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 www.HPPlans.com/PolicyBulletins.

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.).