Remittance Advice Alerts/PROMISe Banner Pages
Subject: Implementation of the All-Patient Refined Diagnosis Related Group version 36
Banner Date: February 22, 2019, through March 12, 2019
Cycles: 35, 36, 37
Provider Type/Specialties 01/010
Claim Types: I and A
 
Subject: Implementation of the All-Patient Refined Diagnosis Related Group version 36

On February 28, 2019, the Department of Human Services (Department) will replace All-Patient Refined Diagnosis Related Group (APR-DRG) version 35 with version 36 for acute care general hospital inpatient fee-for-service delivery system claims with discharge dates of service on or after October 1, 2018. The purpose of this update is to implement the most current and first available APR-DRG version designed specifically for use with the October 2018 ICD-10 code set. The Department will reprocess claims that were processed under APR-DRG version 35 for discharge dates of service October 1, 2018 through February 28, 2019, in late March 2019.
 
The Department anticipates posting the Relative Weights for use with APR-DRG version 36, effective October 1, 2018, on its website during the week of February 25, 2019. The Department has not made any changes to the computation methodology for relative values. The methodology remains the same as previously released for APR-DRG version 35.
 
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