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

2017

Effective 04/01/2017 (Initial Rates)

• Medicaid Fee-for-Service
  • APR-DRG and Exempt Unit Rates effective 04/01/2017 - (XLSX) - (PDF) - Updated 05/10/22
  • DOH Medicaid FFS and HMO Claims Payment Calculations - (XLSX) - (PDF)
  • Chemical Dependency Detoxification Rates 04/01/2017 - (XLS) - (PDF) - Updated 05/10/22
• Medicaid Managed Care
  • APR-DRG and Exempt Unit Rates effective 04/01/2017 - (XLSX) - (PDF) - Updated 05/10/22
  • DOH Medicaid FFS and HMO Claims Payment Calculation - (XLS) - (PDF)
• Correspondence
  • Health Plan Letter - August 7, 2017

Effective 01/01/2017 (Initial Rates)

• Medicaid Fee-for-Service
  • APR-DRG and Exempt Unit Rates effective 01/01/2017 - (XLS) - (PDF) - Updated 05/10/22
  • DOH Medicaid FFS and HMO Claims Payment Calculations - (XLS) - (PDF)
  • Chemical Dependency Detoxification Rates 01/01/2017 - (XLS) - (PDF) - Updated 05/10/22
• Medicaid Managed Care
  • APR-DRG and Exempt Unit Rates effective 01/01/2017 - (XLS) - (PDF) - Updated 05/10/22
  • DOH Medicaid FFS and HMO Claims Payment Calculation - (XLS) - (PDF)
  • Chemical Dependency Detoxification Rates 01/01/2017 - (XLS) - (PDF) - Updated 05/10/22
• Correspondence
  • Health Plan Letter - May 5, 2017

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