MedicaidReimbursementHigh impact
Annual Update to the Inpatient Hospital Adjustment Factors pdf
Connecticut Medicaid (HUSKY Health)·CT·Provider Bulletin
Effective date
Jan 1, 2020
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid updated the adjustment factors for All Patient Refined-DRG (APR-DRG) base payment calculations effective January 1, 2020. New factors are 0.293 for private acute care general hospitals, 0.311 for public acute care general hospitals, and 0.304 for children's hospitals.
Action Required
By January 1, 2020: Hospital billing teams in Connecticut must update their billing systems to apply the new APR-DRG adjustment factors - 0.293 for private acute care general hospitals, 0.311 for public acute care general hospitals, and 0.304 for children's hospitals. Verify with billing software vendor that the correct adjustment factor is being applied based on hospital type for all Connecticut Medicaid inpatient claims.