MS- DRG and MS- DRG LTCH 2011- 2012 Fee Schedule
Posted 11/15/11

For charges incurred on and after October 1, 2011, 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 1.9%.
• Version 29 of the MS-DRG fee schedule reflects a base rate of $8,130 for urban hospitals and $10,455 for rural hospitals.
• The threshold amount for outlier cases is $79,829 for urban hospitals and $62,065 for rural hospitals.
• The marginal cost factor is .80.

MS-DRG LTCH 

• Version 29 of the MS-DRG LTCH fee schedule has a base rate of $48,266.
• The outlier threshold is $17,931and the cost-to-charge ratio is 0.304.

The next comprehensive MS-DRG and MS-DRG LTCH fee schedule update will be effective for charges incurred on and after October 1, 2012.