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

2020

Effective 04/02/2020 (Revised Rates - MMC Only)

• Medicaid Managed Care
  • APR-DRG and Exempt Unit Rates effective - 04/02/2020 - (XLSX) - (PDF)
  • DOH Medicaid FFS and HMO Claims Payment Calculation - (XLS) - (PDF)
  • Chemical Dependency Detoxification Rates - 04/02/2020 - (XLSX) - (PDF)
• Correspondence
  • Health Plan Letter - September 10, 2021

Effective 04/02/2020 (Initial Rates)

• Medicaid Fee-for-Service
  • APR-DRG and Exempt Unit Rates effective 04/02/2020 - (XLSX) - (PDF)
  • DOH Medicaid FFS and HMO Claims Payment Calculation - (XLS) - (PDF)
  • Chemical Dependency Detoxification Rates - 04/02/2020 - (XLSX) - (PDF)
• Medicaid Managed Care
  • APR-DRG and Exempt Unit Rates effective - 04/02/2020 - (XLSX) - (PDF)
  • DOH Medicaid FFS and HMO Claims Payment Calculation - (XLS) - (PDF)
  • Chemical Dependency Detoxification Rates - 04/02/2020 - (XLSX) - (PDF)
• Correspondence
  • Health Plan Letter - October 14, 2020
  • Administrator Letter - October 6, 2020

Effective 01/01/2020 (Initial Rates)

• Medicaid Fee-for-Service
  • APR-DRG and Exempt Unit Rates effective 01/01/2020 - (XLSX) - (PDF)
  • DOH Medicaid FFS and HMO Claims Payment Calculation - (XLS) - (PDF)
  • Chemical Dependency Detoxification Rates - 01/01/2020 - (XLSX) - (PDF)
• Medicaid Managed Care
  • APR-DRG and Exempt Unit Rates effective - 01/01/2020 - (XLSX) - (PDF) - updated 09/10/2021
  • DOH Medicaid FFS and HMO Claims Payment Calculation - (XLS) - (PDF)
  • Chemical Dependency Detoxification Rates - 01/01/2020 - (XLSX) - (PDF)
• Correspondence
  • Health Plan Letter - September 10, 2021
  • Health Plan Letter - October 14, 2020
  • Administrator Letter - October 6, 2020
  • Attachment - October 6, 2020

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