Approved State Directed Payment Preprints
Results
SDP Identifier:: VT_VBP_IPH.OPH.AMC.PC.SP_Renewal_20240101-20241231
Value-based payment arrangement for the Vermont Medicaid Next Generation (VMNG) ACO program for the rating period covering January 1, 2024 through December 31, 2024, incorporated in the capitation rates through a risk-based rate adjustment.
SDP Identifier:: VT_VBP_HCBS_Renewal_20240101-20241231
Value-based payment arrangement for developmental disabilities services for the rating period covering January 1, 2024 through December 31, 2024, incorporated in the capitation rates through a risk-based rate adjustment.
SDP Identifier:: IL_Fee_IPH.OPH_Renewal_20240101-20241231
Uniform increase established by the state for inpatient and outpatient services at hospitals participating in delivery system transformation programs approved by the state for the rating period covering January 1, 2024 through December 31, 2024, incorporated in the capitation rates through a separate payment term of up to $149,000,000.
SDP Identifier:: NC_Fee_AMC_Renewal_20230701-20240630
Uniform dollar increase established by the state for the professional services at academic medical centers for the rating period covering July 1, 2023 through June 30, 2024 incorporated in the capitation rates through a separate payment term of up to $83,547,311.
SDP Identifier:: PR_Fee_IPH_Amend_20231001-20240930
Uniform dollar increase for inpatient hospital services at qualifying short-term acute care (STAC) hospitals for the rating period covering October 1, 2023 through September 30, 2024 incorporated in the capitation rates through a separate payment term of up to $135,978,450.
SDP Identifier:: VT_VBP_Oth_Renewal_20240101-20241231
Value-based payment arrangement for the High-Technology Nursing Program for the rating period covering January 1, 2024 through December 31, 2024, incorporated in the capitation rates through a risk-based rate adjustment.
SDP Identifier:: NC_Fee_BHI_Renewal_20240701-20250630
Uniform dollar increase established by the state for eligible behavioral health inpatient services for the rating period, July 1, 2024 through June 30, 2025, incorporated into the capitation rates through a risk-based rate adjustment.
SDP Identifier:: NC_Fee_HCBS_BHO_Renewal_20240701-20250630
Uniform dollar increase and minimum fee schedule for home and community-based services and behavioral health outpatient services established by the state for the rating period, July 1, 2024 through June 30, 2025, incorporated into the capitation rates through a risk-based rate adjustment.
SDP Identifier:: NH_Fee_IPH2.SP.BHI2_New_20230701-20240831
Minimum fee schedule for psychiatrists in a state-owned Institutions for Mental Diseases (IMD) established by the state for inpatient, specialty physician services and behavioral health inpatient services for the rating period, July 1, 2023 through August 31, 2024, incorporated into the capitation rates through a risk-based adjustment.
SDP Identifier:: NC_Fee_NF.BHI_Renewal_20240701-20250630
Minimum fee schedules established by the state for eligible non-state government owned skilled nursing facilities and inpatient behavioral health providers for actual utilization of services for the rating period, July 1, 2024 through June 30, 2025, incorporated into the capitation rates through a risk-based rate adjustment.