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The new methodology will also include payment factors based on rural hospital status, patient age, presence of mental retardation, co-morbidities, length of stay and a separate payment for electroconvulsive (ECT) treatment. The presentation to hospitals on September 13, 2010, regarding Psychiatric Reform rates is published on the «Presentations» section of this web site. To view this and other presentations, select the «Presentations» button on the left-side navigation bar of this page. Since there are no changes to the APR-DRGs in v33 as compared to v31 and v32, the APR-DRG weights and outlier thresholds that were effective July 1, 2014 will remain in effect for the payment of these claims. January 1, 2013 Inpatient Rate Update Effective for discharges on or after January 1, 2013, version 30 of the 3M All Patient Refined Diagnosis Related Groups (APR-DRG) will be utilized for Medicaid, Workers Compensation and No-Fault. This new method was established in order to pay more appropriately for inpatient psychiatric admissions and address length of stay variances. The components of the new psychiatric methodology will include the use of psychiatric APR-DRGs, a statewide price (adjusted for wage differences), capital costs and direct medical education costs.

October 1, 2015 Update for ICD-10 Effective for discharges on or after October 1, 2015, version 33 of the 3M All Patient Refined Diagnosis Related Groups (APR-DRG) will be utilized for Medicaid, Workers Compensation and No-Fault. January 1, 2014 — June 30, 2014 Inpatient Rate Update For discharges beginning January 1, 2014 through June 30, 2014, the 2013 SIWs, cost thresholds and ALOS will be used for payment purposes with version 30 of the APR-DRG grouper. July 1, 2014 Inpatient Rate Update Effective for discharges on or after July 1, 2014, version 31 of the 3M All Patient Refined Diagnosis Related Groups (APR-DRG) will be utilized for Medicaid, Workers Compensation and No-Fault. Further information will be supplied at that time.
July 1, 2013 Medicaid Update: New Inpatient Psychiatric Reimbursement Methodology. The formula on which these new psychiatric exempt unit rates are promulgated is in accordance with Article 28 of the Public Health Law set forth in Part 86-1.39 of the Commissioner of Health´s Rules and Regulations. Refer to the «Final APR-DRG Weights effective January 1, 2014 (version 30)» link above for further information.

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