Medicaid Comparative Rate Analysis and HCBS Rate Transparency Publications
- Comparative Payment Rate Analysis of Evaluation and Management (E/M) Services
- 2026 Payment Rate Transparency Publication 447.203(b)(1) for HHA_IDD
EAPG Documentation
- DC EAPG Relative Weights Eff 10-01-2025 DCO25003
- DC EAPG Relative Weights Eff 10-01-2024 DCO24004
- DC EAPG Relative Weights Eff 10-01-2023 DCO23005
- DC EAPG Relative Weights Eff 10-01-2022 DCO22016
- DC EAPG Relative Weights Eff 10-01-2021 DCO21022
- DC EAPG Relative Weights Eff 10/1/2020 DCO20032
- DC EAPG Relative Weights Eff 10-1-19 DCO19021
- DC EAPG Relative Weights Eff 10-1-18 DCO18023
- DC EAPG Relative Weights Eff 10-01-2017 DCO17045
- DCO16035 EAPG FY17 Weights Version 3 11 2016-08-25
- DC OP Hosp EAPG Relative Weights v3 8 2015-10-01 DCs15064
- DC OP Hosp EAPG Relative Weights v3 8 for DHCF 2014-09-12 S253
EAPG Grouper Settings
- DC EAPG Grouper Settings Eff 10-01-2025 DCO25004
- DC EAPG Grouper Settings Eff 10-01-2024 DCO24005
- DC EAPG Grouper Settings Eff 10-01-2023 DCO23006
- DC EAPG Grouper Settings Eff 10-01-2022 DCO22017
- DC EAPG Grouper Settings Eff 10-01-2021 DCO21021
- DC EAPG Grouper Settings Eff 10/1/2020 DCO20031
- DC EAPG Grouper Settings Eff 10-1-19 DCO19019 .pdf
- DC EAPG Grouper Settings Eff 10-1-18 DCO18022.pdf
- DC EAPG Grouper Settings Eff 10-01-2017 DCO17056.pdf
- DCO16034 EAPG Grouper Settings FY17 2016-08-25.pdf
- DC OP Hosp EAPG Grouper Settings 2015-10-01 DCs15065.pdf
- DC OP Hosp EAPG Grouper Settings for DHCF web 2014-09-12 S254.pdf
EAPG Inpatient Only List
- DC EAPG IP Only List Eff 10-01-2021 DCO21019
- DC EAPG IP Only List Eff 10-01-2021 DCO21019
- DC EAPG IP Only List Eff 10/1/2020 DCO20033
- DC EAPG IP Only List Eff 10-1-19 DCO19020.pdf
- DC EAPG IP Only List Eff 10-1-18 DCO18024.pdf
- DC EAPG IP Only List Eff 10-01-2017 DCO17042.pdf
- DCO16029 EAPG FY17 IP Only List 2016-07-29.pdf
- DC OP Hosp EAPG IP Only List 2015-10-01 DCs15061.pdf
- DC OP Hosp EAPG IP Only List for DHCF web 2015-01-01.pdf
- DC OP Hosp EAPG IP Only List for DHCF web 2014-10-09 S263.pdf
EAPG Never Pay List
- DC EAPG Never Pay List Eff 01-01-2026 DCO25026
- DC EAPG Never Pay List Eff 10-01-2025 DCO25002
- DC EAPG Never Pay List Eff 01-01-2025 DCO24029
- DC EAPG Never Pay List Eff 10-01-2024 DCO24003
- DC EAPG Never Pay List Eff 10-01-2023 DCO23004
- DC EAPG Never Pay List Eff 01-01-2023 DCO23001
- DC EAPG Never Pay List Eff 10-01-2022 DCO22015
- DC EAPG Never Pay List Eff 01-01-2022 DCO22002
