Approved State Directed Payment Preprints
Results
SDP Identifier:: PA_VBP_IPH_Renewal_20240101-20241231
Value-based payment arrangement focused on potentially preventable admissions for private acute care 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 $45 million.
SDP Identifier:: PA_VBP_OPH_Renewal_20240101-20241231
Value-based payment arrangement for opioid use disorder for private acute care 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 $35 million.
SDP Identifier:: PA_Fee_Oth4_Renewal_20240101-20241231
Uniform dollar increase for qualifying private duty nursing services delivered by eligible providers for the rating period covering January 1, 2024 through December 31, 2024, incorporated in the capitation rates through risk-based adjustment.
SDP Identifier:: UT_Fee_OPH2_Amend_07012022-06302023
Uniform percentage increase for outpatient hospital services in state teaching hospitals 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 $30,903,041.03.
SDP Identifier:: VA_Fee_IPH.OPH_Renewal_20231001-20240630
Uniform increase for inpatient and outpatient services at private acute care hospitals for the rating period covering October 1, 2023 through June 30, 2024, incorporated in the capitation rates through a separate payment term of up to $2.333 billion.
SDP Identifier:: VA_Fee_IPH.OPH_Renewal_20230701-20230930
Uniform increase for inpatient and outpatient services at private acute care hospitals for the rating period covering July 1, 2023 through September 30, 2023, incorporated in the capitation rates through a separate payment term of up to $778 million.
SDP Identifier:: UT_Fee_BHO_Renewal_20230701-20240630
An alternative fee schedule established by the state for behavioral health outpatient services for the rating period covering July 1, 2023 through June 30, 2024, incorporated in the capitation rates through a risk-based adjustment.
SDP Identifier:: UT_Fee_HCBS.BHI.BHO2_Renewal_20230701-20240630
A uniform percent increase for home and community-based services providers, behavioral health providers, and school based services providers 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 $9,962,925.
SDP Identifier:: NV_Fee_IPH.OPH2_New_20240101-20241231
Uniform increase for eligible inpatient and outpatient services at eligible private 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 $748,780,840.
SDP Identifier:: NV_VBP_Oth_Renewal_20230101-20231231
Value based payment for Certified Community Behavioral Health Centers (CCBHCs) for the rating period covering January 1, 2023 through December 31, 2023, incorporated in the capitation rates through a separate payment term of up to $1,015,232.55.