All eight teams proceed to the knockout phase that culminates with the final match at Walsh Park.
[1] On 31 January 2022, Waterford County Board delegates voted on the restructuring of the entire intermediate hurling championship system following a review process.
It was decided to establish an all-county eight-team premier intermediate hurling championship for 2023.
These eight teams were made up of the four semi-finalists from the 2022 Eastern and Western intermediate championships.
The teams are ranked in the group stage table by points gained, then scoring difference and then their head-to-head record.
[4] In accordance with GAA rules, the County Board awards a set of gold medals to the championship winners.