This post has been archived and contains information that may be out of date.
The Department of Health Care Services has updated the state fiscal year (SFY) 2021-22 Diagnosis Related Group (DRG) pricing calculators to correct an error on reference tab “5-Policy Adjustors.”
The error did not affect the pricing of claims or calculations. Respiratory pediatric policy adjustor severity of level 4 was inadvertently set to 1.80 and has been updated to 1.75.
In addition, line item #4 under tab “3-DRG Table” has included the following language:
Casemix relative weights reflect Hospital-Specific Relative Value (HSRV) relative weights V.38. All weights were re-centered for California and multiplied by the factor of 1.0419.
The updates include the following:
- Pricing Calculator SFY 21/22-210701 (Excel)
- Pricing Calculator Border Hospitals SFY 21/22-210701 (Excel)
Contact the DRG mailbox at DRG@dhcs.ca.gov with further questions.
