Payment to Out-of-State and Non-Medicaid Providers During 2017 Hurricane Irma Disaster Grace Period

Out-of-state and non-Medicaid enrolled providers who provided services to Florida Medicaid recipients in good faith during the disaster grace period associated with 2017 Hurricane Irma, and who complete a provisional (temporary) enrollment application, will be reimbursed for those services under the DRG (for inpatient) or EAPG (for outpatient) methodology.  The Agency will use the DRG and EAPG base rate in the calculation of these payments.  The following DRG and EAPG calculators can be used by non-participating providers to estimate payment.

Inpatient Services:

The DRG rate calculator effective July 1, 2017, can be located at the following link: http://ahca.myflorida.com/medicaid/cost_reim/xls/FL_DRG_Calculator_SFY_2017-2018_2017-06-30_Final.xlsx

Outpatient Services:

The EAPG rate calculator effective July 1, 2017, can be located at the following link: http://ahca.myflorida.com/medicaid/Finance/finance/institutional/docs/FL_EAPG_Calculator_2017-06-26.xlsx