MedicaidReimbursementMedium impact
OOS & Border Hospital Reimbursement pdf
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Jan 1, 2020
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid updated reimbursement rates for out-of-state and border hospitals effective January 1, 2020. 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
Connecticut providers billing for out-of-state or border hospital services: Update billing systems with new Connecticut Medicaid rates - APR-DRG base rate $7,505.68, Behavioral Health per diem $1,050.00, Rehabilitation per diem $1,370.00, and APC conversion factor $71.76. Review Provider Bulletin 2019-88 for required adjustment factors. Verify professional practitioners are enrolled in appropriate billing groups.