For more information about this transition, please visit the DRG Pricing web page on the provider web portal.
Effective July 1, 2024
Note: Based on HB 5001, SFY 2024-25 General Appropriations Act
Florida DRG Calculator
[
136.5 kB
]
7/1/2024
Provider Specific DRG Results
[
92.4 kB
]
7/1/2024
DRG Rate Worksheet FY 2024-25
[
90.8 kB
]
7/1/2024
Provider DRG Rate Worksheet FY 2024-25
[
45.3 kB
]
7/1/2024
Diagnosis Related Group (DRG) Payment System Educational Session
February 27, 2024
Florida APR DRG Educational Training
[
836.2 kB
]
Effective July 1, 2023
Note: Based on SB 2500, SFY 2023-24 General Appropriations Act
Florida DRG Calculator
[
127.3 kB
]
Updated 6/14/2023
Provider Specific DRG Results
[
92.4 kB
]
5/05/2023
DRG Rate Worksheet FY 2023-24
[
88.4 kB
]
Updated 6/14/2023
Provider DRG Rate Worksheet FY 2023-24
[
40.8 kB
]
Updated 6/14/2023
Effective July 1, 2022
Note: Based on SB 2500, SFY 2022-23 General Appropriations Act
Florida DRG Calculator
[
128 kB
]
Updated 2/17/2023
Provider Specific DRG Results
[
101.2 kB
]
Updated 7/15/2022
DRG Rate Worksheet FY 2022-23
[
138.2 kB
]
Updated 7/01/2022
Provider DRG Rate Worksheet FY 2022-23
[
51.8 kB
]
Updated 2/17/2023
Effective July 1, 2021
Note: Based on SB 2500, SFY 2021-22 General Appropriations Act
Florida DRG Calculator
[
127.4 kB
]
Updated 3/7/2022
Provider Specific DRG Results
[
86.8 kB
]
Updated 5/24/2021
DRG Rate Worksheet FY 2021-22
[
138.9 kB
]
7/01/2021
Provider DRG Rate Worksheet FY 2021-22
[
47.1 kB
]
Updated 3/7/2022
Effective October 1, 2020
Note: Based on HB 5001, SFY 2020-21 General Appropriations Act
Florida DRG Calculator
[
177.8 kB
]
, Updated 5/7/2021
Provider DRG Rate Worksheet FY 2020-21
[
46.2 kB
]
October 1, 2020
Effective July 1, 2020
Note: Based on SB 5001, SFY 2020-21 General Appropriations Act
Florida DRG Calculator
[
310.7 kB
]
Updated 6/1/2020
Provider Specific Results
[
82.4 kB
]
Updated 3/27/2020
DRG Rate Worksheet FY 2020-21
[
227.8 kB
]
July 1, 2020
Provider DRG Rate Worksheet FY 2020-21
[
46.6 kB
]
July 1, 2020
Previous DRG Simulations
Note: The SFY 2019-20 Provider Specific Results have been updated with data reflecting the impact of changes to projected hospital inpatient reimbursement, by hospital and in the aggregate, resulting from final parameters adopted by the Legislature in SFY 2020-21 HB 5001 back of the bill proviso language.
