MedicaidReimbursementMedium impact
2024.76 - Provider Bulletin - Annual Update to the Inpatient Hospital Adjustment Factors & Updates to the APR-DRG Weights
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid updated adjustment factors for inpatient hospital APR-DRG payments effective January 1, 2025, with new factors ranging from 1.1831 to 1.2361 depending on hospital type. The state also implemented version 42 traditional weights from 3M for APR-DRG calculations.
Action Required
By January 1, 2025: Hospital billing teams in Connecticut must update their billing systems to use the new APR-DRG adjustment factors (1.2361 for non-governmental short-term general hospitals, 1.1831 for governmental short-term general hospitals, and 1.2085 for children's hospitals) and implement version 42 traditional weights for all Connecticut Medicaid inpatient discharge calculations.