MedicaidReimbursementMedium impact
2023.81 Provider Bulletin - Out-of-State and Border Hospital Reimbursement - Effective 01.01.2024 PDF
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid has updated reimbursement rates for out-of-state and border hospitals effective January 1, 2024. The APR-DRG base rate increased to $7,505.68, behavioral health per diem to $1,050, and rehabilitation per diem to $1,370. APC conversion factor for outpatient services is now $71.76.
Action Required
By January 1, 2024: Billing teams at out-of-state and border hospitals must update billing systems with new Connecticut Medicaid rates: APR-DRG base rate $7,505.68, behavioral health per diem $1,050, rehabilitation per diem $1,370, APC conversion factor $71.76, and updated cost-to-charge ratios. Verify system applies correct rates for Connecticut Medicaid discharges/services on or after 01/01/2024.