Diagnosis Related Groups

The Division of Medical Assistance uses Diagnosis Related Groups (DRGs) to reimburse hospitals for services to Medicaid recipients. DRGs are a system of classifying inpatient hospital services based on a person's medical diagnosis, any secondary diagnoses, surgical procedures, age, sex and presence of any complications.

Diagnosis Related Groups - APR DRG Information

DRG Weights for MMIS - Rebase 2024 - Posted 11/02/23
DRG Weights and Outlier Thresholds - Rebase 2024 - Posted 09/29/23
GA Medicaid IPPS Rebase APR-DRG Transition Presentation - Posted 09/08/23
GA Medicaid IPPS Rebase Meeting Video Link - Posted 09/08/23
Delay IPPS implementation - Posted 12/20/22
FAQ - IPPS Update Presentation 2022 - Posted 12/20/22
GA Medicaid IPPS Rebase APR-DRG Transition - Posted 12/20/22

Diagnosis Related Groups - Related Files

FY 2003 Schedule (PDF, 73.58 KB)
FY 2003 Schedule (XLS, 79.5 KB)
January 2008 Changes - Relative Weights and Outlier Thresholds (XLS, 88.5 KB)
IPPS Tricare Version 33 weights and thresholds for January 1 2016.xlsx (XLS, 114.24 KB)
IPPS Hospital Update DRG Weights Effective April 1, 2014 (XLS, 113.52 KB)
IPPS DRG Weights Tricare Version - Jan 1, 2019 (XLS, 54.31 KB)