NURSING HOMES
JANUARY 1, 2012 MEDICAID REIMBURSEMENT RATES
County
NEW YORK
NASSAU
NASSAU
NASSAU
MONROE
ALLEGANY
BROOME
CATTARAUGUS
CATTARAUGUS
CHAUTAUQUA
CHAUTAUQUA
ERIE
ERIE
ERIE
NIAGARA
STEUBEN
SULLIVAN
FRANKLIN
ESSEX
WARREN
SUFFOLK
ALBANY
FRANKLIN
NEW YORK
WESTCHESTER
SUFFOLK
CHEMUNG
KINGS
CAYUGA
OTSEGO
ERIE
SUFFOLK
SUFFOLK
LIVINGSTON
BRONX
MONROE
SCHENECTADY
COLUMBIA
GENESEE
BRONX
WESTCHESTER
NASSAU
NASSAU
TOMPKINS
ERIE
NASSAU
SUFFOLK
SUFFOLK
BRONX
ONEIDA
CHEMUNG
WESTCHESTER
WESTCHESTER
ONEIDA
QUEENS
QUEENS
KINGS
KINGS
MONROE
MONROE
MONROE
WAYNE
QUEENS
BROOME
BROOME
Opcert
7002351A
2950302A
2950302N
2950302V
2725301N
0226302N
0302303N
0420302N
0433303N
0601303N
0675302N
1422303N
1435303N
1461302N
3158302N
5026301N
5220303N
1620300N
1560301N
5655302N
5154323N
0153302N
1624000N
7002356N
5926300N
5153311N
0701000N
7001389N
0501309N
3801000N
1430301N
5157313N
5157313S
2520301N
7000319N
2701357N
4620300N
1023301N
1801306N
7000389N
5904317N
2961302N
2902303N
5401309N
1451306N
2950301N
5151321N
5101301N
7000308N
3201308N
0722301N
5921301N
5905303N
3201307N
7003352N
7003356N
7001395N
7001379N
2701354N
2701360N
2701361N
5828301N
7003309N
0301308N
0301308V
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 MEDICAL CTR-ME
ADIRONDACK MEDICAL CTR-UI
ADIRONDACK TRI-COUNTY NUR
AFFINITY SKILLED LIVING A
ALBANY COUNTY NURSING HOM
ALICE HYDE MEDICAL CENTER
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
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 GERI
BERKSHIRE NURSING & REHAB
BETH ABRAHAM HEALTH SERVI
BETHANY GARDENS SKILLED L
BETHANY NURSING HOME & HE
BETHEL NURSING AND REHABI
BETHEL NURSING HOME COMPA
BETSY ROSS REHABILITATION
BEZALEL REHABILITATION AN
BISHOP CHARLES WALDO MACL
BISHOP FRANCIS J MUGAVERO
BISHOP HENRY B HUCLES EPI
BLOSSOM HEALTH CARE CENTE
BLOSSOM NORTH NURSING AND
BLOSSOM SOUTH NURSING AND
BLOSSOM VIEW NURSING HOME
BRIDGE VIEW NURSING HOME
BRIDGEWATER CENTER FOR RE
Bridgewater Center for Re
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
PEDS
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
VENT
Effective
Date
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
Medicare
Non
Medicare
Eligible
Eligible
Rate
Rate
$410.06
$410.06
$566.12
$571.39
$238.52
$240.07
$727.51
$721.96
$210.25
$209.06
$158.92
$157.97
$158.38
$157.16
$164.87
$163.64
$154.50
$153.47
$145.79
$144.73
$169.40
$168.32
$174.06
$172.95
$147.52
$146.37
$156.90
$155.63
$169.24
$167.94
$158.79
$157.64
$265.21
$263.28
$198.86
$197.82
$151.08
$150.11
$158.54
$157.52
$276.67
$274.80
$190.71
$189.37
$203.08
$201.96
$292.02
$290.33
$182.21
$180.88
$264.54
$262.47
$197.51
$196.21
$249.21
$247.54
$145.93
$144.92
$173.88
$172.82
$186.13
$184.53
$259.27
$257.34
$528.00
$528.00
$154.91
$153.71
$210.87
$209.01
$151.39
$150.50
$153.41
$152.36
$171.18
$169.81
$139.80
$138.71
$254.45
$252.79
$186.05
$184.66
$242.81
$241.11
$231.44
$229.92
$145.72
$144.79
$175.59
$174.59
$279.39
$277.54
$202.22
$200.35
$215.56
$214.07
$289.25
$287.58
$180.71
$179.37
$152.52
$151.48
$233.27
$231.90
$236.29
$234.84
$143.94
$142.83
$217.00
$215.43
$210.95
$209.52
$209.00
$207.51
$225.46
$223.80
$141.52
$140.44
$155.00
$153.99
$139.84
$138.75
$166.24
$165.01
$177.45
$175.98
$178.33
$176.97
$524.84
$519.28
Part D
Part D &
Rate
B Rate
$410.06 $410.06
$571.39 $566.12
$240.07 $238.52
$727.51 $721.96
$210.25 $209.06
$158.92 $157.97
$158.38 $157.16
$164.87 $163.64
$154.50 $153.47
$145.79 $144.73
$169.40 $168.32
$174.06 $172.95
$147.52 $146.37
$156.90 $155.63
$169.24 $167.94
$158.79 $157.64
$265.21 $263.28
$198.86 $197.82
$151.08 $150.11
$158.54 $157.52
$276.67 $274.80
$190.71 $189.37
$203.08 $201.96
$292.02 $290.33
$182.21 $180.88
$264.54 $262.47
$197.51 $196.21
$249.21 $247.54
$145.93 $144.92
$173.88 $172.82
$186.13 $184.53
$259.27 $257.34
$528.00 $528.00
$154.91 $153.71
$210.87 $209.01
$151.39 $150.50
$153.41 $152.36
$171.18 $169.81
$139.80 $138.71
$254.45 $252.79
$186.05 $184.66
$242.81 $241.11
$231.44 $229.92
$145.72 $144.79
$175.59 $174.59
$279.39 $277.54
$202.22 $200.35
$215.56 $214.07
$289.25 $287.58
$180.71 $179.37
$152.52 $151.48
$233.27 $231.90
$236.29 $234.84
$143.94 $142.83
$217.00 $215.43
$210.95 $209.52
$209.00 $207.51
$225.46 $223.80
$141.52 $140.44
$155.00 $153.99
$139.84 $138.75
$166.24 $165.01
$177.45 $175.98
$178.33 $176.97
$524.84 $519.28
1
NURSING HOMES
JANUARY 1, 2012 MEDICAID REIMBURSEMENT RATES
County
NIAGARA
SUFFOLK
BRONX
BRONX
BRONX
BRONX
SUFFOLK
QUEENS
KINGS
KINGS
KINGS
ERIE
KINGS
ERIE
ERIE
NEW YORK
KINGS
ORANGE
ERIE
SUFFOLK
RICHMOND
JEFFERSON
BRONX
KINGS
SULLIVAN
CAYUGA
SUFFOLK
WESTCHESTER
KINGS
NASSAU
ONONDAGA
CLINTON
QUEENS
ONEIDA
CHENANGO
CHAUTAUQUA
CHEMUNG
CHENANGO
MONROE
QUEENS
QUEENS
ONTARIO
ONTARIO
CLINTON
RICHMOND
KINGS
NASSAU
NASSAU
NEW YORK
NEW YORK
MADISON
KINGS
KINGS
BRONX
BRONX
LIVINGSTON
CORTLAND
CORTLAND
WESTCHESTER
DELAWARE
SUFFOLK
MONROE
MADISON
KINGS
ALLEGANY
Opcert
3101300N
5120301N
7000381N
7000380N
7000364A
7000364N
5123304N
7003399N
7001388N
7001308N
7001382N
1456300N
7001383N
1401001N
1401001S
7002350N
7001307N
3557302N
1421305N
5153306N
7004310N
2238001N
7000373A
7001366N
5263000N
0566301N
5151320N
5905308N
7001354N
2952308N
3301326N
0901001N
7003351N
3227304N
0823300N
0601300N
0701301N
0824000N
2701339N
7003380N
7003380V
3421000N
3421000V
0952300N
7004321N
7001323N
2952307N
2952307V
7002336N
7002337N
2625000N
7001348V
7001348N
7000375N
7000375V
2525301N
1101307N
1101306N
5901304N
1254301N
5151314N
2762301N
2623300N
7001367N
0226000N
Name
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
BUFFALO GENERAL HOSPITAL
Buffalo General Hospital
CABRINI CENTER FOR NURSIN
CABS NURSING HOME COMPANY
CAMPBELL HALL REHABILITAT
CANTERBURY WOODS
CARILLON NURSING AND REHA
CARMEL RICHMOND HEALTHCAR
CARTHAGE AREA HOSPITAL
Casa Promesa
CATON PARK NURSING HOME
CATSKILL REGIONAL MEDICAL
CAYUGA COUNTY NURSING HOM
CEDAR LODGE NURSING HOME
CEDAR MANOR NURSING & REH
CENTER FOR NURSING & REHA
CENTRAL ISLAND HEALTHCARE
CENTRAL PARK REHABILITATI
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
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
COLD SPRING HILLS CENTER
COLER MEMORIAL HOSPITAL S
COLER-GOLDWATER SPECIALTY
COMMUNITY MEMORIAL HOSPIT
Concord Nursing Home Inc
CONCORD NURSING HOME INC
CONCOURSE REHABILITATION
Concourse Rehabilitation
CONESUS LAKE NURSING HOME
