Inpatient Hospital Payment

 

Inpatient Hospital Base Rates FY22-23

Inpatient Hospital Base Rates FY21-22

Inpatient Hospital Base Rates FY20-21

 


DRAFT - New Inpatient Hospital Base Rate Methodology 

 

Draft Inpatient Rate Model November 2022 Stakeholder Review

Draft Inpatient Rate Model October 2022 Stakeholder Review

DRAFT Non-PPS IME Calculation October 2022 Stakeholder Review

Draft Inpatient Rate Model August 2022 Stakeholder Review

Draft Inpatient Hospital Base Rate Methodology May 2021 Stakeholder Review 

 

Diagnosis Related Groups (DRG)

Diagnosis Related Groups (DRG) weight tables are provided for reference by various healthcare partners and providers. The relative weight tables are used by the Department to reimburse hospitals for inpatient services.

DRG Weight Tables

July 1, 2020 - APR-DRG Version 33 (Excel Version)

July 1, 2020 -  APR-DRG Version 33 (PDF Version)

January 1, 2020 - APR-DRG Version 33 (Excel Version)

January 1, 2020 - APR-DRG Version 33 (PDF Version)

January 1, 2016 - APR-DRG Version 33 

January 1, 2014

Hospital Specific Relative Values (HSRV) 3M National Weight Table Ver 33 - Research Purposes ONLY

Weight Table

As part of the HB 09-1293 provisions, the Department of Health Care Policy and Financing (the Department) is authorized to develop and implement improvements to the current hospital payment methodologies, including but not limited to the development of incentive payments, implementation of new payment systems, and rate reform.

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