Approved State Directed Payment Preprints
Results
SDP Identifier:: RI_Fee_NF_Renewal_20220701-20230630
Uniform increase for nursing facility 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:: CA_Fee_IPH.OPH.NF_New_20230101-20231231
Uniform dollar increase established by the state for inpatient and outpatient hospital services at District Hospitals 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 $200,000,000.
SDP Identifier:: MI_Fee_HCBS2_Renewal_20221001-20230930
The uniform dollar increase established by the state for direct care workers providing personal care services to eligible enrollees for the rating period covering October 1, 2022 until September 30, 2023 incorporated in the capitation rates through a risk-based rate adjustment.
SDP Identifier:: KY_Fee.Oth2_Renewal_20220101-20221231
Minimum fee schedule established by the state for outpatient pharmacy services for the rating period covering January 1, 2022 through December 31, 2022, incorporated in the capitation rates through a risk-based rate adjustment.
SDP Identifier:: SC_Fee_AMC_Renewal_20230701-20240630
Uniform increase established by the state for physicians providing professional services employed by or under contract with a South Carolina public medical university, academic medical center or its component units, or an SC Area Health Education Consortium (AHEC) Teaching Health System 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 $133,000,000.
SDP Identifier:: MS_Fee_IPH.OPH_Amend_20210701-20220630
Uniform percentage increase established by the state for inpatient and outpatient hospital services for the rating period covering July 1, 2021 through June 30, 2022, incorporated in the capitation rates through a separate payment term of up to $533,110,956.00.
SDP Identifier:: MS_Fee_IPH.OPH_Amend2_20220701-20230630
Uniform percentage increase established by the state for inpatient and outpatient hospital 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 $601,153,602.00.
SDP Identifier:: CA-Fee-PC-SP-BHO-Renewal-20230101-20231231
Uniform dollar increases established by the state for specific services provided by network physicians 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:: WV-Fee-IPH-OPH-AMC-PC-Amend-20220701-20230630
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, 2022 through June 30, 2023, incorporated in the capitation rates through a separate payment term of up to $343,997,344.
SDP Identifier:: IL-Fee-AMC-Renewal-20230101-20231231
Uniform increase established by the state for services provided by physicians employed by State-owned medical schools 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 $145,400,000.