MedicaidReimbursementMedium impact
OOS & Border Hospital Reimbursement - Effective 01.01.2022 pdf
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid updated reimbursement rates for out-of-state and border hospitals effective January 1, 2022. New rates include APR-DRG base rate of $7,505.68 for inpatient services and APC conversion factor of $71.76 for outpatient services.
Action Required
Immediately: Billing team must update Connecticut Medicaid reimbursement rates in billing system for out-of-state and border hospital services. Update inpatient APR-DRG base rate to $7,505.68, behavioral health per diem to $1,050.00, rehabilitation per diem to $1,370.00, and outpatient APC conversion factor to $71.76. Reference Provider Bulletin 2022-05 for APR-DRG adjustment factors and weights.