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

2021

Medicaid Managed Care
- APR-DRG and Exempt Unit Rates effective - 12/01/2021 - (XLSX) - (PDF)
- DOH Medicaid FFS and HMO Claims Payment Calculation - (XLS) - (PDF) (Updated 02/09/2023)
- Chemical Dependency Detoxification Rates - 12/01/2021 - (XLSX) - (PDF)
Correspondence
- Health Plan Letter - November 3, 2022 (Updated 12/20/2022)
- Administrator Letter - November 3, 2022 (Updated 12/20/2022)

Medicaid Fee-for-Service
- APR-DRG and Exempt Unit Rates effective - 10/01/2021 - (XLSX) - (PDF)
- DOH Medicaid FFS and HMO Claims Payment Calculation - (XLS) - (PDF)
- Chemical Dependency Detoxification Rates - 10/01/2021 - (XLSX) - (PDF)
Medicaid Managed Care
- APR-DRG and Exempt Unit Rates effective - 10/01/2021 - (XLSX) - (PDF)
- DOH Medicaid FFS and HMO Claims Payment Calculation - (XLS) - (PDF)
- Chemical Dependency Detoxification Rates - 10/01/2021 - (XLSX) - (PDF)
Correspondence
- Administrator Letter - March 4, 2022 (PDF)
- Health Plan Letter - March 18, 2022 (PDF)

Medicaid Fee-for-Service
- APR-DRG and Exempt Unit Rates effective - 10/01/2021 - (XLSX) - (PDF)
- DOH Medicaid FFS and HMO Claims Payment Calculation - (XLS) - (PDF)
- Chemical Dependency Detoxification Rates - 10/01/2021 - (XLSX) - (PDF)
Medicaid Managed Care
- APR-DRG and Exempt Unit Rates effective - 10/01/2021 - (XLSX) - (PDF)
- DOH Medicaid FFS and HMO Claims Payment Calculation - (XLS) - (PDF)
- Chemical Dependency Detoxification Rates - 10/01/2021 - (XLSX) - (PDF)
Correspondence
- Administrator Letter - November 9, 2021
- Health Plan Letter - November 9, 2021

Medicaid Fee-for-Service
- Exempt Unit Rates effective - 08/01/2021 - (XLSX) - (PDF)
- DOH Medicaid FFS and HMO Claims Payment Calculation - (XLS) - (PDF)
Medicaid Managed Care
- Exempt Unit Rates effective - 08/01/2021 - (XLSX) - (PDF)
- DOH Medicaid FFS and HMO Claims Payment Calculation - (XLS) - (PDF)
Correspondence
- Administrator Letter - March 4, 2022 (PDF)
- Health Plan Letter - March 18, 2022 (PDF)

Medicaid Managed Care
- APR-DRG and Exempt Unit Rates effective - 01/01/2021 - (XLSX) - (PDF)
- DOH Medicaid FFS and HMO Claims Payment Calculation - (XLS) - (PDF)
- Chemical Dependency Detoxification Rates - 01/01/2021 - (XLSX) - (PDF)
Correspondence
- Health Plan Letter - September 10, 2021

Medicaid Fee-for-Service
- APR-DRG and Exempt Unit Rates effective - 01/01/2021 - (XLSX) - (PDF)
- DOH Medicaid FFS and HMO Claims Payment Calculation - (XLS) - (PDF)
- Chemical Dependency Detoxification Rates - 01/01/2021 - (XLSX) - (PDF)
Medicaid Managed Care
- APR-DRG and Exempt Unit Rates effective - 01/01/2021 - (XLSX) - (PDF)
- DOH Medicaid FFS and HMO Claims Payment Calculation - (XLS) - (PDF)
- Chemical Dependency Detoxification Rates - 01/01/2021 - (XLSX) - (PDF)
Correspondence
- Administrator Letter - May 20, 2021
- Administrator Letter (Attachment) - May 20, 2021
- Health Plan Letter - May 21, 2021