Approved State Directed Payment Preprints
Results
SDP Identifier:: MA_VBP_IPH.OPH4_New_20230101-20230331
Continuous Quality Improvement (CQI) value-based payment arrangement established by the state for private acute hospitals for the rating period covering January 1, 2023 through March 31, 2023, incorporated into the capitation rates through a separate payment term of up to $37,876,200.
SDP Identifier:: NV_Fee_IPH_Amend2_20220101-20221231
A uniform increase for inpatient hospital services rendered by public hospitals for the rating period covering January 1, 2022 through December 31, 2022, incorporated in the capitation rates through a separate payment term of up to $73,708,805.29.
SDP Identifier:: PA_Fee_Oth3_Renewal_ 20240101-20241231
The alternative fee schedule for ambulance services owned and operated by the Cities of Pittsburgh and Philadelphia 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:: NV_Fee_AMC_Amend_20220101-20221231
Uniform increase for eligible professional services at designated academic medical centers for the rating period covering January 1, 2022 through December 31, 2022, incorporated in the capitation rates through a separate payment term of up to $20,386,808.36.
SDP Identifier:: MN_Fee_IPH.OPH.AMC.Oth_Renewal_20230101-20231231
Minimum fee schedule established by the state for eligible inpatient and outpatient hospital services, professional services at an academic medical center, ambulance services, and anesthesia services for the rating period, January 1, 2023 through December 31, 2023, incorporated into the capitation rates through a risk-based rate adjustment.
SDP Identifier:: MO_Fee_BHO_Renewal_20230701-20240630
Minimum fee schedule for Community Mental Health Clinics 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:: MA_Fee_BHI2_Renewal_20230101-20230331
Minimum fee schedule for psychiatric services for enrollees under the age of 21 with Autism Spectrum Disorder or Intellectual or Developmental Disability (ASD/IDD) for the rating period covering January 1, 2023 through March 31, 2023, incorporated in the capitation rates through a risk-based rate adjustment.
SDP Identifier:: NV_Fee_IPH.OPH_Renewal_20240101-20241231
Uniform increase for inpatient and outpatient hospital services at non-state governmentally owned hospitals 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 $240,129,255.30.
SDP Identifier:: PA_Fee_AMC2_Renewal_20240101-20241231
Uniform increase for professional services furnished by eligible physician practices 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 $38 million.
SDP Identifier:: PA_Fee_NF_Renewal_20240101-20241231
Minimum fee schedule for non-public and county nursing facility services for the rating period covering January 1, 2024 through December 31, 2024, incorporated in the capitation rates through a risk-based adjustment.