APR-DRG and Exempt Rates for Medicaid Fee-for-Service and Managed Care
2024
Effective 10/01/2024 (Initial Rates)
- Medicaid Fee-for-Service
- APR-DRG and Exempt Unit Rates effective (XLSX) | Also available in PDF Format - 10/01/2024
- DOH Medicaid FFS and HMO Claims Payment Calculation - (XLXS) | Also available in PDF Format - Updated 03/06/2026
- Chemical Dependency Detoxification Rates (XLSX) | Also available in PDF Format - 10/01/2024
- Medicaid Managed Care
- APR-DRG and Exempt Unit Rates effective (XLSX) | Also available in PDF Format - 10/01/2024 Updated 03/11/2026
- DOH Medicaid FFS and HMO Claims Payment Calculation (XLXS) | Also available in PDF Format - Updated 03/06/2026
- Chemical Dependency Detoxification Rates (XLSX) | Also available in PDF Format - 10/01/2024
- Correspondence
- Administrator Letter - December 19, 2024
- Health Plan Letter - December 20, 2024
- Health Plan Letter - March 06, 2026
Effective 04/01/2024 (Initial Rates)
- Medicaid Managed Care
- APR-DRG and Exempt Unit Rates effective (XLSX) | Also available in PDF Format - 04/01/2024 Updated 03/06/2026
- DOH Medicaid FFS and HMO Claims Payment Calculation (XLSX) | Also available in PDF Format - Updated 03/06/2026
- Correspondence
- Health Plan Letter - September 20, 2024
- Health Plan Letter - March 06, 2026
Effective 01/01/2024 (Initial Rates)
- Medicaid Fee-for-Service
- APR-DRG and Exempt Unit Rates effective (XLSX) | Also available in PDF Format - 01/01/2024 Updated 02/24/2026
- DOH Medicaid FFS and HMO Claims Payment Calculation (XLSX) | Also available in PDF Format
- Chemical Dependency Detoxification Rates (XLSX) | Also available in PDF Format - 01/01/2024
- Medicaid Managed Care
- APR-DRG and Exempt Unit Rates effective (XLSX) | Also available in PDF Format - 01/01/2024 Updated 02/24/2026
- DOH Medicaid FFS and HMO Claims Payment Calculation (XLSX) | Also available in PDF Format
- Chemical Dependency Detoxification Rates (XLSX) | Also available in PDF Format - 01/01/2024
- Correspondence
- Administrator Letter - July 17, 2024
- Health Plan Letter - August 2, 2024
