Hospital Rates Archive

Medicaid Reimbursement Rates

State Mental Health Hospital Program

2021

• Hospital Rates, Effective July 1, 2021 [12KB MS Excel] Posted 4/7/2022
• Calculation Worksheets, Effective July 1, 2021 [54KB PDF] Posted 4/7/2022
• Rate Letters, Effective July 1, 2021 [858KB PDF] Posted 4/7/2022

2020

• Hospital Rates, Effective July 1, 2020 [12KB MS Excel] Posted 6/30/2020
• Calculation Worksheets, Effective July 1, 2020 [56KB PDF] Posted 6/30/2020
• Rate Letters, Effective July 1, 2020 [854KB PDF] Posted 6/30/2020

2019

• Hospital Rates, Effective July 1, 2019 [12KB MS Excel] Posted 7/3/2019
• Calculation Worksheets, Effective July 1, 2019 [62KB PDF] Posted 7/3/2019
• Rate Letters, Effective July 1, 2019 [862KB PDF] Posted 7/3/2019

2018

• Hospital Rates, Effective July 1, 2018 [10KB MS Excel] Posted 7/3/2018
• Calculation Worksheets, Effective July 1, 2018 [62KB PDF] Posted 7/3/2018
• Rate Letters, Effective July 1, 2018 [872KB PDF] Posted 7/3/2018

EAPG Outpatient Hospitals

2018 July

• EAPG Rate Worksheet FY 2018-19 [44KB MS Excel] July 1, 2018
• Provider EAPG Rate Worksheet FY 2018-19 [57KB MS Excel] July 1, 2018

• Notice of change to EAPG rates effective April 1 2018 [398KB PDF] June 1, 2018
• Provider EAPG Rate Worksheet Reconciliation, April 1, 2018 [59KB MS Excel] Updated 5/31/2018

DRG Inpatient Hospitals

2018

• DRG Rate Worksheet FY 2018-2019, July 1, 2018 [217KB MS Excel]
• Provider DRG Rate Worksheet FY 2018-2019, July 1, 2018 [46KB MS Excel]

2017

• Hospital Rates, Effective July 1, 2017 [10KB MS Excel] Posted 7/5/2017
• Calculation Worksheets, Effective July 1, 2017 [61KB PDF] Posted 7/5/17
• Rate Letters, Effective July 1, 2017 [872KB PDF] Posted 7/5/17

• Navigant EAPG Training for Florida Medicaid, July 1, 2017 [2.98MB PDF]
• EAPG Rate Worksheet FY 2017-2018, July 1, 2017 [48KB MS Excel]
• Provider EAPG Rate Worksheet FY 2017-2018, July 1, 2017 [58KB MS Excel]

• DRG Rate Worksheet FY 2017-2018, July 1, 2017 [217KB MS Excel]
• Provider DRG Rate Worksheet FY 2017-2018, July 1, 2017 [49KB MS Excel]

2016

• Hospital Rates Effective July 1, 2016 [21KB MS Excel] Posted 10/12/2016
• Calculation Worksheets County Billing Effective July 1, 2016 [2.09MB PDF] Posted 10/12/2016
• Calculation Worksheets, Effective July 1, 2016 [2.13MB PDF] Posted 10/12/2016
• Rate Letters, Effective July 1, 2016 [5.73MB PDF] Posted 10/12/2016

Out-of-State Outpatient Hospital Rates, Effective July 1, 2016

• OP AVERAGE OOS - $80.00
• OP LOWEST OOS - $12.85
• OP TEACHING OOS - $218.08

DRG Inpatient Hospitals

• DRG Rate Worksheet FY 2016-2017, July 1, 2016 [203KB MS Excel]
• Provider DRG Rate Worksheet FY 2016-2017, July 1, 2016 [39KB MS Excel]

2015

• Hospital Rates Effective July 1, 2015 [26KB MS Excel] Posted 11/4/2015
• Calculation Worksheets Effective July 1, 2015 [7.27MB PDF] Posted 11/4/2015
• Calculation Worksheets County Billing Effective July 1, 2015 [588KB PDF] Posted 7/1/2015
• Rate Letters Effective July 1, 2015 [2.59MB PDF] Posted 11/4/2015

DRG Inpatient Hospitals

• DRG Hospital Inpatient Rates New Logic Effective 07/1/2015 [29KB PDF]
• DRG Rate Worksheet FY 2015-2016 July 1, 2015 [40KB MS Excel]
• Provider DRG Rate Worksheet FY 2015-2016 July 1, 2015 [40KB MS Excel]

2014

• Hospital Rates Effective July 1, 2014 [27KB MS Excel] Updated October 31, 2014
• Calculation Worksheets Effective July 1, 2014 [2.67MB PDF] Updated August 21, 2014
• Rate Letters Effective July 1, 2014 [1.02KB PDF] Updated August 21, 2014

DRG Inpatient Hospitals

• DRG Rate Worksheet FY 2014-2015 July 1, 2014 [226KB MS Excel]
• Provider DRG Rate Worksheet FY 2014-2015 July 1, 2014 [33KB MS Excel]

2013

• Hospital Rates Effective July 1, 2013 [27KB MS Excel ] Updated October 31, 2013
• Calculation Worksheets Effective July 1, 2013 [2.35MB PDF] Updated October 31, 2013
• Rate Letters Effective July 1, 2013 [807KB PDF] Updated October 31, 2013

DRG Inpatient Hospitals

• DRG Rate Worksheet FY 2013-2014 July 1, 2013 [238KB MS Excel]
• Provider DRG Rate Worksheet FY 2013-2014 July 1, 2013 [37KB MS Excel] Updated November 1, 2013

2012

• Excel File July 1, 2012 [MS Excel 63KB]
• Calculation Worksheets July 1, 2012 [PDF 1.9MB]
• Rate Letters July 1, 2012 [PDF 766KB]

2011

• Excel File July 1, 2011 [MS Excel 64KB]
• Calculation Worksheets July 1, 2011 [PDF 1.90MB]
• Rate Letters July 1, 2011 [PDF 713KB]
• Excel File January 1, 2011 [MS Excel 55KB]
• Calculation Worksheets January 1, 2011 [PDF 9.3MB]
• Rate Letters January 1, 2011 [PDF 10KB]

2012

• Excel File Updated 11/8/12 July 1, 2012 [MS Excel 64KB]

2011

• Excel File January 1, 2011 [MS Excel 55KB]
• Excel File July 1, 2011 [MS Excel 63KB]

SFY 2012-13 Self-Funded Buyback and Exemption Adjustments