MedicaidReimbursementMedium impact
DRG Calculator 2023 IM pdf
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
The Connecticut Medicaid DRG Calculator has been updated with new rates, weights, and thresholds effective January 1, 2023 for hospital discharge dates. Updated calculator includes new Adjusted Base Rates, IME Factors, Cost-to-Charge ratios, and Behavioral Health/Rehab per diem rates.
Action Required
Immediately: Hospital billing teams must access the updated DRG Calculator from the Connecticut Hospital Modernization Web Page at ctdssmap.com. Update internal rate tables and billing systems with new DRG weights, ALOS, outlier thresholds, Adjusted Base Rates, IME Factors, and Cost-to-Charge ratios for all discharges dated January 1, 2023 and forward. Update Behavioral Health and Rehab per diem rates in billing system.