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Attention inpatient hospital providers:
What is changing?
Effective for dates of service on and after May 11, 2023, the Health Care Authority (HCA) is ending the enhanced payment for services related to the treatment of COVID-19 for inpatient hospital services. This applies to inpatient hospital claims paid under the DRG method and aligns with the ending of the federal public health emergency on May 11, 2023.
Inpatient hospital providers must discontinue the use of the DR condition code on and after May 11, 2023, dates of service.
Billing Guide and Fee Schedule
HCA will revise the Inpatient Hospital Services Billing Guide and the Inpatient Hospital Fee Schedule to reflect this change. See HCA’s Provider billing guides and fee schedules.
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