Approved State Directed Payment Preprints
Results
SDP Identifier:: NM_Fee_IPH.OPH5_Renewal_20230101-20231231
A uniform percentage increase and quality incentive payment established by the state for inpatient and outpatient hospital services provided by Safety Net Care Pool hospital providers for the rating period covering January 1, 2023 through December 31, 2023, incorporated into the capitation rates through a separate payment term of up to $69,000,000.
SDP Identifier:: NH_Fee_IPH.OPH_Renewal_20230701-20240831
The uniform dollar increase for inpatient discharges and outpatient visits to qualifying critical access hospitals for the rating period covering July 1, 2023 through August 31, 2024, incorporated in the capitation rates through a separate payment term of up to $49,000,000.
SDP Identifier:: TX_Fee_IPH.OPH.BHI_Amend_20230901-20240831
Comprehensive Hospital Increase Reimbursement Program (CHIRP) directed payment for the rating period covering September 1, 2023 through August 31, 2024, incorporated in the capitation rates through a risk-based rate adjustment.
SDP Identifier:: AZ_Fee_AMC_Amend_ 20211001-20220930
Uniform percentage increase, entitled Access to Professional Services Initiative, established by the state for qualified practitioners affiliated with one of the designated hospitals for the rating period covering October 1, 2021 through September 30, 2022, incorporated into the capitation rate through a separate payment term of up to $158.6 million.
SDP Identifier:: FL_Fee_AMC_Renewal_20221001-20230930
Uniform percentage increase established by the state for professional services at an academic medical center for the rating period covering October 1, 2022 through September 30, 2023, incorporated in the capitation rates through a separate payment term of up to $265,157,436.
SDP Identifier:: AZ_Fee_AMC_Amend_20221001-20230930
Uniform percentage increase, entitled Access to Professional Services Initiative, established by the state for qualified practitioners affiliated with one of the designated hospitals for the rating period covering October 1, 2022 through September 30, 2023, incorporated into the capitation rate through a separate payment term of up to $203.8 million.
SDP Identifier:: VA_VBP_NF_Amend_20220701-20230630
The quality payment established by the state for nursing facility services for the rating period covering July 1, 2022 through June 30, 2023, incorporated in the capitation rates through a separate payment term of up to $59,311,250.
SDP Identifier:: IL_Fee_Oth_Renewal_20230101-20231231
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, 2023 through December 31, 2023, incorporated in the capitation rates through a separate payment term of up to $130,000,000.
SDP Identifier:: NM_Fee_IPH.OPH4_Renewal_20230101-20231231
The uniform percentage increase established by the state for inpatient and outpatient services provided by practice plans under contract to community hospitals that serve a disproportionate share of Native American enrollees for the rating period covering January 1, 2023 through December 31, 2023, incorporated in the capitation rates through a risk-based rate adjustment.
SDP Identifier:: NM_Fee_IPH.OPH1_Renewal_20230101-20231231
The uniform percentage increase established by the state for inpatient and outpatient services by for-profit/investor owned and government-owned hospitals for the rating period covering January 1, 2023 through December 31, 2023, incorporated in the capitation rates through a risk-based rate adjustment.