESTCHESTER 5901304N
MONROE
2762301N
MADISON
2623300N
CORTLAND
1101309N
KINGS
7001367N
0226000N
ALLEGANY
5150302N
SUFFOLK
7000342N
BRONX
7000342V
BRONX
0101312N
ALBANY
3103000N
NIAGARA
ERIE
1401328N
NEW YORK
7002347N
RENSSELAER 4161304N
KINGS
7001393N
KINGS
7001380N
QUEENS
7003395N
QUEENS
7003395V
QUEENS
7003359N
WESTCHESTER 5904321N
WESTCHESTER 5904321V
DUTCHESS
1322302N
7000360N
BRONX
5150303N
SUFFOLK
WYOMING
6027303N
7000383N
BRONX
7000383V
BRONX
3239300N
ONEIDA
0102001N
ALBANY
RENSSELAER 4102311N
0151301N
ALBANY
MONROE
2754304N
RICHMOND
7004303N
WESTCHESTER 5931301N
DUTCHESS
1355301N
ORANGE
3523302N
ORANGE
3502304N
DUTCHESS
1324302N
CHEMUNG
0722304N
3331300N
ONONDAGA
3121301N
NIAGARA
ERIE
1430302N
ERIE
1406302N
ERIE
1455301N
ERIE
1421304N
Name
Cold Spring Hills Center
Coler Memorial Hospital S
Coler-Goldwater Specialty
Colonial Park Rehabilitat
Community Memorial Hospit
Concord Nursing Home Inc
Concord Nursing Home Inc
Concourse Rehabilitation
Concourse Rehabilitation
Conesus Lake Nursing Home
Cortland Park Rehabilitat
Cortland Regional Nursing
Cortlandt Healthcare LLC
Crest Manor Living and Re
Crouse Community Center I
Crown Center for Nursing
Crown Nursing and Rehabil
Cuba Memorial Hospital In
Daleview Care Center
Daughters Of Jacob Nursin
Daughters Of Jacob Nursin
Daughters Of Sarah Nursin
Degraff Memorial Hospital
Delaware Nursing & Rehabi
Dewitt Rehabilitation and
Diamond Hill Nursing and
Ditmas Park Care Center
Dr Susan Smith Mckinney N
Dr William O Benenson Reh
Dr William O Benenson Reh
Dry Harbor Nursing Home
Dumont Center for Rehabil
Dumont Center for Rehabil
Dutchess Center for Rehab
East Haven Nursing And Re
East Neck Nursing and Reh
East Side Nursing Home
Eastchester Rehabilitatio
Eastchester Rehabilitatio
Eastern Star Home & Infir
Eddy Cohoes Rehabilitatio
Eddy Heritage House Nursi
Eddy Village Green at Bev
Edna Tina Wilson Living C
Eger Health Care and Reha
Elant at Brandywine Inc
Elant at Fishkill Inc
Elant at Goshen Inc
Elant at Newburgh Inc
Elant at Wappinger Falls
Elcor Nursing and Rehabil
Elderwood Health Care Bir
Elderwood Health Care Cre
Elderwood Health Care Lak
Elderwood Health Care Lin
Elderwood Health Care Map
Elderwood Health Care Oak
Type
VENT
NF
NF
NF
NF
NF
VENT
NF
VENT
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
VENT
NF
NF
NF
NF
NF
NF
NF
NF
VENT
NF
NF
VENT
NF
NF
NF
NF
NF
VENT
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
Effective
Date
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
Medicare
Non
Eligible
Rate
$781.00
$285.00
$286.90
$174.41
$200.18
$239.81
$601.10
$266.16
$606.76
$188.40
$152.59
$213.49
$219.10
$177.85
$158.93
$177.63
$221.13
$180.23
$215.84
$236.36
$630.22
$177.89
$223.29
$134.56
$284.83
$188.18
$261.77
$281.62
$257.41
$601.14
$262.12
$234.41
$593.21
$222.72
$217.00
$259.27
$155.01
$249.85
$714.06
$159.64
$177.63
$167.55
$142.65
$171.44
$261.00
$203.05
$170.38
$214.75
$197.66
$180.41
$162.67
$199.28
$195.50
$196.52
$176.43
$193.58
$188.36
Medicare
Eligible
Rate
$773.00
$283.17
$285.11
$173.19
$198.90
$238.24
$595.13
$264.32
$600.18
$186.96
$151.39
$212.30
$217.46
$176.53
$157.76
$176.27
$219.32
$179.31
$213.92
$234.44
$623.81
$176.70
$221.87
$133.48
$282.89
$186.69
$259.40
$279.86
$255.60
$598.71
$259.78
$232.33
$586.45
$220.77
$214.96
$257.16
$153.91
$247.67
$707.87
$158.63
$176.44
$166.30
$141.75
$170.25
$258.90
$201.48
$168.92
$213.04
$196.10
$179.01
$161.50
$197.98
$194.01
$195.01
$174.96
$192.12
$186.73
Part D
Rate
$781.00
$285.00
$286.90
$174.41
$200.18
$239.81
$601.10
$266.16
$606.76
$188.40
$152.59
$213.49
$219.10
$177.85
$158.93
$177.63
$221.13
$180.23
$215.84
$236.36
$630.22
$177.89
$223.29
$134.56
$284.83
$188.18
$261.77
$281.62
$257.41
$601.14
$262.12
$234.41
$593.21
$222.72
$217.00
$259.27
$155.01
$249.85
$714.06
$159.64
$177.63
$167.55
$142.65
$171.44
$261.00
$203.05
$170.38
$214.75
$197.66
$180.41
$162.67
$199.28
$195.50
$196.52
$176.43
$193.58
$188.36
Part D & B
Rate
$773.00
$283.17
$285.11
$173.19
$198.90
$238.24
$595.13
$264.32
$600.18
$186.96
$151.39
$212.30
$217.46
$176.53
$157.76
$176.27
$219.32
$179.31
$213.92
$234.44
$623.81
$176.70
$221.87
$133.48
$282.89
$186.69
$259.40
$279.86
$255.60
$598.71
$259.78
$232.33
$586.45
$220.77
$214.96
$257.16
$153.91
$247.67
$707.87
$158.63
$176.44
$166.30
$141.75
$170.25
$258.90
$201.48
$168.92
$213.04
$196.10
$179.01
$161.50
$197.98
$194.01
$195.01
$174.96
$192.12
$186.73
3
NURSING HOMES
APRIL 1, 2013 MEDICAID REIMBURSEMENT RATES
County
Opcert
1421304V
ERIE
ERIE
1464301N
5320301N
TIOGA
ERIE
1451305N
BROOME
0301307N
SCHENECTADY 4601001N
ONTARIO
3429303N
QUEENS
7003396N
ERIE
1420300N
RENSSELAER 4152303N
CLINTON
0901301N
MONROE
2725300N
QUEENS
7003375N
QUEENS
7003315N
ERIE
1435302N
DUTCHESS
1327300N
ERIE
1427302N
WESTCHESTER 5901302N
7000385N
BRONX
7000385V
BRONX
0501000N
CAYUGA
QUEENS
7003366N
QUEENS
7003407N
3202313N
ONEIDA
2124300N
HERKIMER
QUEENS
7003394N
QUEENS
7003387N
WASHINGTON 5724302N
NEW YORK
7002359N
STEUBEN
5001001N
KINGS
7001385N
KINGS
7001385V
ERIE
1435304N
QUEENS
7003402N
QUEENS
7003402V
FRANKLIN
1664300N
ROCKLAND
4350305N
ROCKLAND
4350305V
FULTON
1754301N
NASSAU
2950317N
NASSAU
2950316N
ERIE
1455300N
GENESEE
1801304N
ORANGE
3523303N
NASSAU
2901305N
WESTCHESTER 5904318N
SCHENECTADY 4651300N
NASSAU
2901300N
7000376N
BRONX
RICHMOND
7004322N
5501309N
ULSTER
5154310N
SUFFOLK
BROOME
0363301N
BROOME
0301305N
CATTARAUGUS 0427302N
NASSAU
2913301N
7000361N
BRONX
Name
Elderwood Health Care Oak
Elderwood Health Care Riv
Elderwood Health Care Tio
Elderwood Health Care Wed
Elizabeth Church Manor Nu
Ellis Residential & Rehab
Elm Manor Nursing Home
Elmhurst Care Center Inc
Erie County Home
Evergreen Commons
Evergreen Valley Nursing
Fairport Baptist Homes
Fairview Nursing Care Cen
Far Rockaway Nursing Home
Father Baker Manor
Ferncliff Nursing Home Co
Fiddlers Green Manor Nurs
Field Home-holy Comforter
Fieldston Lodge Care Cent