Florida DRG Calculator
[
305.4 kB
]
, Updated 6/1/2020
Provider Specific Results
[
80.9 kB
]
Updated 3/27/2020
DRG Rate Worksheet FY 2019-20
[
202.2 kB
]
July 1, 2019
Provider DRG Rate Worksheet FY 2019-20
[
46.7 kB
]
July 1, 2019
Note: Based on HB 5001, SFY 2018-19 General Appropriations Act
Florida DRG Calculator
[
298.2 kB
]
Updated 8/27/2018
Provider Specific Results
[
77.3 kB
]
Updated 6/29/2018
Note: Based on SB 2500, SFY 2017-18 General Appropriations Act
Provider Specific Results
[
88 kB
]
, Updated 5/24/2017
Florida DRG Calculator
[
296.4 kB
]
, Updated 1/23/2018
Note: Based on SPB 2500, SFY 2017-18 General Appropriations Act
Provider Specific Results
[
103.6 kB
]
, Updated 4/3/2017
Note: Based on PCB APC 17-01, SFY 2017-18 General Appropriations Act
Provider Specific Results
[
106.3 kB
]
, Updated 4/3/2017
Note: Based on FY 2016-17 General Appropriations Act
Florida DRG Calculator SFY 2016-2017
[
283.8 kB
]
, Effective July 1, 2016
Note: Based on FY 2015-16 Casemix Reconciliation
Florida DRG Calculator SFY 2015-2016
[
291.1 kB
]
, Effective March 1, 2016
Note: Based on FY 2015-16 General Appropriations Act
Florida DRG Calculator SFY 2015-2016
[
306.1 kB
]
, Effective July 1, 2015
Note: Based on FY 2014-15 General Appropriations Act
Florida DRG Calculator SFY 2014-2015
[
323.6 kB
]
Updated 7/21/2014
Note: Based on FY 2014-15 Casemix Reconciliation
Florida DRG Calculator SFY 2014-15 Effective March 1, 2015
[
321.4 kB
]
Updated 3/6/2015
NOTE: Based on final rates implemented 11/1/2013 and effective July 1, 2013 (retrospective) for FY 2013-14.
Florida DRG Calculator
[
307.7 kB
]
Summary Comparison of DRG July 1, 2013 GAA Simulation vs. November 1, 2013 FINAL Simulation by Provider
[
556.3 kB
]
Summary Comparison of DRG July 1, 2013 GAA Simulation vs. November 1, 2013 FINAL Simulation by Provider
[
60.1 kB
]
NOTE: Based on final DRG Conversion Implementation Plan as submitted to the Governor, the President of the Senate, and the Speaker of the House of Representatives.
Florida DRG Calculator
[
289.7 kB
]
Summary of DRG Simulation 28 Results by Provider
[
291.9 kB
]
Summary of DRG Simulation 28 Results by Provider
[
91.7 kB
]
NOTE: Based on originally filed House budget bill, PCB APC 13-05 (GAA).
Summary of DRG Simulation as Proposed in PCB APC 13-05 (GAA) Results by Provider
[
439.8 kB
]
Summary of DRG Simulation as Proposed in PCB APC 13-05 (GAA) Results by Provider
[
127 kB
]
NOTE: Based on originally filed Senate budget bill, SPB 7040
Summary of DRG Simulation as Proposed in SPB 7040 Results by Provider
[
661.1 kB
]
Summary of DRG Simulation as Proposed in SPB 7040 Results by Provider
[
125 kB
]
DRG Transitional Payments
DRG Transitional Payments Report, June 30, 2014
[
4.5 MB
]
DRG Transitional Payments Report, March 1, 2014
[
4.1 MB
]
DRG Payment Options
NOTE: Final DRG Conversion Implementation Plan as submitted to the Governor, the President of the Senate, and the Speaker of the House of Representatives.
DRG Conversion Implementation Plan
[
2.7 MB
]
NOTE: The recommendations contained in the DRG payment method options document posted below are from the consultants and not from the Agency for Health Care Administration. The recommendations are preliminary and made prior to comparing the data analysis that would be required to finalize the recommendations. The Agency has not made its recommendations.
DRG Payment Method Options (with Navigant's preliminary recommendations)
[
801.6 kB
]
Reimbursement Plans
Rough draft version as used for discussion purposes only at the August 27, 2013 rule development workshop.
DRG Reimbursement Plan Rough Draft
[
1.2 MB
]
NOTE: This inpatient hospital reimbursement plan was submitted to the Centers for Medicare and Medicaid Services (CMS) as State Plan Amendment (SPA) 2013-011 on September 30, 2013. The language contained in the reimbursement plan may be revised several times during the CMS review and approval process and is not considered final until AHCA receives written approval of the reimbursement plan from CMS.
DRG Reimbursement Plan
[
884.8 kB
]