- DC EAPG Never Pay List Eff 10-01-2021 DCO21020
- DC EAPG Never Pay List Eff 1/1/2021 DCO21001
- DC EAPG Never Pay List Eff 10/1/2020 DCO20035
- DC EAPG Never Pay List Eff 10-1-19 DCO19018.pdf
- DC EAPG Never Pay List Eff 10-1-18 DCO18021.pdf
- DC EAPG Never Pay List Eff 01-01-2018 DCO17059.pdf
- DC EAPG Never Pay List Eff 10-01-2017 DCO17043 .pdf
- DCO16024 EAPG Never Pay List FY17 2016-07-29.pdf
- DC OP Hosp EAPG Never Pay List 2015-10-1 DCs15062.pdf
- DC OP Hosp EAPG Never Pay List for DHCF web 2015-01-01.pdf
- DC OP Hosp EAPG Never Pay List for DHCF web 2014-10-09 S264.pdf
Training presentations
- DC APR-DRG Provider Training 2014-09-12 S185.pdf
- DC Spec Hosp Provider Per Stay Presentation 2014-08-14 S186.pdf
- DC Spec Hosp Provider Per Diem Presentation 2014-08-14 S185.pdf
- DC OP Hosp EAPG Provider Training 2014-09-16 S250.pdf
APR-DRG Calculator
- DC APR-DRG Pricing Calculator Eff 10-01-2025 DCI25002
- DC APR-DRG Pricing Calculator Eff 10-01-2024 DCI24003
- DC APR-DRG Pricing Calculator Eff 10-01-2023 DCI23003
- DC APR-DRG Pricing Calculator Eff 10-01-2022 DCI22012
- DC APR-DRG Pricing Calculator Eff 10-01-2021 DCI21019
- DC APR-DRG Pricing Calculator Eff 10/1/2020 DCI20031
- DC APR-DRG Pricing Calculator Eff 10-1-19 DCI19016.xlsx
- DC APR-DRG Pricing Calculator Eff 10-1-2018 DCI18018.xlsx
- DC APR-DRG Pricing Calculator Eff 10-01-2017 DCI17036.xlsx
- DCI16024 DC APR-DRG FY17 Calculator.xlsx
- DC APR-DRG FY16 Pricing Calculator for hospitals 2015-10-01 DCs15076.xlsx
- DC APR-DRG FY15 Pricing Calculator for hospitals 2014-10-01 Revised DCs15074.xlsx
- DC APR-DRG Pricing Calculator for hospitals 2014-08-29 S181.xls
APR-DRG Calculator Instructions
Specialty Calculator
- DC Specialty Hosp DRG Pricing Calculator Eff 10-01-2025 DCS25002
- DC Specialty Hosp DRG Pricing Calculator Eff 10-01-2024 DCS24001
- DC Specialty Hosp DRG Pricing Calculator Eff 10-01-2023 DCS23004
- DC Specialty Hosp DRG Pricing Calculator Eff 10-01-2022 DCS22006
- DC Specialty Hosp DRG Pricing Calculator Eff 10-01-2021 DCS21007
- DC Specialty Hosp DRG Pricing Calculator Eff 10-1-2020 DCS20015
- DC Specialty Hosp DRG Pricing Calculator Eff 10-1-19 DCS19014.xlsx
- DC Specialty Hosp DRG Pricing Calculator Eff 10-1-18 DCS18028.xlsx
- DC Specialty Hosp DRG Pricing Calculator Eff 10-01-2017 DCS17023.xlsx
- DCS16033 FY17 Specialty Hospital DRG Calculator 2016-08-22.xlsx
- DC FY16 Specialty Hospital Per Stay Calculator 2015-10-01 DCs15081.xls
- DC Spec Hosp Per Stay Calculator Protected 2014-09-02 S203.xls
