Approved State Directed Payment Preprints
Results
SDP Identifier:: CA_Fee_IPH.OPH1_Renewal_20240101-20241231
Uniform increase for inpatient and outpatient services provided by private hospitals as defined in CA Welfare & Institutions Code § 14169.51(ap) for the rating period covering January 1, 2024 through December 31, 2024, incorporated in the capitation rates through a separate payment term of up to $7,187,256,629.
SDP Identifier:: NM_VBP_NF2_Amend_20240101-20240630
Amendment of a value-based purchasing and uniform percent increase arrangement established by the state to increase nursing facility per diem rates by the market basket index (MBI) factor and to provide quality incentive payments for nursing facilities that meet performance requirements on specified quality metrics for the rating period covering January 1, 2024 through June 30, 2024, incorporated into the capitation rates through a risk-based adjustment.
SDP Identifier:: KS_Fee_AMC_Renewal_20240101-20241231
Uniform increase for professional services at an academic medical center provided by Qualified Licensed Professionals 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 $16,000,000.
SDP Identifier:: NM_VBP.Fee_NF_Amend_20240101-20240630
The value-based payment and uniform increase established by the state for participating nursing facilities that demonstrate quality improvement for the rating period covering January 1, 2024 through June 30, 2024, incorporated in the capitation rates through a risk-based rate adjustment.
SDP Identifier:: WA_Fee_IPH.OPH1_New_20240101-20241231
Uniform percentage increase for inpatient and outpatient services with designated public hospitals 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 $224.1 million.
SDP Identifier:: MN_VBP_IPH.OPH.AMC.PC.SP.BHI.BHO_Renewal_20240101-20261231
Value-based purchasing established by the state for the Integrated Health Partnership for eligible inpatient and outpatient hospital services, professional services at an academic medical center, primary care services, specialty physician services, and inpatient and outpatient behavioral health services for the rating period, January 1, 2024 through December 31, 2026, incorporated into the capitation rates through a risk-based rate adjustment.
SDP Identifier:: NJ_Fee_NF_Renewal_20240701-20250630
Uniform increase for nursing facility services provided by Class II (publicly owned)
nursing facilities with greater than 500 licensed beds for the rating period, July 1, 2024
through June 30, 2025, incorporated into the capitation rates through a separate payment
term up to $18,207,438.
SDP Identifier:: WI_Fee_HCBS4_Renewal_20240101-20241231
Uniform percentage increase for Family Care and Family Care Partnership which is established by the state for eligible home and community-based service (HCBS) providers for the rating period covering January 1, 2024 through December 31, 2024, incorporated in the capitation rates through a risk-based rate adjustment.
SDP Identifier:: NM_Fee_OPH1_New_20240101-20240630
The uniform increase established by the state for outpatient services delivered by state-owned hospitals that receive funding through the Miners’ Trust Fund for the rating period covering January 1, 2024 through June 30, 2024, incorporated in the capitation rates through a separate payment term of up to $2,340,000.
SDP Identifier:: LA_Fee_HCBS2_New_20230701-20240630
Uniform dollar increase for pediatric home health nurses established by the state for
home health services for the rating period, July 1, 2023 through June 30, 2024,
incorporated into the capitation rates through a separate payment term up to $3,307,280.