Fieldston Lodge Care Cent
Finger Lakes Center for L
Flushing Manor Care Cente
Flushing Manor Nursing &
Focus Rehabilitation and
Folts Home
Forest Hills Care Center
Forest View Center for Re
Fort Hudson Nursing Cente
Fort Tryon Center for Reh
Founders Pavilion
Four Seasons Nursing and
Four Seasons Nursing and
Fox Run at Orchard Park
Franklin Center for Rehab
Franklin Center for Rehab
Franklin County Nursing H
Friedwald Center for Reha
Friedwald Center for Reha
Fulton Center for Rehabil
Fulton Commons Care Cente
Garden Care Center
Garden Gate Health Care F
Genesee County Nursing Ho
Glen Arden Inc
Glen Cove Center for Nurs
Glen Island Center for Nu
Glendale Home-schdy Cnty
Glengariff Health Care Ce
Gold Crest Care Center
Golden Gate Rehabilitatio
Golden Hill Health Care C
Good Samaritan Nursing Ho
Good Shepherd Village at
Good Shepherd-fairview Ho
Gowanda Rehabilitation an
Grace Plaza Nursing and R
Grand Manor Nursing & Reh
Type
VENT
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
VENT
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
VENT
NF
NF
VENT
NF
NF
VENT
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
Effective
Date
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
Medicare
Non
Eligible
Rate
$499.76
$183.57
$169.37
$184.98
$167.22
$243.67
$175.19
$253.56
$192.52
$220.35
$132.58
$204.58
$232.92
$182.25
$185.55
$210.00
$142.10
$235.77
$223.99
$621.76
$212.35
$209.08
$240.40
$146.91
$141.45
$229.86
$227.17
$157.19
$260.64
$168.03
$245.42
$639.43
$172.79
$277.69
$606.85
$112.35
$231.59
$520.85
$181.45
$235.89
$227.93
$188.64
$165.52
$222.95
$217.27
$220.32
$183.08
$258.84
$214.55
$267.96
$188.89
$229.06
$175.08
$176.77
$245.80
$252.70
$188.91
Medicare
Eligible
Rate
$494.55
$182.12
$168.04
$183.58
$165.89
$241.99
$173.73
$251.77
$191.09
$218.69
$131.58
$203.36
$230.83
$180.97
$184.06
$208.35
$140.95
$233.91
$222.11
$614.53
$211.17
$207.46
$238.72
$145.66
$140.48
$227.77
$225.34
$156.05
$258.35
$166.83
$243.26
$632.50
$171.63
$275.30
$601.13
$111.78
$229.90
$518.85
$180.01
$234.23
$225.95
$186.98
$164.40
$221.23
$215.62
$218.79
$181.63
$256.87
$212.73
$265.96
$187.55
$227.18
$174.10
$175.54
$243.54
$250.66
$187.36
Part D
Rate
$499.76
$183.57
$169.37
$184.98
$167.22
$243.67
$175.19
$253.56
$192.52
$220.35
$132.58
$204.58
$232.92
$182.25
$185.55
$210.00
$142.10
$235.77
$223.99
$621.76
$212.35
$209.08
$240.40
$146.91
$141.45
$229.86
$227.17
$157.19
$260.64
$168.03
$245.42
$639.43
$172.79
$277.69
$606.85
$112.35
$231.59
$520.85
$181.45
$235.89
$227.93
$188.64
$165.52
$222.95
$217.27
$220.32
$183.08
$258.84
$214.55
$267.96
$188.89
$229.06
$175.08
$176.77
$245.80
$252.70
$188.91
Part D & B
Rate
$494.55
$182.12
$168.04
$183.58
$165.89
$241.99
$173.73
$251.77
$191.09
$218.69
$131.58
$203.36
$230.83
$180.97
$184.06
$208.35
$140.95
$233.91
$222.11
$614.53
$211.17
$207.46
$238.72
$145.66
$140.48
$227.77
$225.34
$156.05
$258.35
$166.83
$243.26
$632.50
$171.63
$275.30
$601.13
$111.78
$229.90
$518.85
$180.01
$234.23
$225.95
$186.98
$164.40
$221.23
$215.62
$218.79
$181.63
$256.87
$212.73
$265.96
$187.55
$227.18
$174.10
$175.54
$243.54
$250.66
$187.36
4
NURSING HOMES
APRIL 1, 2013 MEDICAID REIMBURSEMENT RATES
County
Opcert
2902304N
NASSAU
NEW YORK
7002341N
ERIE
1467301N
TOMPKINS
5401305N
0155303N
ALBANY
5153307N
SUFFOLK
5153307V
SUFFOLK
MONROE
2754300N
KINGS
7001034N
ERIE
1401329N
3226301N
ONEIDA
ERIE
1406301N
QUEENS
7003378N
ERIE
1401323N
KINGS
7001369N
7000302N
BRONX
WESTCHESTER 5957302N
WESTCHESTER 5904314N
ROCKLAND
4322300N
7000362A
BRONX
NASSAU
2906304N
1527300N
ESSEX
CHAUTAUQUA 0658301N
3202314N
ONEIDA
CHAUTAUQUA 0602310N
CHAUTAUQUA 0662301N
7000363A
BRONX
NASSAU
2951306N
QUEENS
7003363N
ST LAWRENCE 4402300N
0228303N
ALLEGANY
ORANGE
3501305N
ERIE
1401001N
5153310N
SUFFOLK
MONROE
2761302N
QUEENS
7003350N
QUEENS
7003381N
QUEENS
7003409N
KINGS
7001395N
1521300N
ESSEX
QUEENS
7003389N
STEUBEN
5002302N
0101314N
ALBANY
7000388N
BRONX
5556302N
ULSTER
5153309N
SUFFOLK
4921302N
SENECA
BROOME
0302302N
WASHINGTON 5725304N
STEUBEN
5022301N
3353300N
ONONDAGA
NEW YORK
7002352N
NEW YORK
7002352V
5151318N
SUFFOLK
QUEENS
7003346N
RENSSELAER 4102309N
BROOME
0303306N
Name
Grandell Rehabilitation a
Greater Harlem Nursing Ho
Greenfield Health and Reh
Groton Community Health C
Guilderland Center Rehabi
Gurwin Jewish Nursing and
Gurwin Jewish Nursing and
Hamilton Manor Nursing Ho
Hamilton Park Nursing and
Harbour Health Multicare
Harding Nursing Home
Harris Hill Nursing Facil
Haven Manor Health Care C
Hawthorn Health Multicare
Haym Solomon Home For The
Hebrew Home For The Aged
Hebrew Hospital Home of W
Helen and Michael Schaffe
Helen Hayes Hospital RHCF
Help PSI Inc
Hempstead Park Nursing Ho
Heritage Commons Resident
Heritage Green Nursing Ho
Heritage Health Care Cent
Heritage Park Health Care
Heritage Village Rehab an
Highbridge-Woodycrest Cen
Highfield Gardens Care Ce
Highland Care Center
Highland Nursing Home Inc
Highland Park Rehabilitat
Highland Rehabilitation a
Highpointe on Michigan He
Hilaire Rehab & Nursing
Hill Haven Nursing Home
Hillside Manor Rehabilita
Hollis Park Manor Nursing
Holliswood Center for Reh
Hopkins Center for Rehabi
Horace Nye Home
Horizon Care Center
Hornell Gardens LLC
Hudson Park Rehabilitatio
Hudson Pointe at Riverdal
Hudson Valley Rehabilitat
Huntington Hills Center f
Huntington Living Center
Ideal Senior Living Cente
Indian River Rehabilitati
Ira Davenport Memorial Ho
Iroquois Nursing Home Inc
Isabella Geriatric Center
Isabella Geriatric Center
Island Nursing and Rehab
Jamaica Hospital Nursing
James A Eddy Memorial Ger
James G Johnston Memorial
Type
NF
NF
NF
NF
NF
NF
VENT
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
AIDS
NF
NF
NF
NF
NF
NF
AIDS
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
VENT
NF
NF
NF
NF
Effective
Date
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
Medicare
Non
Eligible
Rate
$212.72
