2025 APR-DRG and Exempt Rates for Medicaid Fee-for-Service and Managed Care

  • Medicaid Managed Care
    • APR-DRG and Exempt Unit Rates effective - 04/01/2025 - (XLSX) - (PDF) - Updated 02/24/2026
    • DOH Medicaid FFS and HMO Claims Payment Calculation - (XLSX) - (PDF)
  • Correspondence
  • Medicaid Fee-for-Service
    • APR-DRG and Exempt Unit Rates effective - 01/01/2025 - (XLSX) - (PDF) - Updated 02/24/2026
    • DOH Medicaid FFS and HMO Claims Payment Calculation - (XLSX) - (PDF) - Updated 03/06/2026
    • Chemical Dependency Detoxification Rates - 01/01/2025 - (XLSX) - (PDF)
  • Medicaid Managed Care
    • APR-DRG and Exempt Unit Rates effective - 01/01/2025 - (XLSX) - (PDF) - Updated 03/06/2026
    • DOH Medicaid FFS and HMO Claims Payment Calculation - (XLSX) - (PDF) - Updated 03/06/2026
    • Chemical Dependency Detoxification Rates - 01/01/2025 - (XLSX) - (PDF)
  • Correspondence

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