Rates of Payment

(1) Continuous Skilled Nursing Services. (a) Single Patient, per Straight-time Hour. Weekend rates are the same as night rates. Rates per 15 Minutes: Single Patient, per Straight-time Hour Code Modifier Agency Individual Practitioner Description RN Services, Weekday UJ RN Services, Nights RN Services, Holidays LPN Services, Weekday UJ LPN Services, Nights LPN Services, Holidays (b) Multiple-patient Nursing. 1. Two Individuals, per Straight-time Hour. When only one of the individuals is publicly aided, the fee for services to the publicly aided individual will be ½ of the appropriate rate listed in the table “Two Individuals, per Straight-time Hour.” Weekend rates are the same as night rates. Rates per 15 Minutes: Two Individuals, per Straight-time Hour Code Modifier Agency Individual Practitioner Description TT RN Services, Weekday RN Services, Nights TT RN Services, Holidays TT LPN Services, Weekday LPN Services, Nights TT LPN Services, Holidays 2. Three Individuals, per Straight-time Hour. When only one of the individuals is publicly aided, the fee for services to the publicly aided individual will be ⅓ of the appropriate rate listed. When two of the individuals are publicly aided, the fee for services to the publicly aided individuals will be ⅔ of the appropriate rate listed. Weekend rates are the same as night rates. Rates per 15 Minutes: Three Individuals, per Straight-time Hour Code Modifier Agency Individual Practitioner Description RN Services, Weekday RN Services, Nights RN Services, Holidays LPN Services, Weekday LPN Services, Nights LPN Services, Holidays (c) Overtime. Weekend rates are the same as night rates. Rates per 15 Minutes: Overtime Code Modifier Agency Individual Practitioner Description TU RN Services, Weekday RN Services, Nights TU RN Services, Holidays TU LPN Services, Weekday LPN Services, Nights TU LPN Services, Holidays (d) Complex Care Assistant and RN Supervisory Visits. Rate per 15 Minutes: Complex Care Assistant and RN Supervisory Visits Code Modifier Agency Description 60-day Supervisory Visit (RN) Complex Care Assistant Visit