$225.99
$172.51
$149.66
$143.77
$269.62
$571.52
$166.44
$308.76
$146.28
$136.93
$195.58
$203.66
$148.60
$274.47
$307.40
$229.40
$256.05
$434.92
$373.77
$215.38
$159.75
$169.23
$157.55
$155.07
$156.25
$455.35
$250.75
$219.31
$137.59
$147.19
$192.07
$227.90
$235.34
$189.29
$240.86
$203.12
$246.89
$256.51
$161.59
$174.40
$163.20
$171.58
$267.83
$174.05
$262.09
$150.96
$169.51
$203.45
$148.72
$173.95
$267.70
$593.34
$285.40
$324.94
$166.17
$173.24
Medicare
Eligible
Rate
$210.83
$224.14
$171.32
$148.55
$142.63
$267.67
$565.50
$165.27
$306.79
$145.12
$135.96
$193.88
$201.98
$147.43
$272.29
$305.52
$227.72
$254.11
$430.70
$369.28
$213.70
$158.58
$167.99
$156.35
$153.97
$155.04
$449.61
$248.78
$217.67
$136.62
$146.01
$190.38
$226.52
$233.73
$187.93
$238.85
$201.33
$244.54
$254.29
$160.52
$173.06
$162.01
$170.25
$265.98
$172.63
$260.06
$149.93
$168.31
$201.70
$147.68
$172.71
$265.73
$585.39
$283.64
$323.15
$165.03
$171.79
Part D
Rate
$212.72
$225.99
$172.51
$149.66
$143.77
$269.62
$571.52
$166.44
$308.76
$146.28
$136.93
$195.58
$203.66
$148.60
$274.47
$307.40
$229.40
$256.05
$434.92
$373.77
$215.38
$159.75
$169.23
$157.55
$155.07
$156.25
$455.35
$250.75
$219.31
$137.59
$147.19
$192.07
$227.90
$235.34
$189.29
$240.86
$203.12
$246.89
$256.51
$161.59
$174.40
$163.20
$171.58
$267.83
$174.05
$262.09
$150.96
$169.51
$203.45
$148.72
$173.95
$267.70
$593.34
$285.40
$324.94
$166.17
$173.24
Part D & B
Rate
$210.83
$224.14
$171.32
$148.55
$142.63
$267.67
$565.50
$165.27
$306.79
$145.12
$135.96
$193.88
$201.98
$147.43
$272.29
$305.52
$227.72
$254.11
$430.70
$369.28
$213.70
$158.58
$167.99
$156.35
$153.97
$155.04
$449.61
$248.78
$217.67
$136.62
$146.01
$190.38
$226.52
$233.73
$187.93
$238.85
$201.33
$244.54
$254.29
$160.52
$173.06
$162.01
$170.25
$265.98
$172.63
$260.06
$149.93
$168.31
$201.70
$147.68
$172.71
$265.73
$585.39
$283.64
$323.15
$165.03
$171.79
5
NURSING HOMES
APRIL 1, 2013 MEDICAID REIMBURSEMENT RATES
County
Opcert
ONONDAGA
3301322N
3301322V
ONONDAGA
7000313N
BRONX
5151317N
SUFFOLK
ERIE
1427000N
MONROE
2750304N
7000317N
BRONX
NEW YORK
7002340N
WESTCHESTER 5909302N
3301309N
ONONDAGA
5151304A
SUFFOLK
5151304N
SUFFOLK
1001000N
COLUMBIA
NEW YORK
7002344N
3225303N
ONEIDA
TOMPKINS
5401308N
WESTCHESTER 5932300N
KINGS
7001387N
WESTCHESTER 5906300N
7000372N
BRONX
7000374N
BRONX
SCHENECTADY 4601305N
ST LAWRENCE 4423000N
MONROE
2701345N
7000370N
BRONX
MONROE
2752301N
5151314N
SUFFOLK
MONROE
2754301N
MONROE
2754303N
QUEENS
7003385N
GENESEE
1823300N
LEWIS
2424000N
KINGS
7001397N
QUEENS
7003408N
ONTARIO
3402303N
ONTARIO
3402302N
LIVINGSTON
2522300N
1063301N
COLUMBIA
QUEENS
7003377N
QUEENS
7003377V
5151310N
SUFFOLK
3301327N
ONONDAGA
KINGS
7001313N
DUTCHESS
1302306N
CHAUTAUQUA 0602308N
NASSAU
2911303N
7000387N
BRONX
ST LAWRENCE 4420301N
MONROE
2729300N
KINGS
7001353N
QUEENS
7003305N
5154321N
SUFFOLK
NASSAU
2901304N
NEW YORK
7002305N
3202308N
ONEIDA
NASSAU
2906302N
STEUBEN
5002001N
Name
James Square Health And R
James Square Health And R
Jeanne Jugan Residence
Jeffersons Ferry
Jennie B Richmond Chaffee
Jewish Home & Infirmary O
Jewish Home Lifecare Henr
Jewish Home Lifecare Manh
Jewish Home Lifecare Sara
Jewish Home Of Central Ne
John J Foley Skilled Nurs
John J Foley Skilled Nurs
Kaaterskill Care Skilled
Kateri Residence
Katherine Luther Resident
Kendal at Ithaca Inc
Kendal on Hudson
Keser Nursing and Rehabil
King Street Home Inc
Kings Harbor Multicare Ce
Kingsbridge Heights Rehab
Kingsway Arms Nursing Cen
Kinney Nursing Home
Kirkhaven
Laconia Nursing Home Inc
Lakeside - Beikirch Care
Lakeview Rehabilitation a
Latta Road Nursing Home
Latta Road Nursing Home A
Lawrence Nursing Care Cen
Leroy Village Green Resid
Lewis County General Hosp
Linden Gardens Rehabilita
Little Neck Nursing Home
Living Center At Geneva N
Living Center At Geneva S
Livingston County Center
Livingston Hills Nursing
Long Island Care Center I
Long Island Care Center I
Long Island State Veteran
Loretto Health and Rehabi
Lutheran Augustana Center
Lutheran Center at Poughk
Lutheran Retirement Home
Lynbrook Restorative Ther
Manhattanville Health Car
Maplewood Health Care and
Maplewood Nursing Home In
Marcus Garvey Nursing Hom
Margaret Tietz Center For
Maria Regina Residence In
Marquis Care Center
Mary Manning Walsh Nursin
Masonic Care Community of
Mayfair Care Center
Mcauley Manor at Mercycar
Type
NF
VENT
NF
NF
NF
NF
NF
NF
NF
NF
AIDS
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
VENT
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
Effective
Date
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
Medicare
Non
Eligible
Rate
$189.17
$360.26
$286.69
$245.25
$159.86
$220.49
$279.49
$314.04
$301.48
$224.19
$366.88
$272.06
$177.18
$264.37
$164.83
$106.20
$133.58
$213.53
$170.24
$240.03
$259.99
$199.60
$169.13
$180.07
$234.15
$196.35
$201.67
$173.37
$169.79
$232.24
$148.85
$190.31
$205.88
$224.94
$163.51
$178.94
$216.97
$202.98
$230.51
$653.01
$259.89
$205.62
$247.31
$187.36
$188.39
$246.97
$255.93
$199.90
$232.59
$185.56
$281.40
$219.96
$253.34
$272.91
$242.66
$192.29
$187.15
Medicare
Eligible
Rate
$187.84
$356.53
$285.28
$243.87
$158.58
$218.89
$277.43
$311.94
$299.55
$222.81
$361.49
$269.86
$175.97
$262.40
$163.69
$105.54
$132.44
$211.86
$168.99
$238.28
$258.17
$198.25
$168.15
$178.76
$231.97
$194.84
$199.97
$172.21
$168.58
$230.44
$147.70
$189.01
$204.31
$222.97
$162.40
$177.64
$215.66
$201.30
$228.70
$646.84
$258.25
$204.02
$245.46
$186.02
$187.00
$245.44
$253.99
$198.75
$231.31
$183.87
$279.42
$218.51
$251.60
$271.07
$241.51
$190.68
$186.04
Part D
Rate
$189.17
$360.26
$286.69
$245.25
$159.86
$220.49
$279.49
$314.04
$301.48
$224.19
$366.88
$272.06
$177.18
$264.37
$164.83
$106.20
$133.58
$213.53
$170.24
$240.03
$259.99
$199.60
$169.13
$180.07
$234.15
$196.35
$201.67
$173.37
$169.79
$232.24
$148.85
$190.31
$205.88
$224.94
$163.51
$178.94
$216.97
$202.98
$230.51
$653.01
$259.89
$205.62
$247.31
