Ambulatory Patient Groups (APGs)

Ambulatory Care Payment Reform

The Department has been authorized by state statute to implement a new outpatient payment system, Ambulatory Patient Groups (APGs) for Article 28 facilities.

The APG payment methodology will be used to reimburse providers as follows:

  1. Hospital Outpatient Departments (other than Emergency Service) for services provided on dates of service on and after December 1, 2008.
  2. Hospital Emergency Service Department for services provided on dates of service on and after January 1, 2009.
  3. Freestanding diagnostic and treatment centers and ambulatory surgery centers for services provided on dates of service on and after September 1, 2009.

The information provided within the links on the left-hand side of this page will provide details regarding rates, reimbursement components, regulations, policies and APG weights.

Outpatient Rate Processing Schedule

Outpatient Rate Processing Schedule for the 2012/2013 SFY. Updated 4/15/2013