Title: Section 86-5.8 - Patient visits/hourly rate

86-5.8 Patient visits/hourly rate.

(a) A patient visit or an hourly rate are the units of measure by which an LTHHCP may bill for services provided.

(b) Nursing, therapeutic and related services will be billed per visit.

(c) Home health aides, personal care aides, homemaker and housekeeper services will be billed on an hourly basis.

(d) The hourly/visit rate will include an amount for the indirect costs of the LTHHCP as defined in section 86-5.17 of this Subpart.

(e) No provider of an LTHHCP shall establish charges for such program in excess of the higher of those rates established pursuant to section 3614 of the Public Health Law and rules and regulations adopted pursuant to section 3612 of the Public Health Law (Medicaid) or subchapter XVIII of the Federal Social Security Act (Medicare).