Medicaid Institutional Provider Cost Reimbursement

Medicaid reimbursement for institutional providers is determined in the Medicaid Program Finance Bureau. These providers include inpatient and outpatient hospital, nursing homes and ICF/DDs. This page contains links to some commonly requested documentation regarding the reimbursement of institutional providers.

Questions regarding the information contained in these documents may be directed to (850) 412-4103.


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DRG Conversion Implementation Plan
[2.71MB PDF]

NOTE: Final DRG Conversion Implementation Plan as submitted to the Governor, the President of the Senate, and the Speaker of the House of Representatives.

NOTE: Based on originally filed House budget bill, PCB APC 13-05 (GAA).

NOTE: Based on originally filed Senate budget bill, SPB 7040

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DRG Payment Method Options Document [1MB PDF]

NOTE: The recommendations contained in the DRG payment method options document posted below are from the consultants and not from the Agency for Health Care Administration. The recommendations are preliminary and made prior to comparing the data analysis that would be required to finalize the recommendations. The Agency has not made its recommendations. 

DRG Payment Method Options (with Navigant's preliminary recommendations) [802KB PDF]


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August 29, 2012 [38KB PDF]

September 18, 2012 [43KB PDF]

October 9, 2012 [36KB PDF]

November 6, 2012 [35KB PDF]

December 12, 2012 [35KB PDF]


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SFY 2012-13 Self-Funded Buyback and Exemption Adjustments

Average Interest Rates

Reimbursement Plans

Reimbursement Rates

Nursing Home Cost and Payment Rates





Reporting Medicaid Fraud