MedicaidReimbursementMedium impact
Inpatient Hospital Adjustment Factor and APR-DRG Weights pdf
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Jan 1, 2021
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid updated annual adjustment factors for inpatient hospital DRG payments effective January 1, 2021, with different multipliers for non-governmental (1.1489), governmental (1.1253), and children's hospitals (1.1198). The policy also implements traditional HCUP weights for APR-DRG calculations.
Action Required
Hospital billing teams in Connecticut should verify their billing systems are applying the correct 2021 adjustment factors for APR-DRG calculations: 1.1489 for non-governmental hospitals, 1.1253 for governmental hospitals, and 1.1198 for children's hospitals. Confirm systems are using traditional HCUP weights for all inpatient Medicaid discharges on or after January 1, 2021.