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Hospital inpatient and outpatient alerts

Hospital Inpatient Update
The Mississippi Division of Medicaid will adopt V.31 of the 3M Health Information System APRDRG Grouper and V.31 of the Health Care Acquired Conditions (HCAC) utility for payment of hospital inpatient claims for discharges on or after July 1, 2014. APR-DRG parameters may also change effective for hospital inpatient discharges on or after July 1, 2014. Hospitals are not required to purchase 3M software for payment of claims; however, all hospitals that have purchased the 3M software should ensure their internal systems are updated to reflect all changes that occur for hospital discharges beginning on or after July 1, 2014.

Hospital Outpatient Update
The Mississippi Division of Medicaid OPPS fee schedule will be updated July 1, 2014 for Medicare Outpatient Addendum B or C changes effective April 1, 2014, as required by the State Plan. Hospitals will be notified at a future date about other July 1, 2014 Medicaid OPPS fee schedule changes resulting from the CMS Hospital OPPS final rule. The Mississippi Division of Medicaid is expecting to move forward with OPPS Phase 2 in the near future. Hospitals will be notified of all information related to these changes and training session dates via email, the DOM website, Late Breaking News, and RA Banner Messages.