APR-DRG and Exempt Rates for Medicaid Fee-for-Service and Managed Care
2011
Effective 10/01/2011 (Initial Rates)
- Medicaid Fee–for–Services
- APR–DRG and Exempt Unit Rates effective 10/01/2011 Also available in PDF Format (PDF 172MB 13PG.) Updated 06/19/2012
- DOH Medicaid FFS and HMO Claims Payment Calculations Also available in PDF Format (PDF 34KB 9PG.)
- Medicaid Managed Care
- APR–DRG and Exempt Unit Rates effective 10/01/2011 Also available in PDF Format (PDF 190MB 12PG.) Updated 06/19/2012
- DOH Medicaid FFS and HMO Claims Payment Calculations Also available in PDF Format (PDF 34KB 9PG.)
- Correspondence
- Health Plan Letter - January 26, 2012
Effective 04/01/2011 (Initial Rates)
- Medicaid Fee–for–Services
- APR–DRG and Exempt Unit Rates effective 04/01/2011 Also available in PDF Format (PDF 158MB 13PG.)
- DOH Medicaid FFS and HMO Claims Payment Calculations Also available in PDF Format (PDF 157KB 11PG.) Updated 11/22/2013
- Psychiatric Rates 04/01/2011 Also available in PDF Format (PDF 72KB 3PG.)
- Chemical Dependency Detoxification Rates 04/01/2011 Also available in PDF Format (PDF 31KB 1 PG.)
- DOH Chemical Dependency Detoxification Billing Instructions (PDF)
- Medicaid Managed Care
- APR–DRG and Exempt Unit Rates effective 04/01/2011 Also available in PDF Format (PDF 172.7MB 12PG.)
- DOH Medicaid FFS and HMO Claims Payment Calculations Also available in PDF Format (PDF 157KB 11PG.) Updated 11/22/2013
- Psychiatric Rates 04/01/2011 Also available in PDF Format (PDF 119KB 2PG.)
- Chemical Dependency Detoxification Rates 04/01/2011 Also available in PDF Format (PDF 31KB 1 PG.)
- DOH Chemical Dependency Detoxification Billing Instructions (PDF)
- Correspondence
- Health Plan Letter – November 22, 2013
- Health Plan Letter – January 26, 2012
Effective 01/01/2011 (Revised Rates)
- Medicaid Fee–for–Services
- APR–DRG and Exempt Unit Rates effective 01/01/2011 Also available in PDF Format (PDF 191MB 11PG.)
- DOH Medicaid FFS and HMO Claims Payment Calculations Also available in PDF Format (PDF 49KB 9PG.)
Effective 01/01/2011 (Initial Rates)
- Medicaid Fee–for–Services
- APR–DRG and Exempt Unit Rates effective 01/01/2011 Also available in PDF Format (PDF 155.4MB 14PG.) Updated 04/04/2011
- DOH Medicaid FFS and HMO Claims Payment Calculations Also available in PDF Format (PDF 158KB 11PG.) Updated 11/22/2013
- Psychiatric Rates 01/01/2011 Also available in PDF Format (PDF 71KB 3PG.)
- Chemical Dependency Detoxification Rates 01/01/2011 Also available in PDF Format (PDF 31KB 1 PG.)
- DOH Chemical Dependency Detoxification Billing Instructions (PDF 102KB 3PG.)
- Medicaid Managed Care
- APR–DRG and Exempt Unit Rates effective 01/01/2011 Also available in PDF Format (PDF 172.7MB 14PG.) Updated 01/10/2012
- DOH Medicaid FFS and HMO Claims Payment Calculations Also available in PDF Format (PDF 158KB 11PG.) Updated 11/22/2013
- Psychiatric Rates 01/01/2011 Also available in PDF Format (PDF 119KB 2PG.)
- Chemical Dependency Detoxification Rates 01/01/2011 Also available in PDF Format (PDF 31KB 1 PG.)
- DOH Chemical Dependency Detoxification Billing Instructions (PDF 102KB 3PG.)
- Correspondence
- Health Plan Letter - November 22, 2013
- Health Plan Letter - Chemical Dependency Detoxification - July 6, 2011
- Health Plan Letter - February 7, 2011
