Approved State Directed Payment Preprints
Results
SDP Identifier:: RI_Fee_Oth_Renewal_20220701-20230630
Uniform increase established by the state for shared living services for the rating period covering July 1, 2022 through June 30, 2023, incorporated in the capitation rates through a risk-based rate adjustment.
SDP Identifier:: NJ_Fee_IPH.OPH.AMC.PC.SP.BHI.BHO.D_Renewal_20230701-20240630
The alternative fee schedules established by the state for professional services provided by qualified providers affiliated with schools of medicine or dentistry who participate in the Medicaid Access to Physician Services (MAPS) program 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:: SC_Fee_Oth_New_20230701-20240630
Uniform increase established by the state to dispensing fees for Independent Community Pharmacies 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 $7,500,000.
SDP Identifier:: MS_Fee_IPH.OPH_Renewal_20230701-20240630
Uniform percentage increase established by the state for inpatient and outpatient hospital 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 $562,279,698.00.
SDP Identifier:: MO_Fee_BHO_New_20220701-20230630
Minimum fee schedule for Community Mental Health Clinics established by the state for the rating period covering July 1, 2022 through June 30, 2023, incorporated in the capitation rates through a risk-based rate adjustment.
SDP Identifier:: RI_Fee_HCBS2_Renewal_20220701-20230630
Uniform increase established by the state for personal care and combined personal care/ homemaker services for the rating period covering July 1, 2022 through June 30, 2023, incorporated in the capitation rates through a risk-based rate adjustment.
SDP Identifier:: RI_Fee_IPH_Renewal_20220701-20230630
Uniform increase established by the state for all hospitals participating in the Rhode Island Medicaid Program, as defined in RIGL 40-8-13.4, for inpatient hospital services for the rating period covering July 1, 2022 through June 30, 2023, incorporated in the capitation rates through a risk-based rate adjustment.
SDP Identifier:: RI_Fee_IPH3_New_20220701-20230630
Uniform increase established by the state for inpatient labor and delivery services for the rating period covering July 1, 2022 through June 30, 2023, incorporated in the capitation rates through a risk-based rate adjustment.
SDP Identifier:: RI_Fee_OPH_Renewal_20220701-20230630
Uniform increase established by the state for all hospitals participating in the Rhode Island Medicaid Program, as defined in RIGL 40-8-13.4, for outpatient hospital services for the rating period covering July 1, 2022 through June 30, 2023, incorporated in the capitation rates through a risk-based rate adjustment.
SDP Identifier:: RI_VBP_PC_Renewal_20220701-20230630
The value-based payment Patient Centered Medical Home (PCMH)-Kids initiative established by the state for eligible pediatric providers for the rating period covering July 1, 2022 through June 30, 2023, incorporated in the capitation rates through a risk-based rate adjustment.