$187.36
$188.39
$246.97
$255.93
$199.90
$232.59
$185.56
$281.40
$219.96
$253.34
$272.91
$242.66
$192.29
$187.15
Part D & B
Rate
$187.84
$356.53
$285.28
$243.87
$158.58
$218.89
$277.43
$311.94
$299.55
$222.81
$361.49
$269.86
$175.97
$262.40
$163.69
$105.54
$132.44
$211.86
$168.99
$238.28
$258.17
$198.25
$168.15
$178.76
$231.97
$194.84
$199.97
$172.21
$168.58
$230.44
$147.70
$189.01
$204.31
$222.97
$162.40
$177.64
$215.66
$201.30
$228.70
$646.84
$258.25
$204.02
$245.46
$186.02
$187.00
$245.44
$253.99
$198.75
$231.31
$183.87
$279.42
$218.51
$251.60
$271.07
$241.51
$190.68
$186.04
6
NURSING HOMES
APRIL 1, 2013 MEDICAID REIMBURSEMENT RATES
County
Opcert
5002001V
STEUBEN
ERIE
1404000N
QUEENS
7003398N
NASSAU
2904301N
NASSAU
2904301V
CLINTON
0901303N
5151319N
SUFFOLK
5151319V
SUFFOLK
ORLEANS
3622000N
KINGS
7001372N
0501308N
CAYUGA
ERIE
1401008N
FRANKLIN
1620300N
JEFFERSON
2201001N
7000311N
BRONX
WESTCHESTER 5907316N
WESTCHESTER 5907316V
OSWEGO
3701301N
ORANGE
3501304N
QUEENS
7003340N
5157316N
SUFFOLK
ONTARIO
3429300N
2101301N
HERKIMER
5154324N
SUFFOLK
MONROE
2701006N
ORANGE
3561302N
7000345N
BRONX
OSWEGO
3702315N
7000328N
BRONX
7000329N
BRONX
DELAWARE
1226300N
NASSAU
2906305N
FULTON
1701000N
5157315N
SUFFOLK
KINGS
7001386N
NEW YORK
7002358N
QUEENS
7003391N
NEW YORK
7002343N
QUEENS
7003373N
RICHMOND
7004316N
RICHMOND
7004316V
QUEENS
7003405N
KINGS
7001309N
QUEENS
7003383N
WAYNE
5820302N
3154302N
NIAGARA
ERIE
1401316N
3102311N
NIAGARA
3160301N
NIAGARA
NASSAU
2951305N
WESTCHESTER 5968302N
5501310B
ULSTER
5501310N
ULSTER
5501310T
ULSTER
5501310V
ULSTER
DUTCHESS
1327302N
NEW YORK
7002355N
Name
Mcauley Manor at Mercycar
Mcauley Residence
Meadow Park Rehabilitatio
Meadowbrook Care Center I
Meadowbrook Care Center I
Meadowbrook Healthcare
Medford Multicare Center
Medford Multicare Center
Medina Memorial Hospital
Menorah Home And Hospital
Mercy Health & Rehab Cent
Mercy Hospital Skilled Nu
Mercy Living Center
Mercy of Northern New Yor
Methodist Home For Nursin
Michael Malotz Skilled Nu
Michael Malotz Skilled Nu
Michaud Residential Healt
Middletown Park Rehabilit
Midway Nursing Home
Mills Pond Nursing and Re
MM Ewing Continuing Care
Mohawk Valley Health Care
Momentum at South Bay for
Monroe Community Hospital
Montgomery Nursing and Re
Morningside House Nursing
Morningstar Residential C
Morris Park Nursing Home
Mosholu Parkway Nursing A
Mountainside Residential
Nassau Extended Care Faci
Nathan Littauer Hospital
Nesconset Center for Nurs
New Carlton Rehab and Nur
New East Side Nursing Hom
New Glen Oaks Nursing Hom
New Gouverneur Hospital S
New Surfside Nursing Home
New Vanderbilt Rehabilita
New Vanderbilt Rehabilita
New York Center for Rehab
New York Congregational N
New York State Veterans H
Newark Manor Nursing Home
Newfane Rehabilitation An
Niagara Lutheran Home And
Niagara Rehabilitation an
North Gate Health Care Fa
North Shore University Ho
North Westchester Restora
Northeast Center for Spec
Northeast Center for Spec
Northeast Center for Spec
Northeast Center for Spec
Northern Dutchess Residen
Northern Manhattan Rehabi
Type
Effective
Date
VENT
NF
NF
NF
VENT
NF
NF
VENT
NF
NF
NF
NF
NF
NF
NF
NF
VENT
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
VENT
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NEURO
NF
HEAD IN
VENT
NF
NF
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
Medicare
Non
Eligible
Rate
$413.34
$198.19
$199.92
$230.97
$522.38
$156.38
$323.17
$697.94
$189.53
$289.46
$137.83
$246.54
$218.28
$141.24
$226.87
$266.57
$484.68
$163.62
$171.85
$194.88
$217.23
$186.24
$166.50
$231.76
$259.48
$190.77
$274.31
$146.06
$222.15
$204.26
$192.01
$252.48
$196.24
$239.85
$211.96
$224.11
$263.11
$288.18
$188.64
$245.76
$609.94
$308.20
$240.19
$222.32
$173.84
$144.31
$140.37
$157.01
$189.82
$239.40
$222.03
$309.38
$271.58
$296.83
$494.85
$172.74
$273.52
Medicare
Eligible
Rate
$411.72
$196.67
$198.05
$229.23
$516.35
$155.20
$321.03
$690.18
$188.42
$287.49
$136.69
$245.10
$217.15
$140.13
$225.12
$264.68
$479.57
$162.42
$170.26
$193.18
$215.13
$184.83
$165.19
$229.65
$257.84
$188.96
$272.34
$144.99
$220.16
$202.58
$190.77
$250.66
$194.98
$238.12
$210.04
$222.57
$261.07
$286.14
$187.13
$243.74
$609.94
$306.27
$238.38
$220.71
$172.53
$143.20
$139.25
$155.69
$188.04
$237.73
$220.53
$305.49
$269.71
$292.69
$489.71
$171.54
$271.49
Part D
Rate
$413.34
$198.19
$199.92
$230.97
$522.38
$156.38
$323.17
$697.94
$189.53
$289.46
$137.83
$246.54
$218.28
$141.24
$226.87
$266.57
$484.68
$163.62
$171.85
$194.88
$217.23
$186.24
$166.50
$231.76
$259.48
$190.77
$274.31
$146.06
$222.15
$204.26
$192.01
$252.48
$196.24
$239.85
$211.96
$224.11
$263.11
$288.18
$188.64
$245.76
$609.94
$308.20
$240.19
$222.32
$173.84
$144.31
$140.37
$157.01
$189.82
$239.40
$222.03
$309.38
$271.58
$296.83
$494.85
$172.74
$273.52
Part D & B
Rate
$411.72
$196.67
$198.05
$229.23
$516.35
$155.20
$321.03
$690.18
$188.42
$287.49
$136.69
$245.10
$217.15
$140.13
$225.12
$264.68
$479.57
$162.42
$170.26
$193.18
$215.13
$184.83
$165.19
$229.65
$257.84
$188.96
$272.34
$144.99
$220.16
$202.58
$190.77
$250.66
$194.98
$238.12
$210.04
$222.57
$261.07
$286.14
$187.13
$243.74
$609.94
$306.27
$238.38
$220.71
$172.53
$143.20
$139.25
$155.69
$188.04
$237.73
$220.53
$305.49
$269.71
$292.69
$489.71
$171.54
$271.49
7
NURSING HOMES
APRIL 1, 2013 MEDICAID REIMBURSEMENT RATES
County
Opcert
ROCKLAND
4350304N
4350304V
ROCKLAND
ROCKLAND
4353301N
ROCKLAND
4321302N
0526303N
CAYUGA
KINGS
7001316N
CHENANGO
0824304N
3353301N
ONONDAGA
ROCKLAND
4350302N
CHENANGO
0825301N
WESTCHESTER 5951300N
TOMPKINS
5401310N
5151315N
SUFFOLK
QUEENS
7003401N
NASSAU
2950314N
QUEENS
7003354N
3101305N
NIAGARA
MADISON
2601001N
MADISON
2601001V
ONTARIO
3429302N
ORLEANS
3622303N
NASSAU
2910000N
OTSEGO
3859300N
5154319N
SUFFOLK
0153300N
ALBANY
0155301N
ALBANY
3121303N
NIAGARA
KINGS
7001373N
QUEENS
7003306N
MONTGOMERY 2851301N
7000347N
BRONX
KINGS
7001391N
KINGS
