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

2023

Effective 04/01/2023 (Revised Rates)

Medicaid Fee-for-Service
- APR-DRG and Exempt Unit Rates effective (XLSX) | Also available in PDF Format - 04/01/2023
- DOH Medicaid FFS and HMO Claims Payment Calculation (XLSX) | Also available in PDF Format
- Chemical Dependency Detoxification Rates (XLSX) | Also available in PDF Format - 04/01/2023
Medicaid Managed Care
- APR-DRG and Exempt Unit Rates effective (XLSX) | Also available in PDF Format - 04/01/2023
- DOH Medicaid FFS and HMO Claims Payment Calculation (XLSX) | Also available in PDF Format
- Chemical Dependency Detoxification Rates (XLSX) | Also available in PDF Format - 04/01/2023
Correspondence
- Health Plan Letter - August 2, 2024

Effective 04/01/2023 (Initial Rates)

Medicaid Fee-for-Service
- APR-DRG and Exempt Unit Rates effective (XLSX) | Also available in PDF Format - 04/01/2023
- DOH Medicaid FFS and HMO Claims Payment Calculation (XLSX) | Also available in PDF Format
- Chemical Dependency Detoxification Rates (XLSX) | Also available in PDF Format - 04/01/2023
Medicaid Managed Care
- APR-DRG and Exempt Unit Rates effective (XLSX) | Also available in PDF Format - 04/01/2023
- DOH Medicaid FFS and HMO Claims Payment Calculation (XLSX) | Also available in PDF Format
- Chemical Dependency Detoxification Rates (XLSX) | Also available in PDF Format - 04/01/2023
Correspondence
- Administrator Letter - August 30, 2023
- Health Plan Letter - September 13, 2023

Effective 01/01/2023 (Initial Rates)

Medicaid Fee-for-Service
- - 01/01/2023 - APR-DRG and Exempt Unit Rates effective (XLSX) | Also available in PDF Format
- - DOH Medicaid FFS and HMO Claims Payment Calculation (XLSX) | Also available in PDF Format
- - 01/01/2023 - Chemical Dependency Detoxification Rates (XLSX) | Also available in PDF Format
Medicaid Managed Care
- APR-DRG and Exempt Unit Rates effective (XLSX) | Also available in PDF Format - 01/01/2023
- DOH Medicaid FFS and HMO Claims Payment Calculation (XLSX) | Also available in PDF Format
- Chemical Dependency Detoxification Rates (XLSX) | Also available in PDF Format - 01/01/2023
Correspondence
- Administrator Letter - June 21, 2023
- Health Plan Letter - June 23, 2023

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