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

2022

Medicaid Fee-for-Service
- APR-DRG and Exempt Unit Rates effective - 04/01/2022 - (XLSX) - (PDF)
- DOH Medicaid FFS and HMO Claims Payment Calculation - (XLSX) - (PDF) - Updated 6.23.2023
- Chemical Dependency Detoxification Rates - 04/01/2022 - (XLSX) - (PDF)
Medicaid Managed Care
- APR-DRG and Exempt Unit Rates effective - 04/01/2022 - (XLSX) - (PDF) - Updated 6.23.2023
- DOH Medicaid FFS and HMO Claims Payment Calculation - (XLSX) - (PDF) - Updated 6.23.2023
- Chemical Dependency Detoxification Rates - 04/01/2022 - (XLSX) - (PDF)
Correspondence
- Administrator Letter - February 1, 2023
- Administrator Letter - March 9, 2023
- Administrator Letter - June 21, 2023
- Health Plan Letter - March 13, 2023
- Health Plan Letter - June 23, 2023

Medicaid Fee-for-Service
- APR-DRG and Exempt Unit Rates effective - 04/01/2022 - (XLSX) - (PDF)
- DOH Medicaid FFS and HMO Claims Payment Calculation - (XLS) - (PDF)
- Chemical Dependency Detoxification Rates - 04/01/2022 - (XLSX) - (PDF)
Medicaid Managed Care
- APR-DRG and Exempt Unit Rates effective - 04/01/2022 - (XLSX) - (PDF)
- DOH Medicaid FFS and HMO Claims Payment Calculation - (XLS) - (PDF)
- Chemical Dependency Detoxification Rates - 04/01/2022 - (XLSX) - (PDF)
Correspondence
- Administrator Letter - July 15, 2022
- Health Plan Letter - July 20, 2022

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

Medicaid Fee-for-Service
- APR-DRG and Exempt Unit Rates effective - 01/01/2022 - (XLSX) - (PDF)
- DOH Medicaid FFS and HMO Claims Payment Calculation - (XLS) - (PDF)
- Chemical Dependency Detoxification Rates - 01/01/2022 - (XLSX) - (PDF) Updated - 6/16/2022
Medicaid Managed Care
- APR-DRG and Exempt Unit Rates effective - 01/01/2022 - (XLSX) - (PDF)
- DOH Medicaid FFS and HMO Claims Payment Calculation - (XLS) - (PDF)
- Chemical Dependency Detoxification Rates - 01/01/2022 - (XLSX) - (PDF) Updated - 6/16/2022
Correspondence
- Administrator Letter - April 21, 2022
- Administrator Letter (Attachment) - April 21, 2022
- Health Plan Letter - May 9, 2022