7001391V
NASSAU
2902306N
7000382N
BRONX
QUEENS
7003364N
MONROE
2754302N
QUEENS
7003374N
QUEENS
7003374T
QUEENS
7003307N
NASSAU
2952301N
SCHENECTADY 4652302N
SCHENECTADY 4652302T
SCHENECTADY 4652302V
5155000N
SUFFOLK
5127301N
SUFFOLK
7000338N
BRONX
MONROE
2761303N
QUEENS
7003308N
YATES
6120300N
5154325N
SUFFOLK
1021300N
COLUMBIA
ROCKLAND
4353303N
WASHINGTON 5750300N
OSWEGO
3702313N
WESTCHESTER 5906303N
3227303N
ONEIDA
Name
Northern Manor Geriatric
Northern Manor Geriatric
Northern Metropolitan Res
Northern Riverview Health
Northwoods Rehab and Exte
Norwegian Christian Home
Norwich Rehabilitation &
Nottingham Residential He
Nyack Manor Nursing Home
NYS Veterans Home
NYS Veterans Home at Mont
Oak Hill Manor Nursing Ho
Oak Hollow Nursing Center
Ocean Promenade Nursing C
Oceanside Care Center Inc
Oceanview Nursing & Rehab
Odd Fellow & Rebekah Reha
Oneida Healthcare
Oneida Healthcare
Ontario County Health Fac
Orchard Manor Rehabilitat
Orzac Center for Extended
Otsego Manor
Our Lady of Consolation N
Our Lady Of Hope Residenc
Our Lady Of Mercy Life Ce
Our Lady of Peace Nursing
Oxford Nursing Home
Ozanam Hall Of Queens Nur
Palatine Nursing Home
Palisade Nursing Home Com
Palm Gardens Care Center
Palm Gardens Care Center
Park Avenue Extended Care
Park Gardens Rehabilitati
Park Nursing Home
Park Ridge Nursing Home
Park Terrace Care Center
Park Terrace Care Center
Parker Jewish Institute f
Parkview Care and Rehabil
Pathways Nursing and Reha
Pathways Nursing and Reha
Pathways Nursing and Reha
Peconic Bay Skilled Nursi
Peconic Landing at Southo
Pelham Parkway Nursing an
Penfield Place LLC
Peninsula Center For Exte
Penn Yan Manor Nursing Ho
Petite Fleur Nursing Home
Pine Haven Home
Pine Valley Center for Re
Pleasant Valley
Pontiac Nursing Home
Port Chester Nursing and
Presbyterian Home For Cen
Type
Effective
Date
NF
VENT
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
VENT
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
VENT
NF
NF
NF
NF
NF
HEAD IN
NF
NF
NF
HEAD IN
VENT
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
Medicare
Non
Eligible
Rate
$254.46
$606.05
$228.99
$235.37
$145.31
$232.79
$170.25
$195.25
$175.84
$246.59
$265.96
$151.93
$205.24
$298.53
$229.93
$224.29
$193.48
$186.60
$494.03
$172.22
$165.32
$215.73
$193.63
$263.70
$155.40
$199.69
$185.87
$199.15
$253.57
$148.14
$258.77
$278.72
$628.57
$256.45
$224.08
$178.92
$228.00
$262.65
$508.78
$330.07
$194.82
$267.91
$431.44
$599.90
$305.83
$294.55
$206.60
$179.07
$224.74
$143.44
$231.59
$172.68
$227.51
$157.14
$137.29
$214.95
$153.77
Medicare
Eligible
Rate
$252.38
$605.63
$227.00
$233.45
$144.35
$231.23
$168.75
$194.07
$174.52
$245.14
$264.42
$150.97
$203.56
$296.21
$228.00
$222.34
$192.03
$185.39
$489.50
$170.99
$163.73
$213.95
$192.36
$261.82
$154.28
$198.22
$184.68
$197.38
$251.74
$147.06
$256.83
$276.60
$622.75
$254.56
$222.19
$177.29
$226.61
$260.74
$503.71
$328.04
$193.19
$265.94
$431.44
$595.19
$304.29
$293.30
$204.84
$177.55
$222.98
$142.52
$229.56
$171.35
$225.62
$155.98
$136.23
$213.23
$152.62
Part D
Rate
$254.46
$606.05
$228.99
$235.37
$145.31
$232.79
$170.25
$195.25
$175.84
$246.59
$265.96
$151.93
$205.24
$298.53
$229.93
$224.29
$193.48
$186.60
$494.03
$172.22
$165.32
$215.73
$193.63
$263.70
$155.40
$199.69
$185.87
$199.15
$253.57
$148.14
$258.77
$278.72
$628.57
$256.45
$224.08
$178.92
$228.00
$262.65
$508.78
$330.07
$194.82
$267.91
$431.44
$599.90
$305.83
$294.55
$206.60
$179.07
$224.74
$143.44
$231.59
$172.68
$227.51
$157.14
$137.29
$214.95
$153.77
Part D & B
Rate
$252.38
$605.63
$227.00
$233.45
$144.35
$231.23
$168.75
$194.07
$174.52
$245.14
$264.42
$150.97
$203.56
$296.21
$228.00
$222.34
$192.03
$185.39
$489.50
$170.99
$163.73
$213.95
$192.36
$261.82
$154.28
$198.22
$184.68
$197.38
$251.74
$147.06
$256.83
$276.60
$622.75
$254.56
$222.19
$177.29
$226.61
$260.74
$503.71
$328.04
$193.19
$265.94
$431.44
$595.19
$304.29
$293.30
$204.84
$177.55
$222.98
$142.52
$229.56
$171.35
$225.62
$155.98
$136.23
$213.23
$152.62
8
NURSING HOMES
APRIL 1, 2013 MEDICAID REIMBURSEMENT RATES
County
Opcert
QUEENS
7003386N
7003386V
QUEENS
7000306N
BRONX
PUTNAM
3951301N
PUTNAM
3950302N
QUEENS
7003303N
QUEENS
7003390N
QUEENS
7003404N
QUEENS
7003361N
QUEENS
7003361T
ROCKLAND
4329301N
7000314N
BRONX
QUEENS
7003397N
7000356N
BRONX
WESTCHESTER 5907315N
QUEENS
7003392N
DUTCHESS
1356302N
QUEENS
7003330N
QUEENS
7003330V
RICHMOND
7004324A
RICHMOND
7004324B
RICHMOND
7004324N
RICHMOND
7004324T
ERIE
1401336N
KINGS
7001378N
MONTGOMERY 2801304N
DUTCHESS
1302307N
7000357N
BRONX
5155301N
SUFFOLK
ST LAWRENCE 4401302N
RENSSELAER 4124300N
5324302N
TIOGA
NEW YORK
7002353A
NEW YORK
7002353N
DELAWARE
1225000N
QUEENS
7003362N
QUEENS
7003362V
NASSAU
2909304N
3201310N
ONEIDA
3201002N
ONEIDA
ERIE
1451304N
SULLIVAN
5262300N
3301323N
ONONDAGA
RENSSELAER 4152304N
5154320N
SUFFOLK
KINGS
7001033N
KINGS
7001033V
KINGS
7001371N
WESTCHESTER 5960304N
JEFFERSON
2201000N
5127302N
SUFFOLK
NASSAU
2951304N
WESTCHESTER 5907317N
4501000N
SARATOGA
4520301N
SARATOGA
7000315N
BRONX
ORANGE
3529301N
Name
Promenade Rehabilitation
Promenade Rehabilitation
Providence Rest
Putnam Nursing and Rehabi
Putnam Ridge
Queen Of Peace Residence
Queens Boulevard Extended
Queens Center for Rehabil
Queens Nassau Rehabilitat
Queens Nassau Rehabilitat
Ramapo Manor Center for R
Rebekah Rehab and Extende
Regal Heights Rehabilitat
Regeis Care Center
Regency Extended Care Cen
Rego Park Nursing Home
Renaissance Rehabilitatio
Resort Nursing Home
Resort Nursing Home
Richmond Center for Rehab
Richmond Center for Rehab
Richmond Center for Rehab
Richmond Center for Rehab
Ridge View Manor LLC
River Manor Care Center
River Ridge Living Center
River Valley Care Center
Riverdale Nursing Home
Riverhead Care Center LLC
Riverledge Health Care an
Riverside Center for Reha
Riverview Manor Health Ca
Rivington House-The Nicho
Rivington House-The Nicho
Robinson Terrace
Rockaway Care Center
