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KMAP BULLETIN: MS-DRG Update for April 2024

Date: 03/04/24

KMAP GENERAL BULLETIN 24045 (PDF)

The Medicare Severity Diagnosis-Related Group (MS-DRG) Grouper version 41.1 will be installed and effective for claims with dates of discharge on and after April 1, 2024.

The Neonatal MS-DRG Flowchart can be found here.

The summary of changes to the MS-DRG groupings can be found on the CMS website.

Note: The effective date of the policy is April 1, 2024. The implementation of State policy by the KanCare Managed Care Organizations (MCOs) may vary from the date noted in the Kansas Medical Assistance Program (KMAP) bulletins. The KanCare Open Claims Resolution Log on the KMAP Bulletins page documents the MCO system status for policy implementation and any associated reprocessing completion dates once the policy is implemented.