MedicaidAdministrativeMedium impact
KMAP BULLETIN: MS-DRG Update for April 2024
Kansas Medicaid (KanCare)·KS·Provider Bulletin
Effective date
Apr 1, 2024
We identified it
Jun 21, 2026
Summary
The Medicare Severity Diagnosis-Related Group (MS-DRG) Grouper has been updated to version 41.1, affecting how inpatient hospital claims are grouped and reimbursed. This system update changes the classification logic used to determine payment rates for hospital discharge claims.
Action Required
By April 1, 2024: Hospital billing teams must ensure their systems are updated to MS-DRG Grouper version 41.1 for all inpatient discharge claims. Review the updated Neonatal MS-DRG Flowchart and CMS summary of grouping changes. Monitor the KanCare Open Claims Resolution Log for MCO implementation status and potential claim reprocessing requirements.