CORTLAND CARE CENTER
CORTLAND REGIONAL MEDICAL
CORTLANDT HEALTHCARE LLC
COUNTRYSIDE CARE CENTER
CREST HALL CARE CENTER
CREST MANOR LIVING AND RE
CROUSE COMMUNITY CENTER I
CROWN NURSING AND REHABIL
CUBA MEMORIAL HOSPITAL IN
Type
NF
NF
NF
NF
AIDS
NF
NF
NF
NF
NF
NF
NF
NF
NF
PEDS
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
VENT
NF
VENT
NF
NF
NF
NF
VENT
NF
NF
NF
VENT
NF
NF
VENT
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
Effective
Date
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
Medicare
Non
Medicare
Eligible
Eligible
Rate
Rate
$155.06
$154.08
$249.51
$247.77
$271.33
$269.33
$194.98
$193.21
$461.10
$455.86
$244.81
$243.35
$283.08
$280.84
$226.98
$225.32
$239.09
$237.01
$245.76
$244.19
$190.12
$188.33
$154.40
$153.42
$252.89
$251.43
$202.34
$201.06
$544.00
$544.00
$233.77
$231.95
$183.71
$182.39
$162.91
$161.65
$215.63
$214.60
$229.90
$228.04
$270.38
$268.62
$166.19
$165.27
$416.56
$411.40
$180.87
$179.46
$228.37
$226.88
$159.74
$158.59
$218.01
$216.48
$195.42
$193.83
$242.86
$241.11
$236.94
$235.38
$188.75
$187.33
$234.87
$233.69
$193.80
$192.46
$246.23
$245.10
$140.61
$139.65
$181.72
$180.57
$183.84
$182.73
$192.94
$192.01
$185.45
$184.08
$204.87
$203.15
$691.69
$684.61
$185.63
$184.55
$570.34
$569.72
$158.18
$156.90
$236.99
$235.21
$255.60
$253.94
$265.46
$263.60
$804.44
$796.44
$279.02
$277.39
$286.00
$284.39
$189.95
$188.80
$593.86
$587.89
$235.54
$234.13
$259.73
$258.09
$608.23
$601.65
$167.47
$166.39
$149.35
$148.28
$206.94
$205.89
$208.32
$206.81
$161.80
$160.82
$183.23
$181.85
$174.74
$173.52
$162.54
$161.44
$227.79
$225.99
$176.80
$175.96
Part D
Part D &
Rate
B Rate
$155.06 $154.08
$249.51 $247.77
$271.33 $269.33
$194.98 $193.21
$461.10 $455.86
$244.81 $243.35
$283.08 $280.84
$226.98 $225.32
$239.09 $237.01
$245.76 $244.19
$190.12 $188.33
$154.40 $153.42
$252.89 $251.43
$202.34 $201.06
$544.00 $544.00
$233.77 $231.95
$183.71 $182.39
$162.91 $161.65
$215.63 $214.60
$229.90 $228.04
$270.38 $268.62
$166.19 $165.27
$416.56 $411.40
$180.87 $179.46
$228.37 $226.88
$159.74 $158.59
$218.01 $216.48
$195.42 $193.83
$242.86 $241.11
$236.94 $235.38
$188.75 $187.33
$234.87 $233.69
$193.80 $192.46
$246.23 $245.10
$140.61 $139.65
$181.72 $180.57
$183.84 $182.73
$192.94 $192.01
$185.45 $184.08
$204.87 $203.15
$691.69 $684.61
$185.63 $184.55
$570.34 $569.72
$158.18 $156.90
$236.99 $235.21
$255.60 $253.94
$265.46 $263.60
$804.44 $796.44
$279.02 $277.39
$286.00 $284.39
$189.95 $188.80
$593.86 $587.89
$235.54 $234.13
$259.73 $258.09
$608.23 $601.65
$167.47 $166.39
$149.35 $148.28
$206.94 $205.89
$208.32 $206.81
$161.80 $160.82
$183.23 $181.85
$174.74 $173.52
$162.54 $161.44
$227.79 $225.99
$176.80 $175.96
2
NURSING HOMES
JANUARY 1, 2012 MEDICAID REIMBURSEMENT RATES
County
SUFFOLK
BRONX
BRONX
ALBANY
NIAGARA
ERIE
NEW YORK
KINGS
KINGS
QUEENS
QUEENS
QUEENS
WESTCHESTER
WESTCHESTER
DUTCHESS
BRONX
SUFFOLK
NASSAU
WYOMING
BRONX
BRONX
ONEIDA
RENSSELAER
ALBANY
ALBANY
MONROE
RICHMOND
WESTCHESTER
DUTCHESS
ORANGE
ORANGE
DUTCHESS
CHEMUNG
ONONDAGA
NIAGARA
ERIE
ERIE
ERIE
ERIE
ERIE
ERIE
TIOGA
ERIE
BROOME
NEW YORK
SCHENECTADY
ONTARIO
QUEENS
ERIE
ERIE
ERIE
RENSSELAER
CLINTON
MONROE
QUEENS
QUEENS
ERIE
DUTCHESS
ERIE
WESTCHESTER
BRONX
BRONX
CAYUGA
QUEENS
QUEENS
Opcert
5150302N
7000342N
7000342V
0101312N
3103000N
1401328N
7002347N
7001393N
7001380N
7003395N
7003395V
7003359N
5904321V
5904321N
1322302N
7000360N
5150303N
2911303N
6027303N
7000383N
7000383V
3239300N
4102311N
0102001N
0151301N
2754304N
7004303N
5931301N
1355301N
3523302N
3502304N
1324302N
0722303N
3331300N
3121301N
1430302N
1406302N
1455301N
1421304N
1421304V
1464301N
5320301N
1451305N
0301307N
7002346S
4601001N
3429303N
7003396N
1420300N
1401005N
1401005V
4152303N
0901301N
2725300N
7003375N
7003315N
1435302N
1327300N
1427302N
5901302N
7000385N
7000385V
0501000N
7003366N
7003407N
Name
DALEVIEW CARE CENTER
DAUGHTERS OF JACOB NURSIN
Daughters Of Jacob Nursin
DAUGHTERS OF SARAH NURSIN
DEGRAFF MEMORIAL HOSPITAL
DELAWARE NURSING & REHABI
DEWITT REHABILITATION 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 MASONIC HOME
DUTCHESS CENTER FOR REHAB
EAST HAVEN NURSING AND RE
EAST NECK NURSING AND REH
EAST ROCKAWAY PROGRESSIVE
EAST SIDE NURSING HOME
EASTCHESTER REHABILITATIO
Eastchester Rehabilitatio
EASTERN STAR HOME & INFIR
EDDY HERITAGE HOUSE NURSI
EDDY VILLAGE GREEN
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 HOME
ELDERWOOD HEALTH CARE BIR
ELDERWOOD HEALTH CARE CRE
ELDERWOOD HEALTH CARE LAK
ELDERWOOD HEALTH CARE LIN
ELDERWOOD HEALTH CARE MAP
ELDERWOOD HEALTH CARE OAK
ELDERWOOD HEALTH CARE OAK
ELDERWOOD HEALTH CARE RIV
ELDERWOOD HEALTH CARE TIO
ELDERWOOD HEALTH CARE WED
ELIZABETH CHURCH MANOR NU
Elizabeth Seton Pediatric
ELLIS RESIDENTIAL & REHAB
ELM MANOR NURSING HOME
ELMHURST CARE CENTER INC
ERIE COUNTY HOME
ERIE COUNTY MEDICAL CENTE
Erie County Medical Cente
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 &
Type
NF
NF
VENT
NF
NF
NF
NF
NF
NF
NF
VENT
NF
VENT
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
VENT
NF
NF
NF
NF
PEDS
NF
NF
NF
NF
NF
VENT
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
VENT
NF
NF
NF
Effective
Date
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
Medicare
Non
Medicare
Eligible
Eligible
Part D
Part D &
Rate
Rate
Rate
B Rate
$203.98
$202.23 $203.98 $202.23
$224.45
$222.78 $224.45 $222.78
$628.70
$622.29 $628.70 $622.29
$183.22
$182.04 $183.22 $182.04
$216.22
$214.85 $216.22 $214.85
$135.39
$134.33 $135.39 $134.33
$282.98
$281.27 $282.98 $281.27
$242.36
$240.31 $242.36 $240.31
$267.74
$266.14 $267.74 $266.14
$257.56
$255.88 $257.56 $255.88
$607.28
$604.85 $607.28 $604.85
$264.32
$262.05 $264.32 $262.05
$598.57
$591.81 $598.57 $591.81
$226.14
$224.22 $226.14 $224.22
$213.04
$211.30 $213.04 $211.30
$203.91
$202.10 $203.91 $202.10
$257.49
$255.59 $257.49 $255.59
$233.51
$232.16 $233.51 $232.16
$151.84
$150.84 $151.84 $150.84
$244.18
$242.23 $244.18 $242.23
$714.85
$708.66 $714.85 $708.66
$161.50
$160.52 $161.50 $160.52
$161.92
$160.82 $161.92 $160.82
$145.64
$144.51 $145.64 $144.51
$183.63
$182.32 $183.63 $182.32
$175.29
$174.19 $175.29 $174.19
$262.57
$260.64 $262.57 $260.64
$180.81
$179.50 $180.81 $179.50
$171.68
$170.30 $171.68 $170.30
$219.15
$217.51 $219.15 $217.51
$188.37
$187.04 $188.37 $187.04
$177.91
$176.62 $177.91 $176.62
$161.34
$160.28 $161.34 $160.28
