MedicaidReimbursementMedium impact
Newsletter Vol. 28, No.23
New Jersey Medicaid·NJ·Provider Notice
We identified it
Jun 20, 2026
Summary
New Jersey Medicaid is transitioning from AP-DRG Version 27 to APR-DRG Version 34 for hospital inpatient reimbursement. This change affects how inpatient claims are categorized and reimbursed under the DRG system.
Action Required
Billing team should review the full policy document at https://www.njmmis.com/documentDownload.aspx?document=28-23.pdf to understand specific implementation timeline and any required system updates for DRG coding. Coordinate with hospital billing systems to ensure proper APR-DRG Version 34 mapping for inpatient claims.