Diagnosis Related Groups (DRGs)

Medicaid Payment Reforms - Implementation of DRGs

The 2012 Legislature mandated the conversion of the Medicaid hospital payment methodology from a per diem system to a Diagnosis Related Group (DRG) model. The Agency for Health Care Administration (AHCA) has retained MGT of America, Inc. in partnership with Navigant to develop models for consideration, with a plan published by December 1, 2012. The target date for implementation is July 1, 2013.

An educational event entitled "Preparing Florida's Hospitals for Medicaid DRGs" was sponsored by FHA on July 13, 2012. Materials from this session are now available below.

FHA is establishing a workgroup to assist with the analysis of the plan options and to provide recommendations to AHCA. For further information, visit the DRG Workgroup Web page.




Scope of Work