$207.71
$206.38 $207.71 $206.38
$178.94
$177.73 $178.94 $177.73
$186.45
$185.16 $186.45 $185.16
$169.34
$167.97 $169.34 $167.97
$185.39
$184.06 $185.39 $184.06
$178.47
$176.99 $178.47 $176.99
$501.04
$495.83 $501.04 $495.83
$163.12
$161.84 $163.12 $161.84
$169.68
$168.37 $169.68 $168.37
$184.53
$183.23 $184.53 $183.23
$152.73
$151.62 $152.73 $151.62
$1,010.61 $1,010.61 $1,010.61 $1,010.61
$226.28
$224.73 $226.28 $224.73
$159.24
$158.02 $159.24 $158.02
$244.60
$243.06 $244.60 $243.06
$188.56
$187.21 $188.56 $187.21
$243.61
$242.23 $243.61 $242.23
$529.79
$524.62 $529.79 $524.62
$212.01
$210.55 $212.01 $210.55
$122.85
$121.96 $122.85 $121.96
$202.18
$201.10 $202.18 $201.10
$211.25
$209.42 $211.25 $209.42
$176.42
$175.29 $176.42 $175.29
$174.85
$173.51 $174.85 $173.51
$202.38
$200.88 $202.38 $200.88
$135.75
$134.69 $135.75 $134.69
$231.74
$230.10 $231.74 $230.10
$223.21
$221.47 $223.21 $221.47
$622.09
$614.86 $622.09 $614.86
$198.70
$197.60 $198.70 $197.60
$209.61
$208.07 $209.61 $208.07
$212.02
$210.52 $212.02 $210.52
3
NURSING HOMES
JANUARY 1, 2012 MEDICAID REIMBURSEMENT RATES
County
HERKIMER
QUEENS
QUEENS
WASHINGTON
NEW YORK
STEUBEN
KINGS
KINGS
ERIE
QUEENS
QUEENS
FRANKLIN
ROCKLAND
ROCKLAND
NASSAU
FULTON
NASSAU
ERIE
GENESEE
ORANGE
NASSAU
WESTCHESTER
SCHENECTADY
NASSAU
BRONX
RICHMOND
ULSTER
ALBANY
SUFFOLK
BROOME
BROOME
CATTARAUGUS
NASSAU
BRONX
NASSAU
NEW YORK
ERIE
TOMPKINS
ALBANY
SUFFOLK
SUFFOLK
MONROE
ERIE
ONEIDA
ERIE
QUEENS
ERIE
KINGS
BRONX
WESTCHESTER
WESTCHESTER
ROCKLAND
BRONX
NASSAU
ESSEX
CHAUTAUQUA
ONEIDA
CHAUTAUQUA
CHAUTAUQUA
BRONX
NASSAU
QUEENS
ALLEGANY
ST LAWRENCE
MONROE
Opcert
2124300N
7003394N
7003387N
5724302N
7002359N
5001001N
7001385N
7001385V
1435304N
7003402N
7003402V
1664300N
4350305N
4350305V
2950317N
1754300N
2950316N
1455300N
1801304N
3523303N
2901305N
5904318N
4651300N
2901300N
7000376N
7004322N
5501309N
0151300N
5154310N
0363301N
0301305N
0427302N
2913301N
7000361N
2902304N
7002341N
1467301N
5401305N
0155302N
5153307N
5153307V
2754300N
1401329N
3226301N
1406301N
7003378N
1401323N
7001369N
7000302N
5957302N
5904314N
4322300N
7000362A
2906304N
1527300N
0658301N
3202314N
0602310N
0662301N
7000363A
2951306N
7003363N
0228303N
4402300N
2761302N
Name
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 COMMONS CARE CENTE
FULTON COUNTY RESIDENTIAL
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 LUTHERAN H
GOOD SAMARITAN NURSING HO
GOOD SHEPHERD VILLAGE AT
GOOD SHEPHERD-FAIRVIEW HO
GOWANDA REHABILITATION AN
GRACE PLAZA NURSING AND R
GRAND MANOR NURSING & REH
GRANDELL REHABILITATION A
GREATER HARLEM NURSING HO
GREENFIELD HEALTH AND REH
GROTON COMMUNITY HEALTH C
GUILDERLAND CENTER NURSIN
GURWIN JEWISH NURSING AND
Gurwin Jewish Nursing and
HAMILTON MANOR NURSING HO
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 HEALTHCARE CENTE
HIGHLAND NURSING HOME INC
HILL HAVEN NURSING HOME
Type
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
NF
NF
NF
NF
NF
NF
NF
VENT
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
AIDS
NF
NF
NF
NF
NF
NF
AIDS
NF
NF
NF
NF
NF
Effective
Date
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
Medicare
Non
Medicare
Eligible
Eligible
Rate
Rate
$140.47
$139.60
$212.08
$210.22
$236.25
$234.44
$157.73
$156.66
$260.03
$257.88
$172.23
$171.11
$229.04
$227.11
$634.35
$627.42
$145.25
$144.16
$264.71
$262.60
$656.77
$651.05
$151.61
$150.60
$218.83
$217.38
$506.38
$504.38
$221.06
$219.65
$165.29
$164.18
$211.21
$209.44
$188.71
$187.10
$171.77
$170.68
$234.76
$233.03
$210.57
$209.10
$215.69
$214.35
$181.07
$179.68
$244.57
$242.90
$206.92
$205.13
$261.17
$259.40
$189.09
$187.83
$157.52
$156.29
$243.01
$241.09
$190.75
$189.49
$173.35
$172.25
$211.55
$209.72
$242.45
$240.69
$183.04
$181.66
$188.94
$187.36
$220.61
$218.98
$161.29
$160.24
$137.87
$136.98
$140.62
$139.53
$270.24
$268.56
$596.18
$590.16
$164.69
$163.61
$141.20
$140.16
$129.89
$128.97
$195.40
$193.82
$197.03
$195.40
$142.43
$141.40
$298.16
$296.21
$299.65
$297.94
$221.58
$220.13
$290.00
$288.09
$423.58
$419.61
$374.86
$370.37
$202.92
$201.54
$178.45
$177.33
$150.34
$149.32
$161.46
$160.28
$156.01
$154.96
$152.24
$151.12
$455.56
$449.82
$238.18
$236.49
$214.22
$212.78
$134.98
$133.98
$130.71
$129.84
$185.64
$184.45
Part D
Part D &
Rate
B Rate
$140.47 $139.60
$212.08 $210.22
$236.25 $234.44
$157.73 $156.66
$260.03 $257.88
$172.23 $171.11
$229.04 $227.11
$634.35 $627.42
$145.25 $144.16
$264.71 $262.60
$656.77 $651.05
$151.61 $150.60
$218.83 $217.38
$506.38 $504.38
$221.06 $219.65
$165.29 $164.18
$211.21 $209.44
$188.71 $187.10
$171.77 $170.68
$234.76 $233.03
$210.57 $209.10
$215.69 $214.35
$181.07 $179.68
$244.57 $242.90
$206.92 $205.13
$261.17 $259.40
$189.09 $187.83
$157.52 $156.29
$243.01 $241.09
$190.75 $189.49
$173.35 $172.25
$211.55 $209.72
$242.45 $240.69
$183.04 $181.66
$188.94 $187.36
$220.61 $218.98
$161.29 $160.24
$137.87 $136.98
$140.62 $139.53
$270.24 $268.56
$596.18 $590.16
$164.69 $163.61
$141.20 $140.16
$129.89 $128.97
$195.40 $193.82
$197.03 $195.40
$142.43 $141.40
$298.16 $296.21
$299.65 $297.94
$221.58 $220.13
$290.00 $288.09
$423.58 $419.61
$374.86 $370.37
$202.92 $201.54
$178.45 $177.33
$150.34 $149.32
$161.46 $160.28
$156.01 $154.96
$152.24 $151.12
$455.56 $449.82
$238.18 $236.49
$214.22 $212.78
$134.98 $133.98
$130.71 $129.84
$185.64 $184.45
4
NURSING HOMES
JANUARY 1, 2012 MEDICAID REIMBURSEMENT RATES
County
QUEENS
QUEENS
QUEENS
KINGS
RENSSELAER
ESSEX
QUEENS
STEUBEN
BRONX
ULSTER
SUFFOLK
SENECA
SUFFOLK
BROOME
NEW YORK
WASHINGTON
STEUBEN
ONONDAGA
NEW YORK
NEW YORK
SUFFOLK
QUEENS
RENSSELAER
BROOME
ONONDAGA
ONONDAGA
BRONX
SUFFOLK
ERIE
MONROE
BRONX
NEW YORK
ONONDAGA
SUFFOLK
SUFFOLK
ALBANY
COLUMBIA
NEW YORK
ONEIDA
TOMPKINS
WESTCHESTER
KINGS
WESTCHESTER
BRONX
BRONX
SCHENECTADY
ST LAWRENCE
MONROE
BRONX
MONROE
TOMPKINS
MONROE
MONROE
QUEENS
GENESEE
LEWIS
RICHMOND
SUFFOLK
QUEENS
ONTARIO
ONTARIO
LIVINGSTON
COLUMBIA
QUEENS
QUEENS
Opcert
7003350N
7003381N
7003348N
7001365N
4120300N
1521300N
7003389N
5002302N
7000388N
5556302N
5153309N
4921302N
5153310N
0302302N
7002357S
5725304N
5022301N
3353300N
7002352N
7002352V
5151318N
7003346N
4102309N
0303306N
3301322N
3301322V
7000313N
5151317N
1427000N
2750304N
7000317N
7002340N
3301309N
5151304A
5151304N
0101314N
1001000N
7002344N
3225303N
5401308N
5932300N
7001387N
5906300N
7000372N
7000374N
4601305N
