N.J. Admin. Code § 10:52-14.1

Current through Register Vol. 56, No. 21, November 4, 2024

Section 10:52-14.1 - Effective date

(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.