MedicaidReimbursementMedium impact
2025.77 - Annual Update to the Inpatient Hospital Adjustment Factors and Update to the APR-DRG Weights
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid is updating inpatient hospital adjustment factors and APR-DRG weights effective January 1, 2026. New adjustment factors vary by hospital type: 1.2429 for non-governmental hospitals, 1.1936 for governmental hospitals, and 1.2100 for children's hospitals.
Action Required
Before January 1, 2026: Billing team must update inpatient hospital billing systems with new APR-DRG adjustment factors for Connecticut Medicaid claims. Non-governmental hospitals use 1.2429, governmental hospitals use 1.1936, and children's hospitals use 1.2100. Verify billing software can accommodate version 43 APR-DRG weights from 3M.