4423000N
2701345N
7000370N
2752301N
5401311N
2754301N
2754303N
7003385N
1823300N
2424000N
7004306N
5154324N
7003408N
3402303N
3402302N
2522300N
1063301N
7003377N
7003377V
Name
HILLSIDE MANOR REHABILITA
HOLLIS PARK MANOR NURSING
HOLLISWOOD CARE CENTER IN
HOLY FAMILY HOME
HOOSICK FALLS HEALTH CENT
HORACE NYE HOME
HORIZON CARE CENTER
HORNELL GARDENS LLC
HUDSON POINTE AT RIVERDAL
HUDSON VALLEY REHABILITAT
HUNTINGTON HILLS CENTER F
HUNTINGTON LIVING CENTER
HUNTINGTON VILLAGE REHAB
IDEAL SENIOR LIVING CENTE
Incarnation Childrens Cen
INDIAN RIVER REHABILITATI
IRA DAVENPORT MEMORIAL HO
IROQUOIS NURSING HOME
ISABELLA GERIATRIC CENTER
ISABELLA GERIATRIC CENTER
ISLAND NURSING AND REHAB
JAMAICA HOSPITAL NURSING
JAMES A EDDY MEMORIAL GER
JAMES G JOHNSTON MEMORIAL
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 AND HOSPITAL
JEWISH HOME AND HOSPITAL
JEWISH HOME OF CENTRAL NE
John J Foley Skilled Nurs
JOHN J FOLEY SKILLED NURS
JULIE BLAIR NURSING & REH
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
LAKESIDE NURSING HOME INC
LATTA ROAD NURSING HOME
LATTA ROAD NURSING HOME A
LAWRENCE NURSING CARE CEN
LEROY VILLAGE GREEN RESID
LEWIS COUNTY GENERAL HOSP
LILY POND NURSING HOME
LITTLE FLOWER FOR REHABIL
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
Type
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
PEDS
NF
NF
NF
NF
VENT
NF
NF
NF
NF
NF
VENT
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
NF
NF
VENT
Effective
Date
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
Medicare
Non
Medicare
Eligible
Eligible
Rate
Rate
$222.63
$221.01
$195.39
$193.78
$212.63
$210.82
$193.31
$191.83
$166.57
$165.51
$186.67
$185.37
$162.24
$161.15
$148.02
$147.10
$256.52
$254.90
$172.40
$171.00
$258.79
$256.95
$151.89
$150.95
$254.02
$252.32
$169.74
$168.62
$816.45
$816.45
$201.94
$200.26
$148.24
$147.26
$166.96
$165.92
$265.39
$263.53
$593.31
$585.36
$280.11
$278.61
$335.66
$333.91
$164.59
$163.55
$152.84
$151.70
$186.75
$185.55
$360.26
$356.53
$287.79
$286.52
$267.20
$265.64
$155.77
$154.66
$209.67
$208.23
$270.50
$268.69
$309.92
$308.01
$216.21
$215.04
$373.44
$368.05
$270.04
$268.08
$162.94
$161.80
$182.17
$180.96
$260.85
$259.08
$159.66
$158.65
$145.14
$143.90
$163.18
$161.69
$211.56
$209.98
$164.65
$163.47
$233.05
$231.49
$243.19
$241.69
$187.79
$186.65
$168.23
$167.31
$176.93
$175.76
$208.40
$206.56
$180.27
$179.06
$155.05
$154.03
$173.23
$172.15
$170.85
$169.71
$218.33
$216.83
$145.36
$144.24
$187.12
$185.88
$150.31
$149.15
$185.41
$183.89
$214.39
$212.70
$149.21
$148.18
$171.78
$170.63
$214.41
$213.24
$169.21
$167.89
$234.60
$232.85
$657.87
$651.70
Part D
Part D &
Rate
B Rate
$222.63 $221.01
$195.39 $193.78
$212.63 $210.82
$193.31 $191.83
$166.57 $165.51
$186.67 $185.37
$162.24 $161.15
$148.02 $147.10
$256.52 $254.90
$172.40 $171.00
$258.79 $256.95
$151.89 $150.95
$254.02 $252.32
$169.74 $168.62
$816.45 $816.45
$201.94 $200.26
$148.24 $147.26
$166.96 $165.92
$265.39 $263.53
$593.31 $585.36
$280.11 $278.61
$335.66 $333.91
$164.59 $163.55
$152.84 $151.70
$186.75 $185.55
$360.26 $356.53
$287.79 $286.52
$267.20 $265.64
$155.77 $154.66
$209.67 $208.23
$270.50 $268.69
$309.92 $308.01
$216.21 $215.04
$373.44 $368.05
$270.04 $268.08
$162.94 $161.80
$182.17 $180.96
$260.85 $259.08
$159.66 $158.65
$145.14 $143.90
$163.18 $161.69
$211.56 $209.98
$164.65 $163.47
$233.05 $231.49
$243.19 $241.69
$187.79 $186.65
$168.23 $167.31
$176.93 $175.76
$208.40 $206.56
$180.27 $179.06
$155.05 $154.03
$173.23 $172.15
$170.85 $169.71
$218.33 $216.83
$145.36 $144.24
$187.12 $185.88
$150.31 $149.15
$185.41 $183.89
$214.39 $212.70
$149.21 $148.18
$171.78 $170.63
$214.41 $213.24
$169.21 $167.89
$234.60 $232.85
$657.87 $651.70
5
NURSING HOMES
JANUARY 1, 2012 MEDICAID REIMBURSEMENT RATES
County
SUFFOLK
ONONDAGA
ONEIDA
KINGS
DUTCHESS
CHAUTAUQUA
BRONX
MONROE
KINGS
QUEENS
SUFFOLK
NASSAU
NEW YORK
ONEIDA
NASSAU
STEUBEN
STEUBEN
ERIE
QUEENS
NASSAU
NASSAU
CLINTON
SUFFOLK
SUFFOLK
ORLEANS
KINGS
CAYUGA
ERIE
JEFFERSON
BRONX
KINGS
WESTCHESTER
WESTCHESTER
OSWEGO
QUEENS
ONTARIO
HERKIMER
MONROE
ORANGE
BRONX
BRONX
BRONX
DELAWARE
MONTGOMERY
NASSAU
FULTON
SUFFOLK
KINGS
NEW YORK
QUEENS
NEW YORK
QUEENS
RICHMOND
RICHMOND
QUEENS
KINGS
QUEENS
WAYNE
NIAGARA
ERIE
NIAGARA
NIAGARA
NASSAU
WESTCHESTER
ULSTER
Opcert
5151310N
3301327N
3202313N
7001313N
1302306N
0602308N
7000387N
2729300N
7001353N
7003305N
5154321N
2901304N
7002305N
3202308N
2906302N
5002001N
5002001V
1404000N
7003398N
2904301N
2904301V
0901303N
5151319N
5151319V
3622000N
7001372N
0501308N
1401008N
2201001N
7000311N
7001394N
5907316N
5907316V
3701301N
7003340N
3429300N
2101301N
2701006N
3561302N
7000345N
7000328N
7000329N
1226300N
2850300N
2906305N
1701000N
5157315N
7001386N
7002358N
7003391N
7002343N
7003373N
7004316N
7004316V
7003405N
7001309N
7003383N
5820302N
3154302N
1401316N
3102310N
3160301N
2951305N
5968302N
5501310B
Name
LONG ISLAND STATE VETERAN
LORETTO HEALTH AND REHABI
LORETTO-UTICA NURSING HOM
LUTHERAN AUGUSTANA CENTER
LUTHERAN CENTER AT POUGHK
LUTHERAN RETIREMENT HOME
MANHATTANVILLE HEALTH CAR
MAPLEWOOD NURSING HOME IN
MARCUS GARVEY NURSING HOM
MARGARET TIETZ CENTER FOR
MARIA REGINA RESIDENCE IN
MARQUIS REHABILITATION &
MARY MANNING WALSH NURSIN
MASONIC CARE COMMUNITY OF
MAYFAIR CARE CENTER
MCAULEY MANOR AT MERCYCAR
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 OF NORTHERN NEW YOR
METHODIST CHURCH HOME FOR
METROPOLITAN JEWISH GERIA
MICHAEL MALOTZ SKILLED NU
Michael Malotz Skilled Nu
MICHAUD RESIDENTIAL HEALT
MIDWAY NURSING HOME
MM EWING CONTINUING CARE
MOHAWK VALLEY NURSING HOM
MONROE COMMUNITY HOSPITAL
MONTGOMERY NURSING HOME
MORNINGSIDE HOUSE NURSING
MORRIS PARK NURSING HOME
MOSHOLU PARKWAY NURSING A
MOUNTAINSIDE RESIDENTIAL
MT LORETTO NURSING HOME I
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
Type
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
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
VENT
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NEURO
Effective
Date
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
Medicare
Non
Medicare
Eligible
Eligible
Rate
Rate
$262.73
$261.20
$192.10
$190.73
$133.52
$132.49
$264.20
$262.37
$164.83
$163.59
$177.89
$176.70
$252.79
$251.04
$218.47
$217.40
$164.38
$163.10
$269.86
$268.22
$218.57
$217.26
$247.24
$245.66
$263.51
$261.93
$243.10
$242.02
$180.21
$178.88
