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

2015

Effective 04/01/2015 (Initial Rates)

• Medicaid Fee–for–Service
  • APR–DRG and Exempt Unit Rates effective 04/01/2015 (XLS). Also available in PDF Format (PDF)
  • DOH Medicaid FFS and HMO Claims Payment Calculations (XLS). Also available in PDF Format (PDF)
  • Chemical Dependency Detoxification Rates effective 04/01/2015(XLS). Also available in PDF Format (PDF)

• Medicaid Managed Care
  • APR–DRG and Exempt Unit Rates effective 04/01/2015 (XLS). Also available in PDF Format (PDF)
  • DOH Medicaid FFS and HMO Claims Payment Calculations (XLS). Also available in PDF Format (PDF)
  • Chemical Dependency Detoxification Rates effective 04/01/2015 (XLS). Also available in PDF Format (PDF)

• Correspondence
  • Health Plan Letter- May 5, 2017

Effective 01/01/2015 (Revised Rates - Psych only)

• Medicaid Fee–for–Services
  • APR–DRG and Exempt Unit Rates effective 01/01/2015

• Medicaid Managed Care
  • APR–DRG and Exempt Unit Rates effective 01/01/2015

• Correspondence
  • Health Plan Letter April XX, 2017 - September 21, 2015

Effective 01/01/2015 (Initial Rates)

• Medicaid Fee–for–Services
  • APR–DRG and Exempt Unit Rates effective 01/01/2015 (XLS, 444KB) Also available in PDF Format (PDF, KB)
  • DOH Medicaid FFS and HMO Claims Payment Calculations (XLS, 183KB) Also available in PDF Format (PDF, 254KB)
  • Chemical Dependency Detoxification Rates 01/01/2015 (XLS, 177KB) Also available in PDF Format (PDF, 61KB)

• Medicaid Managed Care
  • APR–DRG and Exempt Unit Rates effective 01/01/2015 (XLS, 476KB) Also available in PDF Format (PDF, 231KB)
  • DOH Medicaid FFS and HMO Claims Payment Calculations (XLS, 183KB) Also available in PDF Format (PDF, 254KB)
  • Chemical Dependency Detoxification Rates 01/01/2015 (XLS, 177KB) Also available in PDF Format (PDF, 61KB)

• Correspondence
  • Health Plan Letter - May 29, 2015

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