Public Notice for SPA 18-0004 APR-DRG Reimbursement

Pursuant to 42 C.F.R. Section 447.205, public notice is hereby given to the submission of a Medicaid State Plan Amendment (SPA). The Division of Medicaid, in the Office of the Governor, is submitting SPA 18-0004 All Patient Refined Diagnosis Related Groups (APR-DRG) Reimbursement to update the hospital inpatient payment methodology with an effective date of July 1, 2018 contingent upon approval from the Centers for Medicare and Medicaid Services (CMS). This proposed SPA is to comply with approved SPA 2012-008, our Transmittal # 18-0004.

For more information, read the public notice and draft pages.

SPA 18-0004 APR-DRG Reimbursement public comments

Posted on June 13, 2018.