Effective for dates of discharge on or after September 1, 2020, Texas Medicaid and the Children with Special Health Care Needs (CSHCN) Services Program will continue to use version 37.1 of the All Patient Refined-Diagnosis Related Groups (APR-DRG) system.
Statistical information about the APR-DRG payment system, which includes relative weights, mean lengths of stay, and day thresholds can be found on the Texas Medicaid Acute Care Hospital Reimbursement web page.
Note: Future updates to the APR-DRG Grouper information will be published on the TMHP website as soon as available. Providers should check the TMHP website for any updates.
For more information, call the TMHP Contact Center at 1-800-925-9126 or the TMHP-CSHCN Services Program Contact Center at 800-568-2413.