MedicaidReimbursementMedium impact
Out-of-State and Border Hospital Reimbursement pdf
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
Connecticut has updated reimbursement rates for out-of-state and border hospitals serving Connecticut Medicaid patients effective January 1, 2023. New inpatient APR-DRG base rate is $7,505.68 and outpatient APC conversion factor is $71.76, with updated per diem rates for behavioral health ($1,050) and rehabilitation ($1,370).
Action Required
For out-of-state and border hospitals billing Connecticut Medicaid: Update billing system with new rates effective January 1, 2023 - APR-DRG base rate $7,505.68, behavioral health per diem $1,050, rehabilitation per diem $1,370, and APC conversion factor $71.76. Reference Provider Bulletin 2022-96 for APR-DRG adjustment factors. Ensure professional services are billed through enrolled professional billing groups per existing bulletins.