$191.50
$190.47
$419.01
$417.39
$189.58
$188.28
$211.23
$209.29
$228.58
$226.94
$533.83
$527.80
$156.70
$155.59
$315.63
$313.77
$718.54
$710.78
$193.63
$192.58
$300.40
$298.60
$141.19
$140.16
$274.88
$273.55
$127.48
$126.50
$219.49
$217.81
$262.55
$260.84
$251.33
$249.82
$485.93
$480.82
$161.73
$160.65
$189.54
$187.89
$183.51
$182.23
$158.12
$156.87
$261.08
$259.59
$189.65
$187.92
$269.57
$267.82
$191.59
$190.01
$212.41
$210.68
$181.23
$180.18
$173.94
$172.75
$252.56
$250.86
$198.76
$197.50
$227.05
$225.33
$201.56
$199.89
$222.92
$221.52
$227.95
$226.49
$273.26
$271.54
$186.18
$184.82
$251.33
$249.37
$620.40
$620.40
$308.13
$306.36
$238.97
$237.30
$215.29
$213.93
$168.09
$166.98
$141.37
$140.28
$134.38
$133.36
$143.52
$142.44
$186.58
$184.88
$259.31
$257.56
$236.53
$234.97
$313.70
$309.81
Part D
Part D &
Rate
B Rate
$262.73 $261.20
$192.10 $190.73
$133.52 $132.49
$264.20 $262.37
$164.83 $163.59
$177.89 $176.70
$252.79 $251.04
$218.47 $217.40
$164.38 $163.10
$269.86 $268.22
$218.57 $217.26
$247.24 $245.66
$263.51 $261.93
$243.10 $242.02
$180.21 $178.88
$191.50 $190.47
$419.01 $417.39
$189.58 $188.28
$211.23 $209.29
$228.58 $226.94
$533.83 $527.80
$156.70 $155.59
$315.63 $313.77
$718.54 $710.78
$193.63 $192.58
$300.40 $298.60
$141.19 $140.16
$274.88 $273.55
$127.48 $126.50
$219.49 $217.81
$262.55 $260.84
$251.33 $249.82
$485.93 $480.82
$161.73 $160.65
$189.54 $187.89
$183.51 $182.23
$158.12 $156.87
$261.08 $259.59
$189.65 $187.92
$269.57 $267.82
$191.59 $190.01
$212.41 $210.68
$181.23 $180.18
$173.94 $172.75
$252.56 $250.86
$198.76 $197.50
$227.05 $225.33
$201.56 $199.89
$222.92 $221.52
$227.95 $226.49
$273.26 $271.54
$186.18 $184.82
$251.33 $249.37
$620.40 $620.40
$308.13 $306.36
$238.97 $237.30
$215.29 $213.93
$168.09 $166.98
$141.37 $140.28
$134.38 $133.36
$143.52 $142.44
$186.58 $184.88
$259.31 $257.56
$236.53 $234.97
$313.70 $309.81
6
NURSING HOMES
JANUARY 1, 2012 MEDICAID REIMBURSEMENT RATES
County
ULSTER
ULSTER
ULSTER
DUTCHESS
NEW YORK
ROCKLAND
ROCKLAND
ROCKLAND
ROCKLAND
SCHENECTADY
SCHENECTADY
SCHENECTADY
CAYUGA
CORTLAND
RENSSELAER
RENSSELAER
SCHENECTADY
KINGS
ONONDAGA
ROCKLAND
CHENANGO
WESTCHESTER
TOMPKINS
SUFFOLK
QUEENS
NASSAU
QUEENS
NIAGARA
MADISON
MADISON
OTSEGO
ONTARIO
ORLEANS
NASSAU
OTSEGO
SUFFOLK
ALBANY
ALBANY
NIAGARA
KINGS
QUEENS
MONTGOMERY
BRONX
KINGS
KINGS
KINGS
NASSAU
BRONX
ORANGE
QUEENS
MONROE
QUEENS
QUEENS
QUEENS
NASSAU
CHENANGO
SUFFOLK
SUFFOLK
BRONX
MONROE
QUEENS
YATES
SUFFOLK
COLUMBIA
ROCKLAND
Opcert
5501310N
5501310T
5501310V
1327302N
7002355N
4350304N
4350304V
4353301N
4321302N
4652302S
4652302T
4652302V
0526303N
1101309N
4152304N
4161304N
4652302N
7001316N
3353301N
4350302N
0825301N
5951300N
5401310N
5151315N
7003401N
2950314N
7003354N
3101305N
2601001N
2601001V
3801303N
3429302N
3622302N
2910000N
3859300N
5154319N
0153300N
0155301N
3121303N
7001373N
7003306N
2851301N
7000347N
7001391N
7001391V
7001392N
2902306N
7000382N
3501304N
7003364N
2754302N
7003374N
7003374T
7003307N
2952301N
0824304N
5155000N
5127301N
7000338N
2761303N
7003308N
6120300N
5154311N
1021300N
4353303N
Name
NORTHEAST CENTER FOR SPEC
Northeast Center for Spec
Northeast Center for Spec
NORTHERN DUTCHESS RESIDEN
NORTHERN MANHATTAN REHABI
NORTHERN MANOR GERIATRIC
Northern Manor Geriatric
NORTHERN METROPOLITAN RES
NORTHERN RIVERVIEW HEALTH
Northwoods Rehab and Exte
Northwoods Rehab and Exte
Northwoods Rehab and Exte
NORTHWOODS REHABILITATION
NORTHWOODS REHABILITATION
NORTHWOODS REHABILITATION
NORTHWOODS REHABILITATION
NORTHWOODS REHABILITATION
NORWEGIAN CHRISTIAN HOME
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 CENTER
Oneida Healthcare Center
ONEONTA NURSING AND REHAB
ONTARIO COUNTY HEALTH FAC
ORCHARD MANOR INC
ORZAC CENTER FOR EXTENDED
OTSEGO MANOR
OUR LADY OF CONSOLATION G
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
PALM TREE CENTER FOR NURS
PARK AVENUE EXTENDED CARE
PARK GARDENS REHABILITATI
PARK MANOR REHABILITATION
PARK NURSING HOME
PARK RIDGE NURSING HOME
PARK TERRACE CARE CENTER
Park Terrace Care Center
PARKER JEWISH INSTITUTE F
PARKVIEW CARE AND REHABIL
PEARL AND EVERETT GILMOUR
PECONIC BAY SKILLED NURSI
PECONIC LANDING AT SOUTHO
PELHAM PARKWAY NURSING CA
PENFIELD PLACE LLC
PENINSULA CENTER FOR EXTE
PENN YAN MANOR NURSING HO
PETITE FLEUR NURSING HOME
PINE HAVEN HOME
PINE VALLEY CENTER FOR RE
Effective
Type
Date
NF
01-Jan-12
HEAD IN 01-Jan-12
VENT
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
VENT
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
PEDS 01-Jan-12
HEAD IN 01-Jan-12
VENT
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
VENT
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
VENT
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
HEAD IN 01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
Medicare
Non
Medicare
Eligible
Eligible
Rate
Rate
$287.54
$286.28
$290.95
$295.09
$485.53
$490.67
$180.27
$181.32
$274.87
$272.97
$241.32
$239.53
$613.91
$613.49
$214.18
$212.43
$228.62
$226.96
$683.78
$683.78
$431.81
$431.81
$600.37
$595.66
$141.18
$140.26
$151.94
$150.91
$179.07
$177.72
$193.47
$192.06
$249.31
$247.58
$261.32
$259.79
$205.10
$203.93
$178.40
$177.11
$213.91
$212.64
$258.85
$257.53
$151.90
$150.97
$195.87
$194.39
$292.68
$290.58
$222.95
$221.23
$213.39
$211.72
$193.57
$192.15
$182.36
$181.30
$497.53
$493.00
$157.74
$156.53
$170.42
$169.30
$133.91
$132.82
$228.22
$226.44
$190.93
$189.78
$270.75
$268.92
$148.47
$147.46
$200.00
$198.63
$182.08
$180.97
$180.51
$179.12
$253.09
$251.46
$143.62
$142.63
$262.78
$260.99
$271.99
$270.08
$630.11
$624.29
$238.88
$237.04
$248.53
$246.80
$225.87
$224.08
$173.41
$171.94
$158.34
$157.07
$208.66
$207.40
$256.93
$255.17
$521.70
$516.63
$317.51
$315.76
$188.01
$186.57
$152.33
$151.16
$310.37
$308.87
$305.00
$303.72
$189.03
$187.55
$174.92
$173.51
$224.57
$222.97
$142.58
$141.73
$216.37
$214.61
$180.30
$179.00
$215.74
$214.15
Part D
Part D &
Rate
B Rate
$287.54 $286.28
$295.09 $290.95
$490.67 $485.53
$181.32 $180.27
$274.87 $272.97
$241.32 $239.53
$613.91 $613.49
$214.18 $212.43
$228.62 $226.96
$683.78 $683.78
$431.81 $431.81
$600.37 $595.66
$141.18 $140.26
$151.94 $150.91
$179.07 $177.72
$193.47 $192.06
$249.31 $247.58
$261.32 $259.79
$205.10 $203.93
$178.40 $177.11
$213.91 $212.64
$258.85 $257.53
$151.90 $150.97
$195.87 $194.39
$292.68 $290.58
$222.95 $221.23
$213.39 $211.72
