2026 APR-DRG and Exempt Rates for Medicaid Fee-for-Service and Managed Care
Effective 01/01/2026 (Initial Rates)
- Medicaid Fee-for-Service
- APR-DRG and Exempt Unit Rates effective - 01/01/2026 (XLSX) | Also available in PDF Format
- DOH Medicaid FFS and HMO Claims Payment Calculation (XLSX) | Also available in PDF Format
- Chemical Dependency Detoxification Rates - 01/01/2026 (XLSX) | Also available in PDF Format - 01/01/2026
- Medicaid Managed Care
- APR-DRG and Exempt Unit Rates effective 01/01/2026 (XLSX) | Also available in PDF Format
- DOH Medicaid FFS and HMO Claims Payment Calculation (XLSX) | Also available in PDF Format
- Chemical Dependency Detoxification Rates - 01/01/2026 (XLSX) | Also available in PDF Format - 01/01/2026
- Correspondence
- Administrator Letter - October 13, 2026
- Health Plan Letter - October 16, 2026