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DSS Important Message - DRG Grouper Update pdf

Connecticut Medicaid (HUSKY Health)·General Surgery, Cardiology, Orthopedics +2 more·Provider Bulletin
Effective date
Apr 19, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

A new Diagnosis Related Grouper (DRG) version was implemented on April 19, 2023, affecting all inpatient hospital claims with dates of service on or after April 1, 2023. This is a system update with no changes to DRG rates or weights.

Action Required

Action needed
No action required: This is an informational update about a DRG system implementation that occurred in April 2023. The grouper update does not change DRG rates, weights, or billing procedures. Inpatient hospital billing teams should be aware that claims with DOS 4/1/23 and after automatically use the new grouper version.