$193.57 $192.15
$182.36 $181.30
$497.53 $493.00
$157.74 $156.53
$170.42 $169.30
$133.91 $132.82
$228.22 $226.44
$190.93 $189.78
$270.75 $268.92
$148.47 $147.46
$200.00 $198.63
$182.08 $180.97
$180.51 $179.12
$253.09 $251.46
$143.62 $142.63
$262.78 $260.99
$271.99 $270.08
$630.11 $624.29
$238.88 $237.04
$248.53 $246.80
$225.87 $224.08
$173.41 $171.94
$158.34 $157.07
$208.66 $207.40
$256.93 $255.17
$521.70 $516.63
$317.51 $315.76
$188.01 $186.57
$152.33 $151.16
$310.37 $308.87
$305.00 $303.72
$189.03 $187.55
$174.92 $173.51
$224.57 $222.97
$142.58 $141.73
$216.37 $214.61
$180.30 $179.00
$215.74 $214.15
7
NURSING HOMES
JANUARY 1, 2012 MEDICAID REIMBURSEMENT RATES
County
WASHINGTON
OSWEGO
WESTCHESTER
SUFFOLK
ONEIDA
QUEENS
QUEENS
BRONX
PUTNAM
PUTNAM
QUEENS
QUEENS
QUEENS
QUEENS
QUEENS
ROCKLAND
BRONX
QUEENS
BRONX
WESTCHESTER
QUEENS
DUTCHESS
QUEENS
QUEENS
RENSSELAER
ERIE
KINGS
MONTGOMERY
DUTCHESS
BRONX
SUFFOLK
TIOGA
NEW YORK
NEW YORK
DELAWARE
QUEENS
QUEENS
NASSAU
NASSAU
ONEIDA
ONEIDA
ERIE
SULLIVAN
ONONDAGA
SUFFOLK
KINGS
KINGS
KINGS
KINGS
WESTCHESTER
JEFFERSON
SUFFOLK
NASSAU
WESTCHESTER
WESTCHESTER
SARATOGA
SARATOGA
BRONX
ORANGE
WESTCHESTER
NIAGARA
ERIE
KINGS
KINGS
KINGS
Opcert
5750300N
3702313N
5906303N
5149303N
3227303N
7003386N
7003386V
7000306N
3950302N
3951301N
7003303N
7003390N
7003404N
7003361N
7003361T
4329301N
7000314N
7003397N
7000356N
5907315N
7003392N
1356302N
7003330V
7003330N
4124300N
1401336N
7001378N
2801304N
1302307N
7000357N
5155301N
5324302N
7002353A
7002353N
1225000N
7003362N
7003362V
2909302N
2909304N
3201002N
3201305N
1451304N
5262300N
3301323N
5154320N
7001381N
7001033N
7001033V
7001371N
5960304N
2201000N
5127302N
2951304N
5907317N
5909302N
4501000N
4520301N
7000315N
3529301N
5902314N
3102307N
1404300N
7001318A
7001318N
7001318V
Name
PLEASANT VALLEY
PONTIAC NURSING HOME
PORT CHESTER NURSING AND
PORT JEFFERSON HEALTH CAR
PRESBYTERIAN HOME FOR CEN
PROMENADE REHABILITATION
Promenade Rehabilitation
PROVIDENCE REST
PUTNAM COMMONS RHCF
PUTNAM NURSING AND REHABI
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
RESURRECTION NURSING HOME
RIDGE VIEW MANOR LLC
RIVER MANOR CARE CENTER
RIVER RIDGE LIVING CENTER
RIVER VALLEY CARE CENTER
RIVERDALE NURSING HOME
RIVERHEAD CARE CENTER LLC
RIVERVIEW MANOR HEALTH CA
Rivington House-The Nicho
RIVINGTON HOUSE-THE NICHO
ROBINSON TERRACE
ROCKAWAY CARE CENTER
ROCKAWAY CARE CENTER
ROCKVILLE NURSING CENTER
ROCKVILLE SKILLED NURSING
ROME MEMORIAL HOSPITAL IN
ROME NURSING HOME
ROSA COPLON JEWISH HOME A
ROSCOE REGIONAL REHABILIT
ROSEWOOD HEIGHTS HEALTH C
ROSS HEALTH CARE CENTER
RUBY WESTON MANOR
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
SARAH NEUMAN CENTER FOR H
SARATOGA CARE NURSING HOM
SARATOGA COUNTY MAPLEWOOD
SCHERVIER NURSING CARE CE
SCHERVIER PAVILION
SCHNURMACHER CENTER FOR R
SCHOELLKOPF HEALTH CENTER
SCHOFIELD RESIDENCE
Schulman and Schachne Ins
SCHULMAN AND SCHACHNE INS
Schulman and Schachne Ins
Effective
Type
Date
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
VENT
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
HEAD IN 01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
VENT
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
AIDS
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
VENT
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
VENT
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
AIDS
01-Jan-12
NF
01-Jan-12
VENT
01-Jan-12
Medicare
Non
Medicare
Eligible
Eligible
Rate
Rate
$159.89
$158.74
$127.10
$126.25
$199.00
$197.61
$231.30
$229.48
$144.06
$143.10
$190.32
$188.67
$562.64
$556.12
$308.69
$307.14
$230.25
$228.83
$148.98
$147.78
$211.11
$209.93
$265.84
$264.13
$253.35
$251.41
$258.01
$256.41
$508.05
$502.09
$228.87
$227.24
$293.40
$291.59
$266.98
$265.16
$298.27
$296.00
$217.38
$215.47
$212.96
$211.18
$151.99
$150.75
$612.99
$606.34
$196.71
$195.33
$187.04
$185.74
$137.19
$136.09
$236.03
$234.25
$172.12
$170.89
$199.23
$197.94
$179.94
$178.42
$204.72
$203.07
$156.87
$155.64
$462.18
$454.67
$181.54
$179.98
$159.42
$158.38
$189.44
$188.15
$487.65
$482.57
$221.18
$219.76
$245.43
$243.49
$213.90
$212.68
$170.98
$169.89
$172.75
$171.67
$193.36
$192.09
$167.56
$166.43
$231.38
$229.67
$203.31
$202.12
$345.54
$343.59
$580.31
$574.18
$262.63
$261.02
$216.31
$214.82
$157.36
$156.31
$208.55
$207.21
$249.08
$247.30
$207.58
$205.95
$296.45
$294.71
$219.80
$218.52
$162.59
$161.32
$270.25
$268.39
$179.93
$178.67
$231.45
$229.89
$190.30
$189.01
$149.10
$148.06
$499.59
$493.08
$253.50
$251.76
$658.73
$650.50
Part D
Part D &
Rate
B Rate
$159.89 $158.74
$127.10 $126.25
$199.00 $197.61
$231.30 $229.48
$144.06 $143.10
$190.32 $188.67
$562.64 $556.12
$308.69 $307.14
$230.25 $228.83
$148.98 $147.78
$211.11 $209.93
$265.84 $264.13
$253.35 $251.41
$258.01 $256.41
$508.05 $502.09
$228.87 $227.24
$293.40 $291.59
$266.98 $265.16
$298.27 $296.00
$217.38 $215.47
$212.96 $211.18
$151.99 $150.75
$612.99 $606.34
$196.71 $195.33
$187.04 $185.74
$137.19 $136.09
$236.03 $234.25
$172.12 $170.89
$199.23 $197.94
$179.94 $178.42
$204.72 $203.07
$156.87 $155.64
$462.18 $454.67
$181.54 $179.98
$159.42 $158.38
$189.44 $188.15
$487.65 $482.57
$221.18 $219.76
$245.43 $243.49
$213.90 $212.68
$170.98 $169.89
$172.75 $171.67
$193.36 $192.09
$167.56 $166.43
$231.38 $229.67
$203.31 $202.12
$345.54 $343.59
$580.31 $574.18
$262.63 $261.02
$216.31 $214.82
$157.36 $156.31
$208.55 $207.21
$249.08 $247.30
$207.58 $205.95
$296.45 $294.71
$219.80 $218.52
$162.59 $161.32
$270.25 $268.39
$179.93 $178.67
$231.45 $229.89
$190.30 $189.01
$149.10 $148.06
$499.59 $493.08
$253.50 $251.76
$658.73 $650.50
8
NURSING HOMES
JANUARY 1, 2012 MEDICAID REIMBURSEMENT RATES
County
SCHUYLER
SARATOGA
RICHMOND
RICHMOND
KINGS
ERIE
OSWEGO
SENECA
KINGS
KINGS
ERIE
KINGS
KINGS
RICHMOND
RICHMOND
QUEENS
QUEENS
WESTCHESTER
SUFFOLK
YATES
YATES
WESTCHESTER
NASSAU
NASSAU
BRONX
BRONX
WESTCHESTER
KINGS
MONROE
MONROE
BRONX
BRONX
BRONX
WESTCHESTER
ONONDAGA
ONONDAGA
ERIE
SUFFOLK
RICHMOND
RICHMOND
RICHMOND
RICHMOND
ERIE
SUFFOLK
SUFFOLK
SUFFOLK
SUFFOLK
MONROE
MONTGOMERY
ONEIDA
ST LAWRENCE
WESTCHESTER
CHEMUNG
ORANGE
OSWEGO
ONEIDA
ALBANY
ALBANY
NEW YORK
QUEENS
BRONX
ALBANY
ST LAWRENCE
ORANGE
BRONX
Opcert
4823000N
4552300N
7004304N
7004304T
7001390N
1474301N
3702312N
4921303N
7001303N
7001362N
1403303N
7001342N
7001376N
7004323N
7004323V
7003372V
7003372N
