Approved State Directed Payment Preprints
Results
SDP Identifier:: IL-Fee-IPH-OPH2-Amend-20220101-20221231
Uniform increase established by the state for inpatient and outpatient services at large non-state government 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 $396,200,000.
SDP Identifier:: NY-Fee-OPH1-Renewal-20220401-20230331
The uniform increase for Sole Community Hospitals established by the state for outpatient services for the rating period covering April 1, 2022 through March 31, 2023, incorporated in the capitation rates through a separate payment term of up to $107,280,220.
SDP Identifier:: NY-Fee-OPH2-Renewal-20220401-20230331
The uniform increase for Critical Access Hospitals established by the state for outpatient services for the rating period covering April 1, 2022 through March 31, 2023, incorporated in the capitation rates through a separate payment term of up to $43,818,681.
SDP Identifier:: NC-Fee-HCBS-BHO-Renewal-20230701-20240630
Uniform dollar increase for home and community-based services and behavioral health outpatient services 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:: NY-Fee-HCBS-Renewal-20220401-20230331
The enhanced minimum fee schedule for home and community-based services approved through the state’s 1115 waiver for the rating period covering April 1, 2022 through March 31, 2023, incorporated in the capitation rates through a risk-based rate adjustment.
SDP Identifier:: NY-Fee-HCBS5-New-20220401-20230331
The uniform increase for home and community-based services for eligible Health Home Providers for the rating period covering April 1, 2022 through March 31, 2023, incorporated in the capitation rates as a separate payment term of up to $280,000.
SDP Identifier:: FL-Fee-HCBS-BHO-Oth-New-20221001-20230930
Uniform percentage increase established by the state for home and community-based services, behavioral health outpatient services, and eligible non-waiver services 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 $296,534,267.
SDP Identifier:: HI-VBP-Fee-IPH-OPH-Renewal-20230101-20231231
• Pay for performance arrangement established by the state for public and private hospitals as defined in the preprint 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 $46.22 million;
• Uniform dollar increase established by the state for safety net hospitals owned and operated by a government agency 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 $78.1 million;
• Uniform percentage increase established by the state for inpatient and outpatient hospital services within privately-owned hospital provider classes for the rating period covering January 1, 2023 to December 31, 2023 incorporated in the capitation rates through a separate payment term of up to an estimated computable $166.69 million; and,
• Minimum and Maximum fee schedule established by the state for in-state general acute hospitals and children’s hospital services within in-state general acute hospital provider classes for the rating period of January 1, 2023 to December 31, 2023 incorporated in the capitation rates through a risk-based adjustment.
SDP Identifier:: KS-Fee-IPH-OPH-Renewal-20230101-20231231
Uniform increase for eligible Kansas hospitals established by the state for inpatient and outpatient services 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 $408,981,220.
SDP Identifier:: NM-Fee-OTH2-Renewal-20230101-20231231
The uniform increase for EPSDT services established by the state for Private Duty Nursing and Home Health Providers for the rating period covering January 1, 2023 through December 31, 2023, incorporated in the capitation rates through a risk-based rate adjustment.