Report

Hawaii: 3M APR DRG implementation announced

Beginning with admission dates on January 1, 2022, inpatient acute services for the Hawaii Medicaid program shall be paid using 3M All Patient Refined Diagnosis Related Groups (APR DRGs). Due to APR DRGs’ enhanced granularity (particularly for key Medicaid service lines) and widespread adoption of across states, Med-QUEST (MQD) will use the APR DRG grouper as the patient classification system for its new Medicaid inpatient prospective payment methodology.

View the posted fee schedules and click on the APR DRG Payment Methodology tab to learn more:  Fee Schedules (hawaii.gov)

Publication Date: July 2021

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Source: Med-Quest