APR-DRG and Exempt Rates for Medicaid Fee-for-Service and Managed Care

2020

Effective 04/02/2020 (Revised Rates - MMC Only)

• Medicaid Managed Care
  • APR-DRG and Exempt Unit Rates effective (XLSX) | Also available in PDF Format - 04/02/2020
  • DOH Medicaid FFS and HMO Claims Payment Calculation (XLS) | Also available in PDF Format
  • Chemical Dependency Detoxification Rates (XLSX) | Also available in PDF Format - 04/02/2020
• Correspondence
  • Health Plan Letter - September 10, 2021

Effective 04/02/2020 (Initial Rates)

• Medicaid Fee-for-Service
  • APR-DRG and Exempt Unit Rates effective (XLSX) | Also available in PDF Format - 04/02/2020
  • DOH Medicaid FFS and HMO Claims Payment Calculation (XLS) | Also available in PDF Format
  • Chemical Dependency Detoxification Rates (XLSX) | Also available in PDF Format - 04/02/2020
• Medicaid Managed Care
  • APR-DRG and Exempt Unit Rates effective (XLSX) | Also available in PDF Format - 04/02/2020
  • DOH Medicaid FFS and HMO Claims Payment Calculation (XLS) | Also available in PDF Format
  • Chemical Dependency Detoxification Rates (XLSX) | Also available in PDF Format - 04/02/2020
• Correspondence
  • Health Plan Letter - October 14, 2020
  • Administrator Letter - October 6, 2020

Effective 01/01/2020 (Initial Rates)

• Medicaid Fee-for-Service
  • APR-DRG and Exempt Unit Rates effective (XLSX) | Also available in PDF Format - 01/01/2020
  • DOH Medicaid FFS and HMO Claims Payment Calculation (XLS) | Also available in PDF Format
  • Chemical Dependency Detoxification Rates (XLSX) | Also available in PDF Format - 01/01/2020
• Medicaid Managed Care
  • APR-DRG and Exempt Unit Rates effective (XLSX) | Also available in PDF Format - 01/01/2020 updated 09/10/2021
  • DOH Medicaid FFS and HMO Claims Payment Calculation (XLS) | Also available in PDF Format
  • Chemical Dependency Detoxification Rates (XLSX) | Also available in PDF Format - 01/01/2020
• Correspondence
  • Health Plan Letter - September 10, 2021
  • Health Plan Letter - October 14, 2020
  • Administrator Letter - October 6, 2020
  • Attachment - October 6, 2020

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