MS-DRG and MS-DRG LTCH 2012-2013 Fee Schedule
Posted 10/23/12

For charges incurred on and after October 1, 2012, the following changes will take effect for Department of Corrections (DOC) and HealthChoice MS-DRG and MS-DRG LTCH fee schedules:

MS-DRG

• The market basket update factor is 1.8%.
• Version 30 of the MS-DRG fee schedule reflects a base rate of $8,276 for urban hospitals and $10,643 for rural hospitals.
• The threshold amount for outlier cases is $81,266 for urban hospitals and $63,182 for rural hospitals.
• The marginal cost factor remains at .80.

MS-DRG LTCH

• Version 30 of the MS-DRG LTCH fee schedule has a base rate of $48,478.
• The outlier threshold is $15,408, and the cost-to-charge ratio is 0.277.

The next comprehensive MS-DRG and MS-DRG LTCH fee schedule update will be effective for charges incurred on and after October 1, 2013.