The 2026 regional rates for calculating Medicaid penalty periods are found in GIS 25 MA/14, which is dated 12/22/2025. They are:
CENTRAL: $14,146
Broome, Cayuga, Chenango, Cortland, Herkimer, Jefferson, Lewis, Madison, Oneida, Onondaga, Oswego, St. Lawrence, Tioga, and Tompkins.
NORTHEASTERN: $14,783
Albany, Clinton, Columbia, Delaware, Essex, Franklin, Fulton, Greene, Hamilton, Montgomery, Otsego, Rensselaer, Saratoga, Schenectady, Schoharie, Warren, and Washington.
WESTERN: $13,765
Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Orleans, and Wyoming.
NORTH METROPOLITAN: $15,024
Dutchess, Orange, Putnam, Rockland, Sullivan, Ulster, and Westchester.
NEW YORK CITY: $15,282
Bronx, Kings (Brooklyn), New York (Manhattan), Queens, and Richmond (Staten Island).
LONG ISLAND: $15,193
Nassau and Suffolk.
ROCHESTER: $15,675
Chemung, Livingston, Monroe, Ontario, Schuyler, Seneca, Steuben, Wayne, and Yates.
Posted 12/23/2025