New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 52 - HOSPITAL SERVICES MANUAL
Subchapter 14 - METHODOLOGY FOR ESTABLISHING DRG PAYMENT RATES FOR INPATIENT SERVICES AT GENERAL ACUTE CARE HOSPITALS BASED ON DRG WEIGHTS AND A STATEWIDE BASE RATE
Section 10:52-14.1 - Effective date
Current through Register Vol. 56, No. 6, March 18, 2024
(a) Effective for inpatient services with discharge dates on or after August 3, 2009, general acute care hospitals will be paid in accordance with the New Jersey Medicaid Diagnosis Related Groups (DRG) Reimbursement System described in this subchapter.
(b) If the initial rate year is a partial year, all rate setting components used to calculate inpatient reimbursement delineated below will remain the same for the second rate year, except that the final rates will be increased by the economic factor applicable to that rate year as described in 10:52-14.6(c). For the third and subsequent rate years, the Statewide base rate will not change until rebasing occurs as explained in 10:52-14.6(e), add-on amounts will be calculated annually in accordance with 10:52-14.7, and the DRG weights will not change until recalibration occurs as delineated in 10:52-14.3.
