APR-DRG and Exempt Rates for Medicaid Fee-for-Service and Managed Care
2019
Effective 04/01/2019 (Initial Rates – MMC Only)
- Medicaid Managed Care
- APR–DRG and Exempt Unit Rates effective 04/01/2019 (XLSX) Also available in PDF Format (PDF) – Updated 01/28/2020
- DOH Medicaid FFS and HMO Claims Payment Calculation (XLS). Also available in PDF Format (PDF)
- Correspondence
- Health Plan Letter – October 8, 2019
Effective 01/01/2019 (Initial Rates)
- Medicaid Fee–for–Service
- APR–DRG and Exempt Unit Rates effective 01/01/2019 (XLSX) Also available in PDF Format (PDF)
- DOH Medicaid FFS and HMO Claims Payment Calculation (XLSX). Also available in PDF Format (PDF)
- Chemical Dependency Detoxification Rates – 01/01/2019 (XLSX). Also available in PDF Format (PDF)
- Medicaid Managed Care
- APR–DRG and Exempt Unit Rates effective 01/01/2019 (XLSX). Also available in PDF Format (PDF) – Updated 10/18/19
- DOH Medicaid FFS and HMO Claims Payment Calculation (XLS). Also available in PDF Format (PDF)
- Chemical Dependency Detoxification Rates – 01/01/2019 (XLSX). Also available in PDF Format (PDF)
- Correspondence
- Administrator Letter – October 8, 2019
- Health Plan Letter – October 8, 2019
