558-Early Intervention 4% Rate Modifier – Retroactive Escrow Payment

  Feb 25, 2026

New York State Department of Health
 Bureau of Early Intervention (BEI) Electronic Mailing List
 
 Early Intervention 4% Rate Modifier – Retroactive Escrow Payment


Dear Colleague:

The New York State Department of Health (Department) Bureau of Early Intervention is pleased to announce that payment of the 4% rate increase retroactive to April 1, 2025, for eligible EI services payable from municipal escrow will be made on March 18, 2026.

For Early Intervention (EI) Medicaid claims, the Office of Health Insurance Programs (OHIP) has not yet updated eMedNY to be able to process the 4% rate modifier.

The Department will provide an update when the 4% rate modifier is implemented in eMedNY for claims payable from Medicaid.

The 4% rate modifier is applied to core in-person EI services that are provided to children who reside in rural and underserved areas of New York State that meet certain criteria. The following core services are eligible for the 4% rate modifier: screenings, multidisciplinary evaluations (MDEs), bilingual add-ons, and speech therapy, occupational therapy, physical therapy, and special instruction services authorized as Basic Home and Community visits. Telehealth services are not eligible for the modifier.

Counties and providers do not have to take any additional action in the data system (EI-Hub), e.g., service authorizations or claim code. The EI-HUB will apply the 4% rate modifier based on the service type and child’s residential zip code.  

Pursuant to the 4% Medicaid State Plan Amendment, the eligible zip codes will be reviewed periodically, not less than annually. 

If you have any questions regarding this notice, please contact the Bureau of Early Intervention at EIP.Fiscal@health.ny.gov or by phone at (518) 473-7016.