5921302N
5157314N
6120000B
6120000N
5966300N
2904300N
2904300V
7000384N
7000384V
5910300N
7001384N
2757300N
2757301N
7000371A
7000371N
7000371V
5925300N
3301321N
3301321T
1401324N
5157312N
7004317N
7004317A
7004317B
7004317V
1421300N
5157305N
5157316N
5157311N
5157311T
2701353N
2828300N
3202310N
4401300N
5907314N
0701001N
3535001N
3702309N
3227305N
0101307N
0101307S
7002349A
7003300S
7000307N
0101305N
4402303N
3501302N
7000366N
Name
SCHUYLER HOSPITAL INC AND
SCHUYLER RIDGE A RESIDENT
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 NURSING AND REH
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 N H
SPRING CREEK REHABILITATI
ST ANNS COMMUNITY
ST ANNS COMMUNITY
St Barnabas Nursing Home
ST BARNABAS NURSING HOME
St Barnabas Nursing Home
ST CABRINI NURSING HOME
ST CAMILLUS RESIDENTIAL H
St Camillus Residential H
ST CATHERINE LABOURE HEAL
ST CATHERINE OF SIENA NUR
ST ELIZABETH ANNS HEALTH
St Elizabeth Anns Health
St Elizabeth Anns Health
St Elizabeth Anns Health
ST FRANCIS HOME OF WILLIA
ST JAMES HEALTHCARE CENTE
ST JAMES PLAZA NURSING FA
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
St Margarets Center
St Margarets Center
St Marys Center Inc
St Marys Hospital For Chi
ST PATRICKS HOME
ST PETERS NURSING AND REH
ST REGIS NURSING HOME INC
ST TERESAS NURSING & REHA
ST VINCENT DEPAUL RESIDEN
Effective
Type
Date
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
HEAD IN 01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
VENT
01-Jan-12
VENT
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NEURO 01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
VENT
01-Jan-12
NF
01-Jan-12
VENT
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
AIDS
01-Jan-12
NF
01-Jan-12
VENT
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
HEAD IN 01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
AIDS
01-Jan-12
NEURO 01-Jan-12
VENT
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
HEAD IN 01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
01-Jan-12
NF
PEDS 01-Jan-12
01-Jan-12
AIDS
PEDS 01-Jan-12
01-Jan-12
NF
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
NF
01-Jan-12
Medicare
Non
Medicare
Eligible
Eligible
Rate
Rate
$168.06
$167.08
$171.06
$169.82
$279.53
$277.71
$555.21
$550.87
$245.10
$243.32
$187.15
$185.50
$187.98
$186.76
$155.68
$154.59
$269.27
$267.43
$221.96
$219.98
$142.41
$141.30
$235.81
$234.30
$278.36
$276.47
$203.49
$201.97
$553.22
$548.11
$638.96
$633.05
$299.91
$297.93
$237.11
$235.45
$256.45
$254.76
$335.15
$332.13
$157.32
$156.39
$234.79
$233.34
$214.66
$213.26
$495.98
$490.24
$269.42
$267.62
$614.25
$608.73
$236.56
$234.47
$264.11
$262.43
$226.34
$225.04
$161.62
$160.47
$461.98
$455.71
$267.86
$266.11
$647.48
$640.21
$293.13
$291.51
$181.59
$180.41
$376.77
$373.75
$222.84
$221.48
$233.54
$231.64
$272.40
$270.31
$451.77
$445.69
$458.79
$453.08
$675.34
$666.97
$160.39
$159.08
$227.43
$225.74
$192.56
$190.86
$259.05
$257.28
$598.88
$592.52
$216.50
$215.36
$155.15
$153.95
$151.73
$150.75
$171.25
$170.23
$228.43
$226.78
$184.29
$183.22
$207.28
$206.02
$151.42
$150.41
$165.99
$164.69
$508.36
$508.36
$524.86
$524.86
$438.90
$443.84
$796.74
$796.74
$217.82
$219.31
$201.41
$199.99
$145.94
$144.98
$178.66
$177.30
$235.63
$234.10
Part D
Part D &
Rate
B Rate
$168.06 $167.08
$171.06 $169.82
$279.53 $277.71
$555.21 $550.87
$245.10 $243.32
$187.15 $185.50
$187.98 $186.76
$155.68 $154.59
$269.27 $267.43
$221.96 $219.98
$142.41 $141.30
$235.81 $234.30
$278.36 $276.47
$203.49 $201.97
$553.22 $548.11
$638.96 $633.05
$299.91 $297.93
$237.11 $235.45
$256.45 $254.76
$335.15 $332.13
$157.32 $156.39
$234.79 $233.34
$214.66 $213.26
$495.98 $490.24
$269.42 $267.62
$614.25 $608.73
$236.56 $234.47
$264.11 $262.43
$226.34 $225.04
$161.62 $160.47
$461.98 $455.71
$267.86 $266.11
$647.48 $640.21
$293.13 $291.51
$181.59 $180.41
$376.77 $373.75
$222.84 $221.48
$233.54 $231.64
$272.40 $270.31
$451.77 $445.69
$458.79 $453.08
$675.34 $666.97
$160.39 $159.08
$227.43 $225.74
$192.56 $190.86
$259.05 $257.28
$598.88 $592.52
$216.50 $215.36
$155.15 $153.95
$151.73 $150.75
$171.25 $170.23
$228.43 $226.78
$184.29 $183.22
$207.28 $206.02
$151.42 $150.41
$165.99 $164.69
$508.36 $508.36
$524.86 $524.86
$443.84 $438.90
$796.74 $796.74
$219.31 $217.82
$201.41 $199.99
$145.94 $144.98
$178.66 $177.30
$235.63 $234.10
9
NURSING HOMES
JANUARY 1, 2012 MEDICAID REIMBURSEMENT RATES
County
RICHMOND
STEUBEN
MADISON
ONEIDA
SUFFOLK
SULLIVAN
ROCKLAND
NASSAU
ONONDAGA
SUFFOLK
OSWEGO
ONEIDA
WESTCHESTER
BROOME
WESTCHESTER
ONONDAGA
WESTCHESTER
ULSTER
NEW YORK
NEW YORK
ALBANY
BRONX
NASSAU
SCHENECTADY
DUTCHESS
MONROE
JEFFERSON
ONONDAGA
SCHENECTADY
MONROE
SUFFOLK
MONROE
MONROE
MONROE
MONROE
MONROE
NASSAU
ULSTER
WASHINGTON
GREENE
WARREN
DUTCHESS
ONEIDA
CATTARAUGUS
CATTARAUGUS
MONROE
RENSSELAER
WARREN
ORANGE
ORLEANS
WESTCHESTER
BRONX
CHAUTAUQUA
ROCKLAND
NASSAU
NASSAU
QUEENS
WESTCHESTER
ST LAWRENCE
ST LAWRENCE
MONROE
MONROE
BRONX
HERKIMER
CHENANGO
Opcert
7004314N
5022300N
2629303N
3201310N
5123305N
5220301N
4353000N
2951307N
3321301N
5154312N
3702311N
3221301N
5961303S
0303307N
5904320N
3327301N
5911302N
5567301N
7002345A
7002345N
0101313N
7000378N
2951308N
4601306N
1327301N
2750307N
2238303N
3334303N
4654302N
2750301N
5126303N
2750306B
2750306N
2750306V
2763300N
2750308N
2902302N
5522302N
5725303N
1921303N
5601307N
1302308N
3202315N
0401303N
0469300N
2701359N
4102312N
5601306N
3523301N
3620300N
5903309N
7000386N
0663302N
4350301N
2950318N
2950318V
7003393N
5904309N
4420301N
4401302N
2701358N
2701358V
7000337N
2124301N
0824303N
Name
STATEN ISLAND CARE CENTER
STEUBEN COUNTY INFIRMARY
STONEHEDGE HEALTH AND REH
STONEHEDGE HEALTH AND REH
SUFFOLK CENTER FOR REHABI
SULLIVAN COUNTY ADULT CAR
SUMMIT PARK NURSING CARE
SUNHARBOR MANOR
SUNNYSIDE CARE CENTER
SUNRISE MANOR CENTER FOR
SUNRISE NURSING HOME
SUNSET NURSING AND REHABI
Sunshine Childrens Home a
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
THE AMSTERDAM AT HARBORSI
THE AVENUE NURSING AND RE
THE BAPTIST HOME AT BROOK
THE BRIGHTONIAN INC
THE COUNTRY MANOR NURSING
THE CROSSINGS NURSING AND
THE DUTCH MANOR NURSING A
THE FRIENDLY HOME
THE HAMPTONS CENTER FOR R
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
THROGS NECK EXTENDED CARE
TLC HEALTH NETWORK-LAKE S
TOLSTOY FOUNDATION REHABI
TOWNHOUSE CENTER FOR REHA
Townhouse Center for Reha