Specialty Calculator Instructions
- DC Specialty Hosp DRG Calculator Instructions Eff 10-01-2017 DCS17024
- DCS16034 FY17 Specialty Hospital Calculator Instruc 2016-08-22
- DC Spec Hosp Per Stay Calculator Instructions 2014-08-25 S195
Frequently Asked Questions
- DC Specialty Hosp FAQ Eff 10-01-2025 DCS25003
- DC EAPG FAQ Eff 10-01-2025 DCO25005
- DC APR-DRG FAQ Eff 10-01-2025 DCI25003
- DC Specialty Hosp FAQ Eff 10-01-2024 DCS24002
- DC EAPG FAQ Eff 10-01-2024 DCO24006
- DC APR-DRG FAQ Eff 10-01-2024 DCI24004
- DC APR-DRG FAQ Eff 10-01-2023 DCI23004
- DC Specialty Hosp FAQ Eff 10-01-2023 DCS23005
- DC EAPG FAQ Eff 10-01-2023 DCO23007
- DC EAPG FAQ Eff 10-01-2022 DCO22018
- DC APR-DRG FAQ Eff 10-01-2022 DCI22013
- DC APR-DRG FAQ Eff 10-01-2021 DCI21018
- DC EAPG FAQ Eff 10-01-2021 DCO21018
- DC Specialty Hosp FAQ Eff 10-01-2021 DCS21008
- DC APR-DRG FAQ Eff 10/1/2020 DCI20030
- DC EAPG FAQ Eff 10/1/2020 DCO20028
- DC Specialty Hosp FAQ Eff 10/1/2020 DCS20016
- DC Specialty Hosp FAQ Eff 10-1-19 DCS19004.pdf
- DC EAPG FAQ Eff 10-1-19 DCO19004.pdf
- DC APR-DRG FAQ Eff 10-1-19 DCI19005.pdf
- DC Specialty Hosp FAQ Eff 10-1-18 DCS18006.pdf
- DC APR-DRG FAQ Eff 10-1-18 DCI18004.pdf
- DC EAPG FAQ 10-1-18 DCO18005.pdf
- DC Specialty Hosp FAQ Eff 10-01-2017 DCS17013.pdf
- DC EAPG FAQ Eff 10-01-2017 DCO17027.pdf
- DC APR-DRG FAQ Eff 10-1-2017 DCI17006.pdf
- DCS16032 FY17 Specialty Hospital FAQ 2016-08-22.pdf
- DCO16032 EAPG FAQ 2016-08-24.pdf
- DCI16017 APR-DRG FY17 FAQ.pdf
- DCs 16005 Spec Hosp Short-Term Inpatient FAQ 2016-04-05.pdf
- DC Specialty Hospital FAQ 2015-10-01 DCs15082.pdf
- DC APR-DRG FAQ 2015-10-01 DCs15092.pdf
- DC Outpatient Hospital EAPG FAQ 2015-10-01 DCs15090.pdf
- DC APR-DRG FAQ 2014-09-22 S197.pdf
- DC Spec Hosp FAQ 2014-09-22 S210.pdf
- DC Outpat Hosp FAQ 2014-09-22 S262.pdf
Info on EAPGs
- DC EAPG Information on EAPGs Eff 10-01-2025 DCO25006
- DC EAPG Information on EAPGs Eff 10-01-2024 DCO24007
- DC EAPG Information on EAPGs Eff 10-01-2023 DCO23008
- DC EAPG Information on EAPGs Eff 10-01-2022 DCO22019
- DC EAPG Information on EAPGs Eff 10-01-2021 DCO21023
- DC EAPG Information on EAPGs Eff 10/1/2020 DCO20029
- DC EAPG Information on EAPGs Eff 10-1-19 DCO19006.pdf
- DC Information on EAPGs Eff 10-1-18 DCO18006.pdf
- DC EAPG Information on EAPGs Eff 10-01-2017 DCO17029 .pdf
- DCO16033 Info on EAPGs 2016-08-24.pdf
- DC Outpatient Hospital Info on EAPGs 2015-10-01 DCs15091.pdf
- DC Outpat Hosp Info on EAPGs Draft 2014-07-30 S241.pdf