Rockaway Care Center
Rockville Skilled Nursing
Rome Center for Rehabilit
Rome Memorial Hospital In
Rosa Coplon Jewish Home
Roscoe Community Nursing
Rosewood Heights Health C
Rosewood Rehabilitation a
Ross Health Care Center
Rutland Nursing Home Co I
Rutland Nursing Home Co I
Saints Joachim & Anne Nur
Salem Hills Rehabilitatio
Samaritan Keep Nursing Ho
San Simeon by the Sound C
Sands Point Center For He
Sans Souci Rehabilitation
Saratoga Care Nursing Hom
Saratoga County Maplewood
Schervier Nursing Care Ce
Schervier Pavilion
Type
Effective
Date
NF
VENT
NF
NF
NF
NF
NF
NF
NF
HEAD IN
NF
NF
NF
NF
NF
NF
NF
NF
VENT
AIDS
NEURO
NF
HEAD IN
NF
NF
NF
NF
NF
NF
NF
NF
NF
AIDS
NF
NF
NF
VENT
NF
NF
NF
NF
NF
NF
NF
NF
NF
VENT
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
Medicare
Non
Eligible
Rate
$205.12
$559.74
$339.91
$170.43
$241.89
$207.56
$275.87
$268.28
$267.00
$505.21
$248.57
$293.22
$261.61
$315.03
$221.13
$210.94
$162.43
$228.49
$613.69
$449.74
$430.74
$280.83
$671.55
$145.94
$247.22
$182.11
$207.63
$180.83
$228.02
$184.23
$178.67
$159.33
$468.32
$191.05
$161.85
$212.59
$486.42
$245.45
$169.79
$213.36
$195.51
$194.50
$155.78
$190.20
$244.41
$359.08
$575.64
$271.10
$221.68
$153.32
$210.53
$252.88
$224.35
$226.38
$179.51
$273.67
$198.97
Medicare
Eligible
Rate
$203.28
$553.22
$337.77
$168.89
$240.19
$206.33
$273.90
$265.99
$265.20
$499.25
$246.52
$291.25
$259.64
$312.31
$219.07
$209.10
$161.01
$226.58
$607.04
$443.66
$425.03
$278.47
$663.18
$144.74
$245.16
$180.72
$206.15
$179.23
$225.96
$183.15
$177.26
$158.02
$460.81
$189.40
$160.75
$210.87
$481.34
$243.38
$168.11
$212.03
$194.05
$193.14
$154.70
$188.66
$242.46
$357.00
$569.51
$269.21
$220.00
$152.22
$209.06
$250.94
$222.40
$224.99
$178.00
$271.67
$197.49
Part D
Rate
$205.12
$559.74
$339.91
$170.43
$241.89
$207.56
$275.87
$268.28
$267.00
$505.21
$248.57
$293.22
$261.61
$315.03
$221.13
$210.94
$162.43
$228.49
$613.69
$449.74
$430.74
$280.83
$671.55
$145.94
$247.22
$182.11
$207.63
$180.83
$228.02
$184.23
$178.67
$159.33
$468.32
$191.05
$161.85
$212.59
$486.42
$245.45
$169.79
$213.36
$195.51
$194.50
$155.78
$190.20
$244.41
$359.08
$575.64
$271.10
$221.68
$153.32
$210.53
$252.88
$224.35
$226.38
$179.51
$273.67
$198.97
Part D & B
Rate
$203.28
$553.22
$337.77
$168.89
$240.19
$206.33
$273.90
$265.99
$265.20
$499.25
$246.52
$291.25
$259.64
$312.31
$219.07
$209.10
$161.01
$226.58
$607.04
$443.66
$425.03
$278.47
$663.18
$144.74
$245.16
$180.72
$206.15
$179.23
$225.96
$183.15
$177.26
$158.02
$460.81
$189.40
$160.75
$210.87
$481.34
$243.38
$168.11
$212.03
$194.05
$193.14
$154.70
$188.66
$242.46
$357.00
$569.51
$269.21
$220.00
$152.22
$209.06
$250.94
$222.40
$224.99
$178.00
$271.67
$197.49
9
NURSING HOMES
APRIL 1, 2013 MEDICAID REIMBURSEMENT RATES
County
Opcert
WESTCHESTER 5902314N
3102307N
NIAGARA
ERIE
1404300N
KINGS
7001318A
KINGS
7001318N
KINGS
7001318V
4823000N
SCHUYLER
RICHMOND
7004304N
RICHMOND
7004304T
KINGS
7001390N
ERIE
1474301N
OSWEGO
3702312N
4921303N
SENECA
KINGS
7001303N
4552300N
SARATOGA
KINGS
7001362N
ERIE
1403303N
KINGS
7001342N
KINGS
7001376N
RICHMOND
7004323N
RICHMOND
7004323V
QUEENS
7003372N
QUEENS
7003372V
WESTCHESTER 5921302N
5157314N
SUFFOLK
YATES
6120000B
YATES
6120000N
WESTCHESTER 5966300N
NASSAU
2904300N
NASSAU
2904300V
7000384N
BRONX
7000384V
BRONX
WESTCHESTER 5910301N
KINGS
7001384N
MONROE
2757300N
MONROE
2757301N
7000371A
BRONX
7000371N
BRONX
7000371V
BRONX
WESTCHESTER 5925300N
3301321N
ONONDAGA
3301321T
ONONDAGA
ERIE
1401324N
5157312N
SUFFOLK
ERIE
1421300N
5157317N
SUFFOLK
5157311N
SUFFOLK
5157311T
SUFFOLK
MONROE
2701353N
MONTGOMERY 2828300N
3202310N
ONEIDA
ST LAWRENCE 4401300N
WESTCHESTER 5907314N
CHEMUNG
0701001N
ORANGE
3535001N
OSWEGO
3702309N
3227305N
ONEIDA
Name
Schnurmacher Center for R
Schoellkopf Health Center
Schofield Residence
Schulman and Schachne Ins
Schulman and Schachne Ins
Schulman and Schachne Ins
Schuyler Hospital Inc And
Sea View Hospital Rehabil
Sea View Hospital Rehabil
Sea-Crest Health Care Cen
Seneca Health Care Center
Seneca Hill Manor Inc
Seneca Nursing and Rehabi
Sephardic Skilled Nursing
Seton Health at Schuyler
Sheepshead Nursing and Re
Sheridan Manor LLC
Shore View Nursing Home
Shorefront Jewish Geriatr
Silver Lake Specialized R
Silver Lake Specialized R
Silvercrest
Silvercrest
Sky View Rehabilitation a
Smithtown Center for Reha
Soldiers And Sailors Memo
Soldiers And Sailors Memo
Somers Manor Nursing Home
South Shore Healthcare
South Shore Healthcare
Split Rock Rehabilitation
Split Rock Rehabilitation
Sprain Brook Manor Rehab
Spring Creek Rehabilitati
St Anns Community (Aged)
St Anns Community (NH)
St Barnabas Rehabilitatio
St Barnabas Rehabilitatio
St Barnabas Rehabilitatio
St Cabrini Nursing Home
St Camillus Residential H
St Camillus Residential H
St Catherine Laboure Heal
St Catherine of Siena Nur
St Francis Home Of Willia
St James Rehabilitation &
St Johnland Nursing Cente
St Johnland Nursing Cente
St Johns Health Care Corp
St Johnsville Rehabilitat
St Joseph Nursing Home Co
St Josephs Home
St Josephs Hosp Nursing H
St Josephs Hospital - Ski
St Josephs Place
St Luke Residential Healt
St Lukes Home
Type
Effective
Date
NF
NF
NF
AIDS
NF
VENT
NF
NF
HEAD IN
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
VENT
NF
VENT
NF
NF
NEURO
NF
NF
NF
VENT
NF
VENT
NF
NF
NF
NF
AIDS
NF
VENT
NF
NF
HEAD IN
NF
NF
NF
NF
NF
HEAD IN
NF
NF
NF
NF
NF
NF
NF
NF
NF
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
Medicare
Non
Eligible
Rate
$237.55
$196.36
$149.11
$521.87
$285.15
$698.10
$165.74
$277.37
$553.15
$246.61
$188.55
$180.28
$169.43
$271.76
$174.90
$238.30
$145.51
$254.25
$298.75
$219.90
$536.79
$316.87
$633.06
$232.58
$274.16
$332.62
$157.55
$226.42
$226.49
$496.05
$274.50
$638.14
$242.50
$295.71
$235.15
$164.51
$464.79
$269.49
$658.11
$302.57
$180.74
$375.38
$205.13
$228.04
$175.48
$252.28
$261.18
$588.19
$207.05
$164.43
$150.18
$176.38
$237.58
$197.00
