Approved State Directed Payment Preprints
Results
SDP Identifier:: VA_Fee_IPH.OPH.NF_Renewal_20240701-20250630
Uniform increase for inpatient and outpatient services rendered by non-state government owned acute care hospitals for the rating period covering July 1, 2024 through June 30, 2025, incorporated in the capitation rates through a separate payment term of up to $90,600,000.
SDP Identifier:: VA_Fee_AMC_Renewal_20240701-20250630
Uniform increase for physicians affiliated with the practice plans of Virginia’s three allopathic medical schools: University of Virginia, Virginia Commonwealth University, and Eastern Virginia Medical Center, for the rating period covering July 1, 2024 through June 30, 2025, incorporated in the capitation rates through a separate payment term of up to $224,900,000.
SDP Identifier:: MO_Fee_OPH_Renewal_20240701-20250630
Minimum and maximum fee schedules established by the state for outpatient hospital services for the rating period, July 1, 2024 through June 30, 2025, incorporated into the capitation rates through a risk-based rate adjustment.
SDP Identifier:: MO_Fee_IPH_Renewal_20240701-20250630
Minimum and maximum fee schedules established by the state for inpatient hospital services for the rating period, July 1, 2024 through June 30, 2025, incorporated into the capitation rates through a risk-based rate adjustment.
SDP Identifier:: VA_Fee_Oth_Renewal_20240701-20250630
The minimum fee schedule established by the state for Durable Medical Equipment providers for the rating period covering July 1, 2024 through June 30, 2025, incorporated in the capitation rates through a risk-based rate adjustment.
SDP Identifier:: KS_Fee_IPH.OPH3_Renewal_20240101-20241231
Uniform increase for inpatient and outpatient services provided by eligible hospitals as established by the state for the rating period, January 1, 2024 through December 31, 2024, incorporated into the capitation rates through a separate payment term up to $397,295,435.
SDP Identifier:: NM_VBP.Fee_IPH.OPH5_Renewal_20240101-20240630
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, 2024 through June 30, 2024, incorporated into the capitation rates through a separate payment term of up to $34,500,000.
SDP Identifier:: NJ_Fee_IPH.BH2_Renewal_20240701-20250630
Uniform dollar increase for inpatient hospital services and behavioral health inpatient services provided by Ocean County hospitals for the rating period, July 1, 2024 through June 30, 2025, incorporated into the capitation rates through a separate payment term up to $83,912,896.
SDP Identifier:: NJ_Fee_IPH9_Renewal_20240701-20250630
Uniform dollar increase for inpatient hospital services provided by Passaic County hospitals for the rating period, July 1, 2024 through June 30, 2025, incorporated into the capitation rates through a separate payment term up to $69,563,799.
SDP Identifier:: SC_Fee_Oth_Renewal_20240701-20250630
Uniform increase established by the state to dispensing fees for Independent Community Pharmacies for the rating period covering July 1, 2024 through June 30, 2025, incorporated in the capitation rates through a separate payment term of up to $9,500,000.