Who is affected by this change?

This affects Connecticut Medicaid (HUSKY Health) Critical Care, Emergency Medicine providers in CT on Medicaid plans.

When does this change take effect?

This change is effective Jan 1, 2023.

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DRG Calculator 2023 IM Updated pdf

Connecticut Medicaid (HUSKY Health)·CT · Critical Care, Emergency Medicine·Provider Bulletin

Effective date

Jan 1, 2023

We identified it

Jun 20, 2026

Days to comply

—

Summary

The DRG Calculator has been updated with 2023 rates for hospital discharges effective January 1, 2023, including new DRG weights, length of stays, outlier thresholds, and updated hospital base rates. However, there is currently an error in the calculator that Gainwell Technologies is working to fix.

Action Required

Action needed

Immediately: Wait for the corrected DRG calculator version before processing hospital discharge calculations. Monitor for notification from Gainwell Technologies about the new version availability (expected within 24 hours). Once available, download the updated calculator from the Hospital Modernization Web Page and verify all hospital base rates, IME factors, and cost-to-charge ratios under the Provider Table CT tab for discharges on or after January 1, 2023.

Related policy hubs

Connecticut Medicaid (HUSKY Health) policies CT policy changes Critical Care Emergency Medicine