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APR-DRG Overview

This training provides an overview of where information on the APR-DRG based payment system can be found on the AHCCCS website. Effective 10/1/2014, AHCCCS began reimbursing inpatient hospital services using a DRG-based payment system. APR-DRG information can be found here: https://www.azahcccs.gov/PlansProvide... DRG Payment Policies can be found on the AHCCCS website at the below link: https://www.azahcccs.gov/PlansProvide... Please note, that the appearance of a code and rate on the AHCCCS website is not an indication of coverage, nor a guarantee of payment. AHCCCS covered procedures can be viewed in the AHCCCS Medical Policy Manual (AMPM). AHCCCS covered services can differ based upon enrollment. APR-DRG Values Referenced in A.A.C. R9-22 Article 7