$239.17
$163.77
$168.01
Medicare
Eligible
Rate
$235.77
$194.88
$147.97
$515.36
$283.39
$689.87
$164.71
$275.44
$548.81
$244.69
$186.88
$179.03
$168.08
$269.74
$173.64
$236.10
$144.39
$252.40
$296.51
$218.17
$531.68
$314.46
$627.15
$230.84
$272.12
$329.60
$156.57
$224.70
$224.83
$490.31
$272.46
$632.62
$240.30
$293.83
$233.62
$163.26
$458.52
$267.66
$650.84
$300.64
$179.47
$372.36
$203.70
$226.12
$174.02
$250.17
$259.25
$581.83
$205.80
$163.10
$149.14
$175.29
$235.68
$195.71
$237.55
$162.61
$166.60
Part D
Rate
$237.55
$196.36
$149.11
$521.87
$285.15
$698.10
$165.74
$277.37
$553.15
$246.61
$188.55
$180.28
$169.43
$271.76
$174.90
$238.30
$145.51
$254.25
$298.75
$219.90
$536.79
$316.87
$633.06
$232.58
$274.16
$332.62
$157.55
$226.42
$226.49
$496.05
$274.50
$638.14
$242.50
$295.71
$235.15
$164.51
$464.79
$269.49
$658.11
$302.57
$180.74
$375.38
$205.13
$228.04
$175.48
$252.28
$261.18
$588.19
$207.05
$164.43
$150.18
$176.38
$237.58
$197.00
$239.17
$163.77
$168.01
Part D & B
Rate
$235.77
$194.88
$147.97
$515.36
$283.39
$689.87
$164.71
$275.44
$548.81
$244.69
$186.88
$179.03
$168.08
$269.74
$173.64
$236.10
$144.39
$252.40
$296.51
$218.17
$531.68
$314.46
$627.15
$230.84
$272.12
$329.60
$156.57
$224.70
$224.83
$490.31
$272.46
$632.62
$240.30
$293.83
$233.62
$163.26
$458.52
$267.66
$650.84
$300.64
$179.47
$372.36
$203.70
$226.12
$174.02
$250.17
$259.25
$581.83
$205.80
$163.10
$149.14
$175.29
$235.68
$195.71
$237.55
$162.61
$166.60
10
NURSING HOMES
APRIL 1, 2013 MEDICAID REIMBURSEMENT RATES
County
Opcert
7002349A
NEW YORK
7000307N
BRONX
0101305N
ALBANY
ST LAWRENCE 4402303N
7000366N
BRONX
RICHMOND
7004314N
STEUBEN
5022300N
5123305N
SUFFOLK
SULLIVAN
5220301N
ROCKLAND
4353000N
NASSAU
2951307N
3321301N
ONONDAGA
5154312N
SUFFOLK
3221301N
ONEIDA
BROOME
0303307N
WESTCHESTER 5904320N
3327301N
ONONDAGA
WESTCHESTER 5911302N
5567301N
ULSTER
NEW YORK
7002345A
NEW YORK
7002345N
0101313N
ALBANY
7000378N
BRONX
ERIE
1401005N
ERIE
1401005V
NASSAU
2951308N
SCHENECTADY 4601306N
DUTCHESS
1327301N
MONROE
2750307N
RENSSELAER 4120300N
JEFFERSON
2238303N
3334303N
ONONDAGA
SCHENECTADY 4654302N
MONROE
2750301N
NASSAU
2909305N
5126303N
SUFFOLK
KINGS
7001392N
MONROE
2750306B
MONROE
2750306N
MONROE
2750306V
MONROE
2763300N
MONROE
2750308N
NASSAU
2902302N
5522302N
ULSTER
WASHINGTON 5725303N
GREENE
1921303N
WARREN
5601307N
DUTCHESS
1302308N
3202315N
ONEIDA
CATTARAUGUS 0401303N
CATTARAUGUS 0469300N
MONROE
2701359N
RENSSELAER 4102312N
WARREN
5601306N
ORANGE
3523301N
ORLEANS
3620300N
WESTCHESTER 5903309N
Name
St Marys Center Inc
St Patricks Home
St Peters Nursing and Reh
St Regis Nursing Home Inc
St Vincent Depaul Residen
Staten Island Care Center
Steuben County Infirmary
Suffolk Center for Rehabi
Sullivan County Adult Car
Summit Park Nursing Care
Sunharbor Manor
Sunnyside Care Center
Sunrise Manor Center for
Sunset Nursing and Rehabi
Susquehanna Nursing & Reh
Sutton Park Center for Nu
Syracuse Home Association
Tarrytown Hall Care Cente
Ten Broeck Commons
Terence Cardinal Cooke He
Terence Cardinal Cooke He
Teresian House Nursing Ho
Terrace Health Care Cente
Terrace View Long Term Ca
Terrace View Long Term Ca
The Amsterdam at Harborsi
The Avenue Nursing and Re
The Baptist Home at Brook
The Brightonian Inc
The Center for Nursing an
The Country Manor Nursing
The Crossings Nursing and
The Dutch Manor Nursing a
The Friendly Home
The Grand Pavilion for Re
The Hamptons Center for R
The Heritage Rehabilitati
The Highlands at Brighton
The Highlands at Brighton
The Highlands at Brighton
The Highlands Living Cent
The Hurlbut
The Komanoff Center for G
The Mountain View Nursing
The Orchard Nursing and R
The Pines at Catskill Cen
The Pines at Glens Falls
The Pines at Poughkeepsie
The Pines at Utica Center
The Pines Healthcare & Re
The Pines Healthcare & Re
The Shore Winds LLC
The Springs Nursing and R
The Stanton Nursing and R
The Valley View Center fo
The Villages of Orleans H
The Wartburg Home
Type
Effective
Date
AIDS
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
AIDS
NF
NF
NF
NF
VENT
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NEURO
NF
VENT
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
Medicare
Non
Eligible
Rate
$422.94
$218.94
$211.06
$148.82
$231.32
$230.04
$231.98
$242.81
$190.16
$265.89
$237.08
$152.06
$245.40
$146.26
$188.13
$206.77
$206.41
$253.43
$201.78
$456.36
$275.16
$180.57
$202.35
$245.04
$529.34
$210.94
$169.78
$170.63
$228.77
$168.96
$139.41
$176.70
$186.83
$211.55
$249.59
$294.72
$259.36
$328.57
$186.06
$464.28
$176.07
$180.16
$264.52
$195.50
$159.21
$203.49
$184.58
$197.58
$203.54
$181.38
$202.25
$171.83
$196.77
$150.04
$235.93
$179.29
$249.60
Medicare
Eligible
Rate
$418.00
$217.35
$209.42
$147.73
$229.69
$228.15
$230.55
$240.69
$188.63
$264.17
$235.21
$150.79
$243.41
$145.13
$186.56
$205.19
$205.13
$251.47
$200.10
$450.55
$273.17
$179.44
$200.83
$243.54
$524.17
$209.26
$168.48
$169.41
$227.09
$167.78
$138.38
$175.44
$185.53
$210.16
$247.65
$292.90
$257.13
$325.06
$184.69
$460.29
$174.97
$178.74
$262.69
$194.12
$157.97
$201.71
$183.11
$195.94
$202.01
$179.95
$200.85
$170.44
$195.27
$148.84
$234.08
$178.06
$247.82
Part D
Rate
$422.94
$218.94
$211.06
$148.82
$231.32
$230.04
$231.98
$242.81
$190.16
$265.89
$237.08
$152.06
$245.40
$146.26
$188.13
$206.77
$206.41
$253.43
$201.78
$456.36
$275.16
$180.57
$202.35
$245.04
$529.34
$210.94
$169.78
$170.63
$228.77
$168.96
$139.41
$176.70
$186.83
$211.55
$249.59
$294.72
$259.36
$328.57
$186.06
$464.28
$176.07
$180.16
$264.52
$195.50
$159.21
$203.49
$184.58
$197.58
$203.54
$181.38
$202.25
$171.83
$196.77
$150.04
$235.93
$179.29
$249.60
Part D & B
Rate
$418.00
$217.35
$209.42
$147.73
$229.69
$228.15
$230.55
$240.69
$188.63
$264.17
$235.21
$150.79
$243.41
$145.13
$186.56
$205.19
$205.13
$251.47
$200.10
$450.55
$273.17
$179.44
$200.83
$243.54
$524.17
$209.26
$168.48
$169.41
$227.09
$167.78
$138.38
$175.44
$185.53
$210.16
$247.65
