Approved State Directed Payment Preprints
Results
SDP Identifier:: OR_Fee_Oth2_New_20240101-20241231
Uniform dollar increases established by the state for ground emergency transportation providers 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 $26,065,794.
SDP Identifier:: WA_Fee_PC_Renewal_20240101-20241231
Renewal of the uniform increase established by the state for primary care services for all eligible providers 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:: WA_Fee_BHI.BHO3_New_20240101-20241231
The uniform increase established by the state for behavioral health inpatient and outpatient services delivered by eligible providers for the rating period covering January 1, 2024 through December 31, 2024, incorporated in the capitation rates through a through a risk-based adjustment.
SDP Identifier:: PR_Fee_Oth_new_20231001-20240930
Minimum Fee Schedule for professional and facility urgent care centers (CDTs) established by the state for the rating period, October 1, 2023 through September 30, 2024, incorporated into the capitation rates through a risk-based adjustment.
SDP Identifier:: NC_Fee_HCBS.BHO_Amend_20230701-20240630
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 covering July 1, 2023 through June 30, 2024, incorporated in the capitation rates through a risk-based rate adjustment.
SDP Identifier:: NM_Fee_AMC_Renewal_20240101-20240630
Renewal of the uniform percentage increase established by the state for qualified practitioners who are members of a practice plan under contract to provide professional services at a state-owned academic medical center for the rating period covering January 1, 2024 through June 30, 2024, incorporated in the capitation rates through a separate payment term of up to $34 million.
SDP Identifier:: IL_Fee_Oth_Renewal_20240101-20241231
Uniform increase established by the state for professional services at encounter rate clinics in non-state government owned hospital systems 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 $111,900,000.
SDP Identifier:: IL_Fee_NF2_Renewal_20240101-20241231
Uniform dollar increase for nursing facilities based on quality weighted Medicaid days 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 $49 million.
SDP Identifier:: WV_Fee_IPH.OPH.AMC.PC_Renewal_20230701-20240630
The Uniform Increase for eligible Acute Care Hospitals established by the state for Inpatient, Outpatient, and Physician Services 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 $270,573,649.
SDP Identifier:: WV_Fee_Oth1_Renewal_20230701-20240630
Uniform Increase for eligible Acute Care Hospitals established by the state for Physician
and Specialty Physician Services 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 $71,070,955.