UNION PLAZA CARE CENTER
UNITED HEBREW GERIATRIC C
UNITED HELPERS CANTON NUR
UNITED HELPERS NURSING HO
UNITY LIVING CENTER
Unity Living Center
UNIVERSITY NURSING HOME
VALLEY HEALTH SERVICES IN
VALLEY VIEW MANOR NURSING
Type
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
NF
PEDS
NF
NF
NF
NF
NF
AIDS
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
NF
NF
NF
NF
VENT
NF
NF
NF
NF
NF
VENT
NF
NF
NF
Effective
Date
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
Medicare
Non
Medicare
Eligible
Eligible
Part D
Part D &
Rate
Rate
Rate
B Rate
$237.06
$235.21 $237.06 $235.21
$222.84
$221.65 $222.84 $221.65
$161.67
$160.32 $161.67 $160.32
$161.98
$160.48 $161.98 $160.48
$246.96
$244.88 $246.96 $244.88
$188.54
$187.12 $188.54 $187.12
$261.12
$259.58 $261.12 $259.58
$237.77
$236.01 $237.77 $236.01
$150.56
$149.42 $150.56 $149.42
$239.90
$238.11 $239.90 $238.11
$148.66
$147.62 $148.66 $147.62
$130.19
$129.29 $130.19 $129.29
$1,034.53 $1,031.07 $1,034.53 $1,031.07
$177.78
$176.39 $177.78 $176.39
$209.15
$207.65 $209.15 $207.65
$205.11
$203.95 $205.11 $203.95
$219.58
$218.01 $219.58 $218.01
$190.39
$188.87 $190.39 $188.87
$458.35
$452.54 $458.35 $452.54
$266.79
$264.89 $266.79 $264.89
$162.66
$161.57 $162.66 $161.57
$185.83
$184.54 $185.83 $184.54
$227.19
$225.62 $227.19 $225.62
$159.85
$158.74 $159.85 $158.74
$168.77
$167.65 $168.77 $167.65
$228.02
$226.47 $228.02 $226.47
$139.04
$138.09 $139.04 $138.09
$169.14
$168.06 $169.14 $168.06
$173.66
$172.55 $173.66 $172.55
$210.32
$209.07 $210.32 $209.07
$280.81
$279.29 $280.81 $279.29
$340.21
$336.70 $340.21 $336.70
$184.10
$182.90 $184.10 $182.90
$472.22
$468.23 $472.22 $468.23
$182.74
$181.63 $182.74 $181.63
$173.90
$172.64 $173.90 $172.64
$265.93
$264.24 $265.93 $264.24
$194.07
$192.83 $194.07 $192.83
$144.44
$143.48 $144.44 $143.48
$185.31
$183.80 $185.31 $183.80
$171.72
$170.41 $171.72 $170.41
$187.22
$185.72 $187.22 $185.72
$188.81
$187.52 $188.81 $187.52
$168.71
$167.43 $168.71 $167.43
$212.01
$210.59 $212.01 $210.59
$156.23
$155.15 $156.23 $155.15
$173.13
$172.05 $173.13 $172.05
$140.49
$139.47 $140.49 $139.47
$233.52
$231.78 $233.52 $231.78
$182.61
$181.44 $182.61 $181.44
$244.00
$242.45 $244.00 $242.45
$242.77
$240.94 $242.77 $240.94
$169.37
$168.16 $169.37 $168.16
$179.95
$178.83 $179.95 $178.83
$248.05
$246.40 $248.05 $246.40
$576.03
$570.06 $576.03 $570.06
$245.00
$243.25 $245.00 $243.25
$247.08
$245.58 $247.08 $245.58
$161.22
$160.17 $161.22 $160.17
$171.61
$170.55 $171.61 $170.55
$219.34
$218.06 $219.34 $218.06
$496.26
$491.29 $496.26 $491.29
$218.19
$216.30 $218.19 $216.30
$162.07
$161.10 $162.07 $161.10
$175.81
$174.59 $175.81 $174.59
10
NURSING HOMES
JANUARY 1, 2012 MEDICAID REIMBURSEMENT RATES
County
HERKIMER
ONONDAGA
RENSSELAER
RICHMOND
BROOME
WESTCHESTER
DUTCHESS
KINGS
NEW YORK
KINGS
ERIE
WESTCHESTER
QUEENS
BRONX
BRONX
WAYNE
WAYNE
WAYNE
WAYNE
MONROE
FULTON
ALLEGANY
MONROE
SARATOGA
QUEENS
WESTCHESTER
WESTCHESTER
WESTCHESTER
GENESEE
MONROE
SUFFOLK
WARREN
NASSAU
WESTCHESTER
COLUMBIA
COLUMBIA
MONTGOMERY
BRONX
ERIE
BROOME
QUEENS
DUTCHESS
DUTCHESS
DUTCHESS
DUTCHESS
ULSTER
ULSTER
NASSAU
QUEENS
SUFFOLK
ULSTER
NASSAU
NASSAU
MONROE
BRONX
WYOMING
Opcert
2129303N
3301312N
4102307N
7004320N
0336301N
5905305N
1356303N
7001034N
7002335N
7001364N
1401333N
5960303N
7003367N
7000350N
7000350V
5823302N
5820000B
5820000N
5820000V
2722301N
1702300N
0228305N
2701352N
4501301N
7003403N
5901306N
5903311N
5957303N
1801305N
2753301N
5158301N
5601302N
2952306N
5902315N
1059301N
1059301V
2801001N
7000379N
1421306N
0364301N
7003357N
1301301V
1301301N
1320301N
1320301V
5556301N
5556301V
2952303N
7003336N
5151316N
5522303N
2950315N
2950315V
2750303N
7000309N
6027000N
Name
VAN ALLEN NURSING HOME
VAN DUYN HOME AND HOSPITA
VAN RENSSELAER MANOR
VERRAZANO NURSING HOME
VESTAL REHABILITATIOM AND
VICTORIA HOME
VICTORY LAKE NURSING CENT
VICTORY MEMORIAL HOSPITAL
VILLAGE CENTER FOR CARE
WARTBURG LUTHERAN HOME FO
WATERFRONT HEALTH CARE CE
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 NURSING HOME
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 ST BEACON
WINGATE OF DUTCHESS
Wingate of Dutchess
WINGATE OF ULSTER
Wingate of Ulster
WOODBURY NURSING HOME
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
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
VENT
NF
NF
VENT
NF
VENT
NF
NF
NF
NF
NF
VENT
NF
NF
NF
Effective
Date
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
01-Jan-12
Medicare
Non
Medicare
Eligible
Eligible
Rate
Rate
$164.80
$163.65
$209.54
$208.27
$210.60
$209.22
$193.41
$191.90
$142.96
$141.85
$243.84
$242.38
$170.91
$169.79
$291.33
$289.70
$268.08
$265.63
$249.03
$247.12
$157.97
$156.82
$203.62
$202.02
$192.21
$190.78
$205.40
$204.00
$526.34
$521.23
$225.44
$224.11
$371.47
$368.52
$216.86
$215.75
$465.52
$460.92
$150.57
$149.40
$149.43
$148.31
$154.78
$153.53
$176.08
$174.95
$188.21
$187.04
$206.99
$205.34
$258.86
$256.79
$191.95
$190.41
$206.68
$204.70
$204.65
$203.43
$156.27
$155.34
$209.09
$207.73
$160.17
$159.10
$182.28
$180.93
$251.73
$249.97
$186.65
$185.51
$398.95
$394.11
$171.74
$170.55
$233.59
$231.46
$129.54
$128.50
$167.35
$166.16
$220.14
$218.58
$392.16
$387.09
$202.93
$201.69
$194.26
$192.96
$506.80
$500.98
$204.83
$203.48
$552.63
$545.52
$225.21
$223.70
$207.27
$205.60
$208.23
$206.44
$194.67
$193.32
$240.40
$238.52
$669.90
$669.29
$181.19
$179.54
$324.06
$322.35
$177.86
$176.67
Part D
Part D &
Rate
B Rate
$164.80 $163.65
$209.54 $208.27
$210.60 $209.22
$193.41 $191.90
$142.96 $141.85
$243.84 $242.38
$170.91 $169.79
$291.33 $289.70
$268.08 $265.63
$249.03 $247.12
$157.97 $156.82
$203.62 $202.02
$192.21 $190.78
$205.40 $204.00
$526.34 $521.23
$225.44 $224.11
$371.47 $368.52
$216.86 $215.75
$465.52 $460.92
$150.57 $149.40
$149.43 $148.31
$154.78 $153.53
$176.08 $174.95
$188.21 $187.04
$206.99 $205.34
$258.86 $256.79
$191.95 $190.41
$206.68 $204.70
$204.65 $203.43
$156.27 $155.34
$209.09 $207.73
$160.17 $159.10
$182.28 $180.93
$251.73 $249.97
$186.65 $185.51
$398.95 $394.11
$171.74 $170.55
$233.59 $231.46
$129.54 $128.50
$167.35 $166.16
$220.14 $218.58
$392.16 $387.09
$202.93 $201.69
$194.26 $192.96
$506.80 $500.98
$204.83 $203.48
$552.63 $545.52
$225.21 $223.70
$207.27 $205.60
$208.23 $206.44
$194.67 $193.32
$240.40 $238.52
$669.90 $669.29
$181.19 $179.54
$324.06 $322.35
$177.86 $176.67
11