MedicaidReimbursementHigh impact
Medicaid Alert MA-2024-03
New Jersey Medicaid·NJ·Provider Notice
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid is transitioning from AP-DRG Version 34 to APR-DRG Version 41 for hospital claim reimbursement calculations. This affects how inpatient hospital claims are categorized and reimbursed under the Diagnosis Related Group system.
Action Required
Immediately: Billing team should download the full policy document from the NJ MMIS portal to determine exact effective date and implementation requirements. Hospital billing staff must prepare to update DRG grouping software and verify that billing systems are compatible with APR-DRG Version 41. Contact software vendors to ensure timely updates before the effective date.