$292.90
$257.13
$325.06
$184.69
$460.29
$174.97
$178.74
$262.69
$194.12
$157.97
$201.71
$183.11
$195.94
$202.01
$179.95
$200.85
$170.44
$195.27
$148.84
$234.08
$178.06
$247.82
11
NURSING HOMES
APRIL 1, 2013 MEDICAID REIMBURSEMENT RATES
County
Opcert
BRONX
7000386N
CHAUTAUQUA 0663302N
ROCKLAND
4350301N
NASSAU
2950318N
NASSAU
2950318V
1560301N
ESSEX
QUEENS
7003393N
WESTCHESTER 5904309N
MONROE
2701358N
MONROE
2701358V
7000337N
BRONX
2124301N
HERKIMER
CHENANGO
0824303N
3301312N
ONONDAGA
RENSSELAER 4102307N
RICHMOND
7004320N
BROOME
0336301N
WESTCHESTER 5905305N
DUTCHESS
1356303N
NEW YORK
7002335N
3301326N
ONONDAGA
ERIE
1401337N
5149303N
SUFFOLK
WESTCHESTER 5960303N
QUEENS
7003367N
7000350N
BRONX
7000350V
BRONX
WAYNE
5823302N
WAYNE
5820000B
WAYNE
5820000N
WAYNE
5820000V
MONROE
2722301N
FULTON
1702300N
0228305N
ALLEGANY
MONROE
2701352N
4501301N
SARATOGA
QUEENS
7003403N
WESTCHESTER 5901306N
WESTCHESTER 5903311N
WESTCHESTER 5957303N
GENESEE
1801305N
MONROE
2753301N
5158301N
SUFFOLK
WARREN
5601302N
NASSAU
2952306N
WESTCHESTER 5902315N
1059301N
COLUMBIA
1059301V
COLUMBIA
MONTGOMERY 2801001N
7000379N
BRONX
ERIE
1421306N
BROOME
0364301N
QUEENS
7003357N
DUTCHESS
1301301N
DUTCHESS
1301301V
DUTCHESS
1320301N
DUTCHESS
1320301V
Name
Throgs Neck Extended Care
TLC Health Network-Lake S
Tolstoy Foundation Nursin
Townhouse Center for Reha
Townhouse Center for Reha
Uihlein Living Center
Union Plaza Care Center
United Hebrew Geriatric C
Unity Living Center
Unity Living Center
University Nursing Home
Valley Health Services In
Valley View Manor Nursing
Van Duyn Home And Hospita
Van Rensselaer Manor
Verrazano Nursing Home
Vestal Park Rehabilitatio
Victoria Home
Victory Lake Nursing Cent
Villagecare Rehabilitatio
Vivian Teal Howard Reside
Waterfront Center for Reh
Waters Edge at Port Jeffe
Waterview Hills Rehabilit
Waterview Nursing Care Ce
Wayne Center For Nursing
Wayne Center For Nursing
Wayne County Nursing Home
Wayne Health Care
Wayne Health Care
Wayne Health Care
Wedgewood Nursing Home
Wells Nursing Home Inc
Wellsville Manor Care Cen
Wesley Gardens Corporatio
Wesley Health Care Center
West Lawrence Care Center
West Ledge Rehabilitation
Westchester Center for Re
Westchester Meadows
Western New York State Ve
Westgate Nursing Home Inc
Westhampton Care Center
Westmount Health Facility
White Oaks Rehabilitation
White Plains Center For N
Whittier Rehabilitation &
Whittier Rehabilitation &
Wilkinson Residential Hea
Williamsbridge Manor Nurs
Williamsville Suburban LL
Willow Point Nursing Home
Windsor Park Nursing Home
Wingate at Beacon
Wingate at Beacon
Wingate of Dutchess
Wingate of Dutchess
Type
Effective
Date
NF
NF
NF
NF
VENT
NF
NF
NF
NF
VENT
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
VENT
NF
NEURO
NF
VENT
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
VENT
NF
NF
NF
NF
NF
NF
VENT
NF
VENT
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
Medicare
Non
Eligible
Rate
$260.81
$186.39
$175.06
$257.43
$584.09
$156.81
$259.43
$249.11
$211.85
$489.78
$235.93
$161.90
$177.13
$214.26
$205.70
$201.38
$149.07
$255.47
$176.55
$198.07
$191.24
$175.48
$254.64
$215.48
$203.17
$205.57
$528.11
$228.89
$357.41
$225.16
$465.25
$162.72
$153.44
$171.40
$179.74
$197.18
$208.58
$260.43
$214.05
$218.25
$223.94
$166.50
$233.11
$156.99
$201.09
$250.58
$197.56
$398.95
$168.93
$238.89
$136.91
$171.25
$229.78
$200.86
$392.16
$202.10
$485.27
Medicare
Eligible
Rate
$258.84
$184.93
$173.90
$255.54
$578.12
$155.66
$257.49
$247.47
$210.59
$484.81
$233.76
$160.83
$175.79
$212.85
$204.28
$199.64
$147.80
$253.75
$175.31
$196.40
$189.74
$173.83
$252.45
$213.74
$201.48
$204.07
$523.00
$227.40
$354.46
$223.79
$460.65
$161.39
$152.23
$169.88
$178.51
$195.78
$206.80
$258.21
$212.18
$216.16
$222.69
$165.31
$231.30
$155.87
$199.38
$248.84
$196.20
$394.11
$167.70
$236.70
$135.79
$169.93
$227.96
$199.53
$387.09
$200.65
$479.45
Part D
Rate
$260.81
$186.39
$175.06
$257.43
$584.09
$156.81
$259.43
$249.11
$211.85
$489.78
$235.93
$161.90
$177.13
$214.26
$205.70
$201.38
$149.07
$255.47
$176.55
$198.07
$191.24
$175.48
$254.64
$215.48
$203.17
$205.57
$528.11
$228.89
$357.41
$225.16
$465.25
$162.72
$153.44
$171.40
$179.74
$197.18
$208.58
$260.43
$214.05
$218.25
$223.94
$166.50
$233.11
$156.99
$201.09
$250.58
$197.56
$398.95
$168.93
$238.89
$136.91
$171.25
$229.78
$200.86
$392.16
$202.10
$485.27
Part D & B
Rate
$258.84
$184.93
$173.90
$255.54
$578.12
$155.66
$257.49
$247.47
$210.59
$484.81
$233.76
$160.83
$175.79
$212.85
$204.28
$199.64
$147.80
$253.75
$175.31
$196.40
$189.74
$173.83
$252.45
$213.74
$201.48
$204.07
$523.00
$227.40
$354.46
$223.79
$460.65
$161.39
$152.23
$169.88
$178.51
$195.78
$206.80
$258.21
$212.18
$216.16
$222.69
$165.31
$231.30
$155.87
$199.38
$248.84
$196.20
$394.11
$167.70
$236.70
$135.79
$169.93
$227.96
$199.53
$387.09
$200.65
$479.45
12
NURSING HOMES
APRIL 1, 2013 MEDICAID REIMBURSEMENT RATES
County
ULSTER
ULSTER
NASSAU
QUEENS
SUFFOLK
ULSTER
NASSAU
NASSAU
MONROE
BRONX
WYOMING
Opcert
5556301N
5556301V
2952303N
7003336N
5151316N
5522303N
2950315N
2950315V
2750303N
7000309N
6027000N
Name
Wingate of Ulster
Wingate of Ulster
Woodbury Center for Healt
Woodcrest Rehabilitation
Woodhaven Nursing Home
Woodland Pond at New Palt
Woodmere Rehabilitation A
Woodmere Rehabilitation A
Woodside Manor Nursing Ho
Workmens Circle Multicare
Wyoming County Community
Type
NF
VENT
NF
NF
NF
NF
NF
VENT
NF
NF
NF
Effective
Date
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
01-Apr-13
Medicare
Non
Eligible
Rate
$218.36
$547.96
$243.47
$216.08
$219.07
$207.85
$246.90
$683.52
$193.17
$310.30
$170.77
Medicare
Eligible
Rate
$216.91
$540.85
$241.60
$214.27
$217.09
$206.25
$244.91
$682.91
$191.30
$308.40
$169.60
Part D
Rate
$218.36
$547.96
$243.47
$216.08
$219.07
$207.85
$246.90
$683.52
$193.17
$310.30
$170.77
Part D & B
Rate
$216.91
$540.85
$241.60
$214.27
$217.09
$206.25
$244.91
$682.91
$191.30
$308.40
$169.60
13