2025 APG Updates/Policy Changes

Managed Care Updates

Sole Community Hospitals:

  • 4/1/2025 - 3/31/2026
    • Health Plan Letter - (Web) - (PDF) - October 16, 2025
    • Medicaid Managed Care Sole Community Hospital Outpatient Rate Add-ons - (Web) - (XLSX) - (PDF) (April 1, 2025 - March 31, 2026)

Critical Access Hospitals:

  • 4/1/2025 - 3/31/2026
    • Health Plan Letter - (Web) - (PDF) - December 5, 2025
    • Medicaid Managed Care Critical Access Hospital Outpatient Rate Add-ons - (Web) - (XLSX) - (PDF) (April 1, 2025 - March 31, 2026)

Safety Net/Financially Distressed Hospitals:

  • 4/1/2025 - 3/31/2026
    • Health Plan Letter - (Web) - (PDF) - October 16, 2025
    • Medicaid Managed Care Safety Net / Financially Distressed Hospital Outpatient Rate Add-ons - (Web) - (XLSX) - (PDF) (April 1, 2025 - March 31, 2026)