April 5, 2024

Thank you for being a participating provider with Jefferson Health Plans. This letter contains important information about the update to the current version of APR-DRG.

In accordance with the Pennsylvania Department of Human Services (DHS) and per Jefferson Health Plans’ policy RB.028.A, Jefferson Health Plans moved from APR-DRG version 39 to APR-DRG version 41, effective February 16, 2024. The policy can be found at our Policy Bulletin Library page.

Claims received as of April 4, 2024, with service dates on or after February 16, 2024 will be processed on APR-DRG version 41.

If you have any questions, please call the Provider Services Helpline at 1-888-991-9023 (Monday - Friday, 9 a.m. to 5:30 p.m.).