N.Y. Comp. Codes R. & Regs. tit. 14, § 512.12
(e) Effective April 1, 2015, the monthly base rate and component add-on schedules for PROS programs are as follows:
(1) Comprehensive PROS programs:
(i) for programs operated in the Downstate Region:
| Monthly Base Rate* | Component Add-On | |||||||
| Pre-Adm | Level 1 | Level 2 | Level 3 | Level 4 | Level 5 | IR | ORS | CT |
| 2-12 Units | 13-27 Units | 28-43 Units | 44-60 Units | 61+ Units | ||||
| $153.37 | $235.57 | $554.35 | $790.93 | $868.11 | $1,000.44 | $415.39 | $355.88 | $279.68 |
(ii) for programs operated in the Upstate Region:
| Monthly Base Rate* | Component Add-On | |||||||
| Pre-Adm | Level 1 | Level 2 | Level 3 | Level 4 | Level 5 | IR | ORS | CT |
| 2-12 Units | 13-27 Units | 28-43 Units | 44-60 Units | 61+ Units | ||||
| $140.35 | $214.53 | $504.24 | $719.77 | $787.94 | $910.24 | $377.55 | $324.80 | $254.63 |
*The Monthly Base Rate is determined by the total PROS units associated with a single PROS participant and his or her collateral(s) in a given month.
(2) Limited license PROS programs:
(i) for programs operated in the Downstate Region:
| Reimbursement Category | Monthly Fee |
| Intensive Rehabilitation | $475.16 |
| Ongoing Rehabilitation and Support | $391.95 |
(ii) for programs operated in the Upstate Region:
| Reimbursement Category | Monthly Fee |
| Intensive Rehabilitation | $432.06 |
| Ongoing Rehabilitation and Support | $355.88 |
(f) Hospital-based providers may receive an add-on to their monthly case payment that reflects their capital costs. The commissioner may impose a cap on the revenues generated from this rate add-on.