MedicaidReimbursementMedium impact
Update to Inpatient Hospital Adj Factors and Update to the APR-DRG Weights pdf
Connecticut Medicaid (HUSKY Health)·CT · General Surgery, Internal Medicine, Cardiology +1 more·Provider Bulletin
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid has updated the inpatient hospital adjustment factors and APR-DRG weights effective January 1, 2022. The adjustment factors are now 1.1482 for non-governmental hospitals, 1.1216 for governmental hospitals, and 1.1148 for children's hospitals, with implementation of version 39 HCUP weights.
Action Required
Billing team must verify that billing system has updated Connecticut Medicaid inpatient hospital reimbursement calculations to use the new 2022 adjustment factors and APR-DRG version 39 weights. Contact billing software vendor to confirm implementation of updated payment methodology for Connecticut Medicaid inpatient claims with discharge dates on or after January 1, 2022.