Below you will find important information regarding DRG.
Final First Half Year 2016 Access Monitoring Report March 2016 (PDF)
Second Half Year 2016 Access Monitoring Report December 2017 (PDF)
Final First Half Year 2016 Access Monitoring Appendix March 2016 (PDF)
Review of SFYs 2013-14 and 2014-15 Utilization and Payment July 2017 (PDF)
APL 19-008 Rate Changed for Out-of-Network Border Hospitals under the DRG Methodology June 2019 (PDF)
APL 16-007 Designated Public Hospitals: Billing for Beneficiaries with California Children's Services Eligible Conditions and/or Medi-Cal Managed Care (Supersedes APL 15-011) JULY 2016 (PDF)
APL 16-008 Billing for CCS and Managed Care (supersedes APL 13-012) JULY 2016 (PDF)
APL 16-016 Rates Changes for Emergency and Post-Stabilization Services Provided by Out-of-Network "Border" Hospitals Under the Diagnosis Related Group Payment Methodology December 2016 (PDF)
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