APR-DRG and Exempt Rates for Medicaid Fee-for-Service and Managed Care
2021
Effective 12/01/2021 (Initial Rates - MMC Only)
- Medicaid Managed Care
- APR-DRG and Exempt Unit Rates effective (XLSX) | Also available in PDF Format - 12/01/2021
- DOH Medicaid FFS and HMO Claims Payment Calculation (XLS) | Also available in PDF Format (Updated 02/09/2023)
- Chemical Dependency Detoxification Rates (XLSX) | Also available in PDF Format - 12/01/2021
- Correspondence
- Health Plan Letter - November 3, 2022 (Updated 12/20/2022)
- Administrator Letter - November 3, 2022 (Updated 12/20/2022)
Effective 10/01/2021 (Revised Rates)
- Medicaid Fee-for-Service
- APR-DRG and Exempt Unit Rates effective (XLSX) | Also available in PDF Format - 10/01/2021
- DOH Medicaid FFS and HMO Claims Payment Calculation (XLS) | Also available in PDF Format
- Chemical Dependency Detoxification Rates (XLSX) | Also available in PDF Format - 10/01/2021
- Medicaid Managed Care
- APR-DRG and Exempt Unit Rates effective (XLSX) | Also available in PDF Format - 10/01/2021
- DOH Medicaid FFS and HMO Claims Payment Calculation (XLS) | Also available in PDF Format
- Chemical Dependency Detoxification Rates (XLSX) | Also available in PDF Format - 10/01/2021
- Correspondence
- Administrator Letter - March 4, 2022 PDF Format
- Health Plan Letter - March 18, 2022 PDF Format
Effective 10/01/2021 (Initial Rates)
- Medicaid Fee-for-Service
- APR-DRG and Exempt Unit Rates effective (XLSX) | Also available in PDF Format - 10/01/2021
- DOH Medicaid FFS and HMO Claims Payment Calculation (XLS) | Also available in PDF Format
- Chemical Dependency Detoxification Rates (XLSX) | Also available in PDF Format - 10/01/2021
- Medicaid Managed Care
- APR-DRG and Exempt Unit Rates effective (XLSX) | Also available in PDF Format - 10/01/2021
- DOH Medicaid FFS and HMO Claims Payment Calculation (XLS) | Also available in PDF Format
- Chemical Dependency Detoxification Rates (XLSX) | Also available in PDF Format - 10/01/2021
- Correspondence
- Administrator Letter - November 9, 2021
- Health Plan Letter - November 9, 2021
Effective 08/01/2021 (Initial Rates - PSYCH Only)
- Medicaid Fee-for-Service
- Exempt Unit Rates (XLSX) | Also available in PDF Format effective 08/01/2021
- DOH Medicaid FFS and HMO Claims Payment Calculation (XLS) | Also available in PDF Format
- Medicaid Managed Care
- Exempt Unit Rates (XLSX) | Also available in PDF Format effective 08/01/2021
- DOH Medicaid FFS and HMO Claims Payment Calculation (XLS) | Also available in PDF Format
- Correspondence
- Administrator Letter PDF Format - March 4, 2022
- Health Plan Letter PDF Format - March 18, 2022
Effective 01/01/2021 (Revised Rates - MMC Only)
- Medicaid Managed Care
- APR-DRG and Exempt Unit Rates (XLSX) | Also available in PDF Format effective 01/01/2021
- DOH Medicaid FFS and HMO Claims Payment Calculation (XLS) | Also available in PDF Format
- Chemical Dependency Detoxification Rates (XLSX) | Also available in PDF Format - 01/01/2021
- Correspondence
- Health Plan Letter - September 10, 2021
Effective 01/01/2021 (Initial Rates)
- Medicaid Fee-for-Service
- APR-DRG and Exempt Unit Rates effective (XLSX) | Also available in PDF Format - 01/01/2021
- DOH Medicaid FFS and HMO Claims Payment Calculation (XLS) | Also available in PDF Format
- Chemical Dependency Detoxification Rates (XLSX) | Also available in PDF Format - 01/01/2021
- Medicaid Managed Care
- APR-DRG and Exempt Unit Rates effective (XLSX) | Also available in PDF Format - 01/01/2021
- DOH Medicaid FFS and HMO Claims Payment Calculation (XLS) | Also available in PDF Format
- Chemical Dependency Detoxification Rates (XLSX) | Also available in PDF Format - 01/01/2021
- Correspondence
- Administrator Letter - May 20, 2021
- Administrator Letter (Attachment) - May 20, 2021
- Health Plan Letter - May 21, 2021
